Sixth
Edition
,Prefoce to fhe Sixth Edition vlt
Preface to the First Edition (excerpts) vlll
Section 1 UPPER LIMB
l. lntroduction 3 3. Peclorol Region 32
Ports of the Upper Limb 3 Surfoce Londmorks 32
Evolution of Upper Limbs 5 SuperficiolFoscio 33
Study of Anotomy 5 Dissection 33
Breost/Mommory Glond 34
2. Bones of Upper limb 6 Lymphotic Droinoge 37
Clinical Anatomy 39
Clovicle 6
Deep Pectorol Foscio 40
ClinicalAnatomy B
Muscles of the Pectorol Region 40
Scopulo 8 Dissection 40
ClinicalAnatomy I I Serrotus Anterior 43
Humerus 7 7
Mnemonics 44
Clinical Anatomy l5 Feets tc Remernber U
Rodius 15 Clinicoanatomical Problem 44
ClinicalAnatomy l9 Multiple Choice Questions 45
Ulno 20
ClinicalAnatomy 22
4. illo 46
lmportonce of Copsulor Attochments ond lntroduction 46
Epiphyseol Lines 23 Dissection 46
Clinical Anatomy 23 Contents of Axillo 47
Corpol Bones 23 Axillory Artery 48
Clinical Anatomy 26 Relotions of Axillory ArterY 49
Metocorpol Bones 26 Axillory Lymph Nodes 53
Clinical Anatomy 29 Clinical Anatomy 53
Pholonges 30 Brochiol Plexus 54
Clinical Anatomy 30 Dissection 54
Sesomoid Bones of the Upper Limb 30 Clinical Anatomy 56
Mnemonics 3l Mnemonics 57
Facts to Rsmember 3l Facts to Remember 58
ClinicoanatomicalProblem 3l ClinicoanatomicalProblem 58
Multiple Choice Questions 3l Multiple Choice Questions 58
, HUMAN ANATOMY_UPPER LIMB AND THORAX
5. Boclc 59 Muscles 87
MusculocutoneousNerve 88
Surfoce Londmorks 59 Clinical Anatomy 90
Skin ond Foscioe of the Bock 59 Brochiol Artery 9l
Dissection 59 Dissection 9l
Muscles Connecting Upper Limb with the Clinical Anatomy 93
Vertebrol Column 60 Lorge Nerves 93
Dissection 60 Cubitol Fosso 93
Tropezius 6l Dissection 93
Lotissimus Dorsi U Clinical Anatomy 95
Dissection 64 Posterior Comportment 95
Facts to Rsmember 65 Dissection 95
Clinicoanatomical Problem 65 Triceps Brochii Muscle 96
Multiple Choice Questions 65 Clinical Anatomy 97
Rodiol Nerve or Musculospirol Nerve 98
5. Seopulor Region 66 Clinical Anatomy 98
Surfoce Londmorks 66 Profundo Brochii Artery 99
Muscles of the Scopulor Region 66 Mnemonics 100
Facts to Remernber 100
Dissection 66
Deltoid 67 Clinicoanatomical Problem 100
Clinical Anatomy 68 Multiple Choice Questions l0l
Rototor Cuff 68
lntermusculor Spoces 7l 9. Fo Im <lnd Hond t02
Dissection 7l Muscles of Front of Foreorm 103
Axillory or Circumflex Nerve 72 Dissection 103
Anostomoses oround Scopulo 73 Superficiol Muscles 104
ClinicalAnatomy 73 Deep Muscles 104
Mnemonics 73 The Arteries of the Foreorm 107
Facts to Remernber 74 Dissection 107
Clinicoanatomical Problem 74 Rodiol Artery 107
Multiple Choice Questions 74 Ulnor Artery 108
The Nerves 109
Dissection 109
lymphotic Droinoge 75 Medion Nerve 109
Cutoneous Nerves 75 Ulnor Nerve I l0
Rodiol Nerve lll
Dissection 75
Polmor Aspect of Wrist ond Hond I l2
Dermotomes 78
Dissection I l2
Clinical Anatonry 79
Flexor Retinoculum I l2
SuperficiolVeins 79
