Instant Anatomy

281 Pages·2016·43.68 MB·English

by  Robert H. Whitaker

12.9mm
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Fifth Edition ley
Robert H. Whitaker, MA, MD, MChir, FRCS, FMAA
Selwyn College, University of Cambridge
Neil R. Borley, MB, BS, FRCS, FRCS (ed)
Cheltenham General Hospital, Cheltenham
Fifth Edition
I
Instant Anatomy presents anatomy and anatomical relationships in a simple, unique, schematic manner to n
aid the speedy understanding and retrieval of anatomical facts. It shows structures such as nerves and blood s Robert H. Whitaker and Neil R. Borley
vessels in their entirety, unlike the partial, regional presentations given in most textbooks. t
a
Covering the major aspects of anatomy, each section presents the relevant structures in double page n
spreads, with clear, full-colour diagrams on the left and concise text for each structure on the right. This t
new fifth edition includes more surface anatomy such as new myotome maps, bones of the hands and feet, A
principles of movement at shoulder and hip, and images to clarify the understanding of the inguinal region
and the lesser sac of the stomach. n
Ideal for use alongside a core anatomy textbook, Instant Anatomy is the perfect quick reference guide for a
medical students, surgeons, radiologists and those in many other specialties. The companion website at t
www.instantanatomy.net with its podcasts and wide-ranging multiple-choice questions provides o
invaluable exam preparation.
m
For more information on the complete Instant Anatomy is also available as y
range of Wiley medical student and a digital textbook. For more details,
junior doctor publishing, please please see http://bit.ly/InAna5e
visit www.wileymedicaleducation.com F
This new edition is also available as if
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THE AUTHORS

Robert H. Whitaker, MD, MChir, FRCS, FMAA, graduated from the University of
Cambridge and trained at University College Hospital, London. He spent a year at Johns
Hopkins Hospital, Baltimore, in the Urological Research Laboratories before returning
to continue his training irst at the St Peters Hospital group in London and then as a
Senior Lecturer in Urology at the London Hospital Medical School. He was appointed
as a Consultant Urologist at Addenbrooke’s Hospital in Cambridge in 1973 and spent
20 years practising mostly paediatric urology before retiring from clinical practice to
join the Department of Anatomy in Cambridge to help with the teaching of students and
trainee surgeons. He is a Fellow and Examiner of the Medical Artists’ Association of Great
Britain. In 2013 he was awarded the Farquharson Teaching Award by the Royal College of
Surgeons of Edinburgh.
Neil R. Borley MB, BS, FRCS, MS, trained at Guy’s Hospital, London. He undertook a
surgical rotation at Addenbrooke’s Hospital, Cambridge, before becoming a Demonstrator
in the Department of Anatomy in Cambridge under Professor Harold Ellis. He passed
the Primary FRCS examination in 1993 for which he received the Hallet Prize and then
continued his surgical training at Papworth Hospital and Kent & Canterbury Hospital.
Thereafter he moved to Oxford as Surgical Registrar and then Clinical Lecturer in
Surgery and Clinical Tutor in the Nufield Department of Surgery. He is now a Consultant
Colorectal Surgeon in Cheltenham.

INSTANT ANATOMY
Robert H. Whitaker
MA, MD, MChir, FRCS, FMAA

Selwyn College

University of Cambridge

Neil R. Borley
MB, BS, FRCS, FRCS (ed)

Cheltenham General Hospital, Cheltenham

FIFTH EDITION
This edition irst published 2016 © 2016 by Robert H. Whitaker and Neil R. Borley
Previous editions: 1994, 2000, 2005, 2010
Registered ofice: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
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Library of Congress Cataloging-in-Publication Data
Names: Whitaker, R. H. (Robert H.), author. | Borley, Neil R., author.
Title: Instant anatomy / Robert H. Whitaker, Neil R. Borley.
Description: 5th edition. | Chichester, West Sussex ; Hoboken, NJ : John
Wiley & Sons, Ltd., 2016. | Includes bibliographical references and index.
Identiiers: LCCN 2015048493 (print) | LCCN 2015049253 (ebook) | ISBN
9781119159384 (pbk.) | ISBN 9781119159391 (pdf) | ISBN 9781119159407 (epub)
Subjects: | MESH: Anatomy | Outlines
Classiication: LCC QM31 (print) | LCC QM31 (ebook) | NLM QS 18.2 | DDC
611–dc23
LC record available at http://lccn.loc.gov/2015048493
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be
available in electronic books.
Cover image: [Production Editor to insert]
Set in 8.5/10.5 pt Sabon LT Std Roman by Thomson Digital, Noida, India.
1 2016
CONTENTS
Preface to ifth edition, vi

