Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
D. Dorsal branch of the ulnar nerve supplying the back of the hand and
the three outer fingers.
E. Radial artery turning round the carpal end of the metacarpal bone of
the thumb.
F. Tendon of extensor carpi radialis brevis.
G. Tendon of extensor carpi radialis longus.
H. Tendon of third extensor of the thumb.
I. Tendon of second extensor of the thumb.
K. Tendon of extensor minimi digiti joining a tendon of extensor
communis.
[Illustration: Right hand, showing blood vessels, muscles and other
internal organs.]
Plate 19
COMMENTARY ON PLATES 20 & 21.
THE RELATIVE POSITION OF THE CRANIAL,
NASAL, ORAL, AND PHARYNGEAL CAVITIES, &c.
On making a section (vertically through the median line) of the
cranio-facial and cervico-hyoid apparatus, the relation which these
structures bear to each other in the osseous skeleton reminds me
strongly of the great fact enunciated by the philosophical anatomists,
that the facial apparatus manifests in reference to the cranial
structures the same general relations which the hyoid apparatus bears to
the cervical vertebrae, and that these relations are similar to those
which the thoracic apparatus bears to the dorsal vertebrae. To this
anatomical fact I shall not make any further allusions, except in so far
as the acknowledgment of it shall serve to illustrate some points of
surgical import.
The cranial chamber, A A H, Plate 20, is continuous with the spinal
canal C. The osseous envelope of the brain, called calvarium, Z B, holds
serial order with the cervical spinous processes, E I, and these with
the dorsal spinous processes. The dura-matral lining membrane, A A A*,
of the cranial chamber is continuous with the lining membrane, C, of the
spinal canal. The brain is continuous with the spinal cord. The
intervertebral foramina of the cervical spine are manifesting serial
order with the cranial foramina. The nerves which pass through the
spinal region of this series of foramina above and below C are
continuous with the nerves which pass through the cranial region. The
anterior boundary, D I, of the cervical spine is continuous with the
anterior boundary, Y F, of the cranial cavity. And this common serial
order of osseous parts--viz., the bodies of vertebrae, serves to
isolate the cranio-spinal compartment from the facial and cervical
passages. Thus the anterior boundary, Y F D I, of the cranio-spinal
canal is also the posterior boundary of the facial and cervical
cavities.
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