Clinical Anatomy 8l Clinical Anatomy I l4
Lymph Nodes ond Lymphotic Droinoge 82 lntrinsic Muscles of the Hond I l4
Clinical Anatomy 83 Dissection I l4
F+cts t* Ren'lemher 83 Testing of Some lntrinsic Muscles I l8
Clinicoanatomical Problems 84 Arteries of the Hond I l8
Multiple Choice Questions 85 Dissection I I B
Ulnor Artery I l9
Clinical Anatomy l2l
8. Arm 86 Artery l2l
Rodiol
Surfoce Londmorks 86 Nerves 123
AnteriorComportment 87 Ulnor Nerve 123
Dissection 87 Clinical Anatomy 124
, CONTENTS
Medion Nerve 124 ClinicalAnatomy 153
Clinical Anatomy 126 Wrist (Rodiocorpol) Joint 153
Rodiol Nerve 127 Dissection 153
Spoces of the Hond 128 Clinical Anatomy 156
Clinical Anatomy 130 Joints of Hond 156
Bock of Foreorm ond Hond 130 Dissection 156
Dorsum of Hond ond Superficiol Muscles 737 lntercorpol, Corpometocorpol ond
Dissection t3l Intermetocorpol Joints 157
132
Extensor Retinoculum ClinicalAnatomy l5B
Superficiol Muscles 132 Faets ta Rememher 160
Deep Muscles 134 clinicoanatomical Problem 16l
Dissection 136 Multiple Choice Questions 16l
Posterior lnterosseous Nerve I36
Dissection t36 I l. Surface Morking, Rodiologicol Anotomy
Posterior lnterosseous Artery I37 ond Compoilson of Upper ond Lowel
Mnemontcs tJ/
Limbs 162
Fdcts to ftei:rember 137 Surfoce Londmorks 162
Clinicoanatomical Problems l3B Arteries t62
Multiple Choice Questions 138 Nerves t64
Joints 166
10. Joints of U er Limb 140 Retinoculo 166
Shoulder Girdle 140 Synoviol Sheoths of the Flexor Tendons 167
Sternocloviculor Joint 140 RodiologicolAnotomy of Upper Limb 167
Acromiocloviculor Joint l4l Comporison of Upper ond'Lower Limbs 170
Dissection l4l
Movements of the Shoulder Girdle t4t Appendix I 173
Shoulder Joint 143 Musculocutoneous Nerve 173
Dissection 143 Axillory or Circumflex Nerve 174
Movements of Shoulder Joint 144 Rodiol Nerve t74
Anatomy 147
Clinical Medion Nerve IZ5
Doncing Shoulder 147 Ulnor Nerve I77
Elbow Joint 149 Ctinical Anatomy 179
Dissection 149 Arteries of Upper Limb 780
Corrying Angle 150 CtinicotTerms 182
Clinical Anatomy 150 Multiple Choice Questions 183
Rodioulnor Joints 151 Further Reoding 184
Section 2 THORAX
12. lntroduciion 187 ClinicalAnatomv 190
superior Aperture/lnlet of Thorox 190
surfoce Londmorks of Thorox rg7 Clinical AnatomY 192
Skeleton of Thorox 189 lnferior Aperture/Outlet of Thorox 192
Formotion 189 F*cts t* Rr::*rerfih#r 193
Clinical Anatomy lB9 Clinicoanatomical Problem 194
Shope 189 Multiple Choice Questions 195
, HUMAN ANATOMY-UPPER LIMB AND THORAX
13. Bones ond Joinls of Thorox t96 Fissures ond Lobes 236
Roots of the Lung 237
Bones of Thorox 196 BronchiolTree 238
Ribs 196
Dissection 238
Costol Cortiloges 200 ClinicalAnatomy 241
Clinical Anatomy 201
Facts to Rern*mber 243
Sternum 201 Clinicoanatomical Problem 243
Clinical Anatomy 203
Multiple Choice Questions 243
Vertebrol Column 203
Clinical Anatomy 208
Joint of Thorox 208 17. Mediostinum 245
