Clemente's Anatomy Dissector

466 Pages·2010·13.07 MB·English

by  Carmine D. Clemente PhD

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Clemente’s
Anatomy
Dissector
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Clemente’s
Anatomy
Dissector
Guides to Individual Dissections in Human Anatomy
with Brief Relevant Clinical Notes (Applicable for Most Curricula)
Carmine D. Clemente, PhD, DHL
Emeritus Professor of Anatomy and Neurobiology (Recalled)
UCLA School of Medicine
Professor of Surgical Anatomy
Charles R. Drew University of Medicine and Science
Los Angeles, California
THIRD EDITION
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3rd Edition
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9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Clemente, Carmine D.
Clemente’s anatomy dissector : guides to individual dissections in
human anatomy with brief relevant clinical notes (applicable for most
curricula) / Carmine D. Clemente.–3rd ed.
p. ; cm.
Other title: Anatomy dissector
Includes bibliographical references and index.
ISBN 978-1-60831-384-6 (alk. paper)
1. Human dissection–Laboratory manuals. I. Title. II. Title: Anatomy
dissector.
[DNLM: 1. Anatomy–methods–Laboratory Manuals.
2. Dissection–methods–Laboratory Manuals. QS 25 C626c 2010]
QM34.C545 2010
611.0078–dc22
2010002548
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Preface
Preface to the First Edition In this book, significant attention is paid to surface anatomy
in virtually every relevant dissection. This aspect of anatomy is
One of my objectives in writing this book was to combine a of prime importance for its clinical implications.
home study exercise with a laboratory dissection experience. Because the dissections are described in separate chapters,
Each chapter is a separate dissection and lesson. Indexed to the study guide can be used in virtually any of the varied curric-
Clemente’s Anatomy, A Regional Atlas of the Human Body(4th ula and course sequences in our health science schools. The se-
Edition) with references to three other popular atlases (Grant’s quence of dissection chapters follows from the pectoral region to
Atlas, 11th Edition; Netter’s Atlas, 3rd Edition; and Rohen’s Atlas, the upper limb, thorax, abdomen, pelvis and perineum, lower
5th Edition), the student learns the step-by-step dissection pro- limb, back, neck, and head. Additionally, the separate dissection
cedure for the laboratory along with relevant text information chapters and their subheadings can readily be selected to meet
that enhances the laboratory work. At home, the learning the needs of a systems curriculum or to a classical regional se-
process can be repeated by reading the text of each chapter and, quence that commences in parts of the body other than the pec-
following the dissection procedure, by simultaneously viewing toral and upper limb regions.
the line drawings of this book and the relevant pages or plates in Many of the line drawings in this book were done by the
one of the referenced atlases. artist Ms. Jill Penkhus in Los Angeles. Many others were pro-
The dissection directions are detailed beyond those of other duced under the direction of Professor Gene Colborn several
currently used laboratory manuals, allowing students the oppor- years ago at the Medical College of Georgia for the Urban &
tunity to dissect on their own if they wish to do so, yet the text is Schwarzenberg Publishing Company. Still others were drawn by
brief and stresses essentials. Usually, each dissection will require Ms. Patricia Vetter. I am most grateful to Ms. Penkhus, Ms. Vetter,
one laboratory period of 2.5 to 3 hours. Exceptions to this may and especially to Professor Colborn for their contributions. My
be the dissections of the pelvis and perineum, which may require appreciation is also extended to Mr. Timothy Satterfield and Ms.
some more time. The descriptions for these latter two dissections Susan Katz at Lippincott Williams & Wilkins for their patience
are similar in format. They include sections to be dissected sim- as well as Ms. Ulita Lushycky for her most effective managing
ilarly in both sexes and then special instructions required for in- of the manuscript. Finally, but by no means least, I am most
dividual dissections in male and female cadavers. grateful to Julie, my wife, who has spent many hours at the com-
One need not defend again the value of dissecting the hu- puter during the development and eventual completion of the
man body in schools of medicine and the other health profes- manuscript.
sions. Experience through the centuries has proved its value in
introducing the student to the study of medicine and its allied Los Angeles, 2002
professions. Some have claimed that often “irrelevant” infor-
mation was stressed in anatomy dissection courses. I have tried
to select a dissection method that exposed essential structures in Preface to the Second and Third Edition