Preface to irst edition, vii

Notes on the text, viii

1 Arteries, 1

2 Veins, 47

3 Lymphatics, 59

4 Autonomic nervous system, 72

5 Cranial nerves, 91

6 Peripheral nerves, 115

7 Dermatomes and cutaneous nerve distribution, 147

8 Muscles, 155

9 Joints, 181

10 Ossiication times, 191

11 Foramina—skull and spine, 197

12 Position of structures according to vertebral levels, 205

13 Pharyngeal derivatives, 207

14 Surface anatomy and key areas, 211

Rules and exceptions, 267

v
PREFACE TO FIFTH EDITION
We have added some more material to this Anatomy and Key Areas” that includes
5th edition but believe that we have kept to clinically applicable material such as the
our original plan of a quick reference book examination of the heart and chest. We
that is user friendly. Most of the new material continue to resist the occasional request for
is presented as easy ways to remember tricky an index but please do give us feedback on
little areas of anatomy that our students your assessment of this new edition which,
have found so useful over the years. A good despite a little expansion, remains true to
example is the new section entitled “rules our initial intention to produce an instant
and exceptions” which we hope you will ind reference book for the white coat pocket
useful and possibly even fun. and briefcase.
As always we continue to believe that Since the previous editions our Instant
anatomy is the language of medicine and that Anatomy Website (www.instantanatomy.net)
at qualiication as a doctor, physiotherapist, has continued to lourish and subscriptions
nurse or radiographer, to name just a few (www.instantanatomy.co.uk) have been
professions, there is a basic amount of taken out by a number of universities and
anatomical knowledge that is essential. many individuals. If you like sitting back
It is at last beginning to dawn on many and watching and listening to podcasts then
specialities in medicine that many mistakes this is the site for you.
that lead to surgical or other errors are due
to inadequate anatomical knowledge. robert whitaker
Most of the expansion in this 5th edition neil borley
has been in the last section of “Surface Cambridge and Cheltenham, 2016
vi
PREFACE TO FIRST EDITION
How many times have you looked up It is designed primarily for
the course of an artery or nerve in one undergraduate medical students and
of the excellent anatomy textbooks that prospective surgeons who are studying for
are available today only to ind that the a higher degree in surgery. For each of these
details are spread over several sections of groups we believe it will be ideal. However,
the book and that an instant summary is it should also be extremely useful for all
not available? At times like this you wish clinicians who need to remind themselves of
there was a quick reference book with all anatomical facts at all stages in their careers
the answers neatly catalogued in dictionary and for other professional groups such as
format. nurses, physiotherapists and radiographers.
We have attempted to provide such a Inevitably in a book of this size there
concise text for rapid reference. Of course, has been some selection of material for
we emphasise that this is not a text for inclusion and no attempt has been made to
learning anatomy from scratch but one that provide details of minutiae that appear in
should be used in conjunction with one of the fuller text.
the fuller texts that has stood the test of The authors’ original artwork was
time. The book is designed for those who redrawn with a graphics program by Jane
already have some working knowledge of Fallows, medical illustrator, to whom the
anatomy and need to ind accurate facts authors owe an immense debt of gratitude
quickly. for her skill and patience.
Both authors have been suficiently
recent students of anatomy for higher robert whitaker
degrees and for teaching undergraduate neil borley
medical students that each can remember Cambridge, 1994
the problems that both students and they
themselves encountered. The book has been
compiled with this in mind.
vii
NOTES ON THE TEXT
The illustrations show the right side of inf inferior(ly)
the body as viewed from in front, unless int internal
otherwise indicated. The two exceptions are IP interphalangeal
the cervical and brachial plexuses where it jnt(s) joint(s)
makes little difference as to which side they lat lateral(ly)
are viewed and they are more conveniently lig(s) ligament(s)
drawn and remembered as they are shown med medial(ly)
here. Where there might be confusion, a MC(s) metacarpal(s)
small compass has been added to indicate MCP metacarpophalangeal
the left and right sides of the body. MTP metatarsophalangeal
Eponymous names appear sparingly and MT(s) metatarsal(s)
only when they are in common usage. The N(s) or nerve(s)
following abbreviations have been used as post posterior(ly)
appropriate throughout the text. prox proximal
sup superior(ly)
List of abbreviations TMT tarsometatarsal
V(s) vein(s)
ant anterior(ly)
art(s) artery(ies) Note: Abbreviations are not used for muscle
br(s) branch(s) names or in titles. The following words
CMC carpometacarpal are always written in full: greater, lesser,
div(s) division(s) middle, supericial and combinations such
ext external as posterolateral.
viii