Respirotory Movements 2l I lntroduction 245
Clinical Anatomy 212 Dissection 245
Mnemonics 213 SuperiorMediostinum 245
Facts to Remember 214 lnferiorMediostinum 246
Clinicoanatomical Problem 214 Anterior Mediostinum 246
Multiple Choice Questions 214 Middle Mediostinum 246
Pbsterior Mediostinum 247
14. ll of Thorox 2t5 Clinical Anatomy 247
Facts to Remernber 248
Thorocic Woll Proper 215
Clinicoanatomical Problem 248
Dissection 215
Multiple Choice Questions 248
lntercostol Muscles 216
lntercostol Nerves 217
Clinical Anatomy 219 18. dcordium qnd Heort 249
lntercostol Arteries 219 Pericordium 249
lntercostolVeins 221 Dissection 249
lnternol Thorocic Artery 222 Clinical Anatomy 251
Azygos Vein 223 Heort 252
Thorocic Sympothetic Trunk 224 Externol Feotures 252
Clinical Anatomy 225 Clinical Anatomy 253
Facts t0 Remember 227 Right Atrium253
Clinicoanatomical Problem 227 Dissection 253
Multiple Choice Questions 227 Right Ventricle 256
Dissection 256
15. Ihorocic C ity ond Pleuroe 228 Left Atrium 258
lntroduction 228 Dissection 258
Thorocic Covity 228 Left Ventricle 258
Dissection 228 Dissection 258
Pleuro 229 Clinical Anatomy 259
Neve Supply of the Pleuro 232 Structure of Heort 259
ClinicalAnatomy 233 Clinical Anatomy 261
Facts to Rernember 234 Musculoture of Heort 261
Clinicoanatomical Problem 234 Conducting System 262
Multiple Choice Questions 234 Clinical Anatomy 263
Right Coronory Adery 263
Dissection 263
16. lungs 235
Left Coronory Artery 263
lntroduction 235 Dissection 263
Lungs 235 Clinical Anatomy 265
Dissection 235 Veins of the Heori 266
, CONTENTS
Nerve Supply of Heort 267 21. Surfo Morking ond Rodiologicol
S:J:::iH:'#:r #l.pon"nt, 267 Anoromv or Thorox 288
Foetol Circulotion 268 Surfoce Morking 288
Mnemonics 270 Porietol Pleuro 288
Fects to Remernher 270 Viscerol Pleuro 289
Clinicoanatomicat problems270 Borders of the Heart 290
Multipte choice Questions 271 Arteries 291
Yeins 292
19. Supefiol no Covq, Aorlo ond Pulmonory Trocheo ond Bronchi 293
Trunk 272 Oesophogus 293
Thorocic DucI 293
Lorge Btood Vessers 272 .RodiogroPhY 293
Dissection 272
superior veno covo 272
Numericols 294
Clinical Anatomy 273 2 295
endix
Ascending Aorto 274
Clinical Anatomy 275 Autonomic Nervous System 295
Arch of the Aorto 275 Sympothetic Nervous System 295
Descending Thorocic Aorto 276 Thorocic Port of Sympothetic Trunk 296
Pulmonory Trunk 278 Nerve Supply of Heart 297
Facts tn Remernber 278 Nerve Supply ol Lungs 297
Clinicoanatomical Problem 279 Arteries of Thorox 298
Multiple Choice euestions 279 Typicol lntercostol Nerve 299
Atypicol lntercostol Nerves 300
280 Multiple Choice Questions 301
Further Reoding 302
Trocheo 2go
Anatomy 281
Clinical Sp 303
Oesophogus 282
Dissection 282 Spots on Upper Limb 303
Clinical Anatomy 284 Answers 304
Thorocic Duct 285 Spots on Thorox 305
Facts to Remernber 285 Answers 306
Clinicoanatomical Problem 286
Muttipte choice euestions287 lndex 307