the most straightforward manner. No part of the body is sum-
marily excluded, allowing the book to be of value for various My appreciation goes to the many faculty and students who have
types of curricula. used this dissector. Its wide acceptance not only in the United
One departure from other dissection guides introduced in this States but in foreign countries as well has been most gratifying.
book and suggested by my colleague, the late Professor David Several significant changes have been made. One is that in the
Maxwell, is the dissection of the posterior triangle of the neck im- first edition, dissection of the posterior triangle of the neck
mediately following that of the axilla but before the remainder of (which contains the neurovascular structures for the upper limb)
the upper limb. This allows the student to see the source of the was introduced just prior to dissections on the pectoral girdle and
neurovascular structures that supply the shoulder, arm, forearm, upper limb. In subsequent editions, the posterior triangle of the
and hand. This was changed in 2nd and subsequent edition. neck was shifted to the section on neck and head dissections
v
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vi PREFACE
(29) just prior to the anterior triangle dissection. This change was body or, perhaps, even certain dissections within specific body
made only because most courses use this latter dissection regions.
sequence and not because it especially makes better anatomic I have also attempted to edit some descriptive material in the
sense. various dissections and have added paragraphs on clinical rele-
Since publication of the first edition of this dissector, new vance. My appreciation again goes to Professor Gene Colborn
editions of the Grant’s, Netter’s, and Rohen atlases have ap- for several drawings in this book, along with artists Jill Penkhus
peared. Thus, the 3rd edition is now cross-referenced with the and Patricia Vetter. At Lippincott Williams & Wilkins, my ap-
new 6th edition of the Clemente atlas, the 12th edition of the preciation is extended to Ms. Betty Sun and especially to Ms.
Grant’s atlas, the 4th edition of Netter, and the 7th edition of Ro- Crystal Taylor and Ariel Winter. At UCLA my many thanks are
hen. Many new figures have been introduced, several of which extended to my Gross Anatomy colleagues Professors Shaleen
have come from the 30th American edition of Gray’s Anatomy, Metten, Robin Fisher, Guido Zampighi, David Hovda, Charles
which I edited and which appeared in 1985. Many positive com- Olmstead, Anna Taylor, Yau Shi Lin, Jayc Sedlmayer, and
ments have been received from course chairs that each dissection Francesco Chiappelli for their suggestions and for their use of
is a separate “chapter” in the book, making it easy in their as- this book in their courses.
signments to the students. This format has also been appreciated
by chairs whose courses do not include dissections of the entire Los Angeles, 2010
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How to Use This Book
This dissector has been designed to assist students of medicine Clemente’s Dissectoris referenced to the following atlases:
and health professions in performing comprehensive and effi-
cient dissections. The text has the following features: Anatomy: A Regional Atlas of the Human Body,6th Edition
Carmine D. Clemente
Each chapter can be used on its own, as a separate dissection Lippincott Williams & Wilkins, 2010
and lesson, in the sequence most appropriate for any anatomy
course. Therefore, the arrangement of the content makes this Grant’s Atlas of Anatomy,12th Edition
dissector applicable to varied curricula. Anne M.R. Agur
Basic information on surface anatomy and related prepara- Arthur F. Dalley II, Editors
tory techniques precedes the dissecting instructions. This text is Lippincott Williams & Wilkins, 2009
printed in black on white background.
Dissection procedures are printed in black on a shaded red Netter’s Atlas of Human Anatomy,4th Edition
background. Saunders/Elsevier, 2006
Figure references are color-coded in red, so the student can
easily establish the connection between figures and dissecting Color Atlas of Anatomy: A Photographic Study of the Human
steps. Body,7th Edition
Important structures are set in boldface in text. Some cau- Johannes W. Rohen
tionary statements are set in capitalized letters. Chihiro Yokochi
References to Clemente’s atlas are embedded in the text. Elke Lütjen-Drecoll
However, cross-references to other major atlases are placed in a Lippincott Williams & Wilkins, 2010
middle column next to the appropriate procedure. Red arrows
clearly indicate to which column the references correspond.
The beginning of each dissection lists the referenced atlases,
their corresponding edition numbers, and information indicat-
ing whether the numbers refer to plates or pages.
vii
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