Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The diagonal of every square figure is the junction line of the opposite
triangles which form the square. The cervical square being indicated as
that space which lies within the mastoid process and the top of the
sternum--the symphysis of the lower maxilla and the top of the shoulder,
it will be seen, in Plate 5, that the line which the common carotid and
internal jugular vein occupy in the neck, is the diagonal; and hence the
junction line of the two surgical triangles.
The general course of the common carotid artery and internal jugular
vein is, therefore, obliquely backwards and upwards through the diagonal
of the cervical square, and passing, as it were, from the point of one
angle of the square to that of the opposite--viz., from the
sterno-clavicular junction to the masto-maxillary space; and, taking the
anterior triangle of the cervical square to be that space included
within the points marked H 8 A, Plate 5, it will be seen that the common
carotid artery ranges along the posterior side of this anterior
triangle. Again: taking the points 5 Z Y to mark the posterior triangle
of the cervical square, so will it be seen that the internal jugular
vein and the common carotid artery, with the vagus nerve between them,
range the anterior side of this posterior triangle, while the subclavian
artery, Q, passes through the centre of the inferior side of the
posterior triangle, that is, under the middle of the shaft of the
clavicle.
The main blood vessels (apparently according to original design) will be
found always to occupy the centre of the animal fabric, and to seek
deep-seated protection under cover of the osseous skeleton. The
vertebrae of the neck, like those of the back and loins, support the
principal vessels. Even in the limbs the large bloodvessels range
alongside the protective shafts of the bones. The skeletal points are
therefore the safest guides to the precise localities of the
bloodvessels, and such points are always within the easy recognition of
touch and sight.
Public-domain text, read in full here on John Shaqi.
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