Edition
,Prefoce to fhe Sixth Edition vlt
Preface to the First Edition (excerpts) vlll
Section 1 UPPER LIMB
l. lntroduction 3 3. Peclorol Region 32
Ports of the Upper Limb 3 Surfoce Londmorks 32
Evolution of Upper Limbs 5 SuperficiolFoscio 33
Study of Anotomy 5 Dissection 33
Breost/Mommory Glond 34
2. Bones of Upper limb 6 Lymphotic Droinoge 37
Clinical Anatomy 39
Clovicle 6
Deep Pectorol Foscio 40
ClinicalAnatomy B
Muscles of the Pectorol Region 40
Scopulo 8 Dissection 40
ClinicalAnatomy I I Serrotus Anterior 43
Humerus 7 7
Mnemonics 44
Clinical Anatomy l5 Feets tc Remernber U
Rodius 15 Clinicoanatomical Problem 44
ClinicalAnatomy l9 Multiple Choice Questions 45
Ulno 20
ClinicalAnatomy 22
4. illo 46
lmportonce of Copsulor Attochments ond lntroduction 46
Epiphyseol Lines 23 Dissection 46
Clinical Anatomy 23 Contents of Axillo 47
Corpol Bones 23 Axillory Artery 48
Clinical Anatomy 26 Relotions of Axillory ArterY 49
Metocorpol Bones 26 Axillory Lymph Nodes 53
Clinical Anatomy 29 Clinical Anatomy 53
Pholonges 30 Brochiol Plexus 54
Clinical Anatomy 30 Dissection 54
Sesomoid Bones of the Upper Limb 30 Clinical Anatomy 56
Mnemonics 3l Mnemonics 57
Facts to Rsmember 3l Facts to Remember 58
ClinicoanatomicalProblem 3l ClinicoanatomicalProblem 58
Multiple Choice Questions 3l Multiple Choice Questions 58
, HUMAN ANATOMY_UPPER LIMB AND THORAX
5. Boclc 59 Muscles 87
MusculocutoneousNerve 88
Surfoce Londmorks 59 Clinical Anatomy 90
Skin ond Foscioe of the Bock 59 Brochiol Artery 9l
Dissection 59 Dissection 9l
Muscles Connecting Upper Limb with the Clinical Anatomy 93
Vertebrol Column 60 Lorge Nerves 93
Dissection 60 Cubitol Fosso 93
Tropezius 6l Dissection 93
Lotissimus Dorsi U Clinical Anatomy 95
Dissection 64 Posterior Comportment 95
Facts to Rsmember 65 Dissection 95
Clinicoanatomical Problem 65 Triceps Brochii Muscle 96
Multiple Choice Questions 65 Clinical Anatomy 97
Rodiol Nerve or Musculospirol Nerve 98
5. Seopulor Region 66 Clinical Anatomy 98
Surfoce Londmorks 66 Profundo Brochii Artery 99
Muscles of the Scopulor Region 66 Mnemonics 100
Facts to Remernber 100
Dissection 66
Deltoid 67 Clinicoanatomical Problem 100
Clinical Anatomy 68 Multiple Choice Questions l0l
Rototor Cuff 68
lntermusculor Spoces 7l 9. Fo Im <lnd Hond t02
Dissection 7l Muscles of Front of Foreorm 103
Axillory or Circumflex Nerve 72 Dissection 103
Anostomoses oround Scopulo 73 Superficiol Muscles 104
ClinicalAnatomy 73 Deep Muscles 104
Mnemonics 73 The Arteries of the Foreorm 107
Facts to Remernber 74 Dissection 107
Clinicoanatomical Problem 74 Rodiol Artery 107
Multiple Choice Questions 74 Ulnor Artery 108
The Nerves 109
Dissection 109
lymphotic Droinoge 75 Medion Nerve 109
Cutoneous Nerves 75 Ulnor Nerve I l0
Rodiol Nerve lll
Dissection 75
Polmor Aspect of Wrist ond Hond I l2
Dermotomes 78
Dissection I l2
Clinical Anatonry 79
Flexor Retinoculum I l2
SuperficiolVeins 79
Clinical Anatomy 8l Clinical Anatomy I l4
Lymph Nodes ond Lymphotic Droinoge 82 lntrinsic Muscles of the Hond I l4
Clinical Anatomy 83 Dissection I l4
F+cts t* Ren'lemher 83 Testing of Some lntrinsic Muscles I l8
Clinicoanatomical Problems 84 Arteries of the Hond I l8
Multiple Choice Questions 85 Dissection I I B
Ulnor Artery I l9
Clinical Anatomy l2l
8. Arm 86 Artery l2l
Rodiol
Surfoce Londmorks 86 Nerves 123
AnteriorComportment 87 Ulnor Nerve 123
Dissection 87 Clinical Anatomy 124
, CONTENTS
Medion Nerve 124 ClinicalAnatomy 153
Clinical Anatomy 126 Wrist (Rodiocorpol) Joint 153
Rodiol Nerve 127 Dissection 153
Spoces of the Hond 128 Clinical Anatomy 156
Clinical Anatomy 130 Joints of Hond 156
Bock of Foreorm ond Hond 130 Dissection 156
Dorsum of Hond ond Superficiol Muscles 737 lntercorpol, Corpometocorpol ond
Dissection t3l Intermetocorpol Joints 157
132
Extensor Retinoculum ClinicalAnatomy l5B
Superficiol Muscles 132 Faets ta Rememher 160
Deep Muscles 134 clinicoanatomical Problem 16l
Dissection 136 Multiple Choice Questions 16l
Posterior lnterosseous Nerve I36
Dissection t36 I l. Surface Morking, Rodiologicol Anotomy
Posterior lnterosseous Artery I37 ond Compoilson of Upper ond Lowel
Mnemontcs tJ/
Limbs 162
Fdcts to ftei:rember 137 Surfoce Londmorks 162
Clinicoanatomical Problems l3B Arteries t62
Multiple Choice Questions 138 Nerves t64
Joints 166
10. Joints of U er Limb 140 Retinoculo 166
Shoulder Girdle 140 Synoviol Sheoths of the Flexor Tendons 167
Sternocloviculor Joint 140 RodiologicolAnotomy of Upper Limb 167
Acromiocloviculor Joint l4l Comporison of Upper ond'Lower Limbs 170
Dissection l4l
Movements of the Shoulder Girdle t4t Appendix I 173
Shoulder Joint 143 Musculocutoneous Nerve 173
Dissection 143 Axillory or Circumflex Nerve 174
Movements of Shoulder Joint 144 Rodiol Nerve t74
Anatomy 147
Clinical Medion Nerve IZ5
Doncing Shoulder 147 Ulnor Nerve I77
Elbow Joint 149 Ctinical Anatomy 179
Dissection 149 Arteries of Upper Limb 780
Corrying Angle 150 CtinicotTerms 182
Clinical Anatomy 150 Multiple Choice Questions 183
Rodioulnor Joints 151 Further Reoding 184
Section 2 THORAX
12. lntroduciion 187 ClinicalAnatomv 190
superior Aperture/lnlet of Thorox 190
surfoce Londmorks of Thorox rg7 Clinical AnatomY 192
Skeleton of Thorox 189 lnferior Aperture/Outlet of Thorox 192
Formotion 189 F*cts t* Rr::*rerfih#r 193
Clinical Anatomy lB9 Clinicoanatomical Problem 194
Shope 189 Multiple Choice Questions 195
, HUMAN ANATOMY-UPPER LIMB AND THORAX
13. Bones ond Joinls of Thorox t96 Fissures ond Lobes 236
Roots of the Lung 237
Bones of Thorox 196 BronchiolTree 238
Ribs 196
Dissection 238
Costol Cortiloges 200 ClinicalAnatomy 241
Clinical Anatomy 201
Facts to Rern*mber 243
Sternum 201 Clinicoanatomical Problem 243
Clinical Anatomy 203
Multiple Choice Questions 243
Vertebrol Column 203
Clinical Anatomy 208
Joint of Thorox 208 17. Mediostinum 245
Respirotory Movements 2l I lntroduction 245
Clinical Anatomy 212 Dissection 245
Mnemonics 213 SuperiorMediostinum 245
Facts to Remember 214 lnferiorMediostinum 246
Clinicoanatomical Problem 214 Anterior Mediostinum 246
Multiple Choice Questions 214 Middle Mediostinum 246
Pbsterior Mediostinum 247
14. ll of Thorox 2t5 Clinical Anatomy 247
Facts to Remernber 248
Thorocic Woll Proper 215
Clinicoanatomical Problem 248
Dissection 215
Multiple Choice Questions 248
lntercostol Muscles 216
lntercostol Nerves 217
Clinical Anatomy 219 18. dcordium qnd Heort 249
lntercostol Arteries 219 Pericordium 249
lntercostolVeins 221 Dissection 249
lnternol Thorocic Artery 222 Clinical Anatomy 251
Azygos Vein 223 Heort 252
Thorocic Sympothetic Trunk 224 Externol Feotures 252
Clinical Anatomy 225 Clinical Anatomy 253
Facts t0 Remember 227 Right Atrium253
Clinicoanatomical Problem 227 Dissection 253
Multiple Choice Questions 227 Right Ventricle 256
Dissection 256
15. Ihorocic C ity ond Pleuroe 228 Left Atrium 258
lntroduction 228 Dissection 258
Thorocic Covity 228 Left Ventricle 258
Dissection 228 Dissection 258
Pleuro 229 Clinical Anatomy 259
Neve Supply of the Pleuro 232 Structure of Heort 259
ClinicalAnatomy 233 Clinical Anatomy 261
Facts to Rernember 234 Musculoture of Heort 261
Clinicoanatomical Problem 234 Conducting System 262
Multiple Choice Questions 234 Clinical Anatomy 263
Right Coronory Adery 263
Dissection 263
16. lungs 235
Left Coronory Artery 263
lntroduction 235 Dissection 263
Lungs 235 Clinical Anatomy 265
Dissection 235 Veins of the Heori 266
, CONTENTS
Nerve Supply of Heort 267 21. Surfo Morking ond Rodiologicol
S:J:::iH:'#:r #l.pon"nt, 267 Anoromv or Thorox 288
Foetol Circulotion 268 Surfoce Morking 288
Mnemonics 270 Porietol Pleuro 288
Fects to Remernher 270 Viscerol Pleuro 289
Clinicoanatomicat problems270 Borders of the Heart 290
Multipte choice Questions 271 Arteries 291
Yeins 292
19. Supefiol no Covq, Aorlo ond Pulmonory Trocheo ond Bronchi 293
Trunk 272 Oesophogus 293
Thorocic DucI 293
Lorge Btood Vessers 272 .RodiogroPhY 293
Dissection 272
superior veno covo 272
Numericols 294
Clinical Anatomy 273 2 295
endix
Ascending Aorto 274
Clinical Anatomy 275 Autonomic Nervous System 295
Arch of the Aorto 275 Sympothetic Nervous System 295
Descending Thorocic Aorto 276 Thorocic Port of Sympothetic Trunk 296
Pulmonory Trunk 278 Nerve Supply of Heart 297
Facts tn Remernber 278 Nerve Supply ol Lungs 297
Clinicoanatomical Problem 279 Arteries of Thorox 298
Multiple Choice euestions 279 Typicol lntercostol Nerve 299
Atypicol lntercostol Nerves 300
280 Multiple Choice Questions 301
Further Reoding 302
Trocheo 2go
Anatomy 281
Clinical Sp 303
Oesophogus 282
Dissection 282 Spots on Upper Limb 303
Clinical Anatomy 284 Answers 304
Thorocic Duct 285 Spots on Thorox 305
Facts to Remernber 285 Answers 306
Clinicoanatomical Problem 286
Muttipte choice euestions287 lndex 307
