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DR SAM CHIME
ANATOMICAL TERMS,POSITIONS AND
MOVEMENTS • Anatomy is the study of the structure of the body. • It is conventionally divided into topographical or gross anatomy (which includes surface, or ‘living', anatomy, neuroanatomy, endoscopic and imaging anatomy), microscopic anatomy or histology and embryology (the study of the embryo and fetus). • Anatomical language is one of the fundamental languages of medicine. The unambiguous description of thousands of structures is impossible without an extensive and often highly specialized vocabulary • Ideally, these terms, which are often derived from Latin or Greek, should be used to the exclusion of any other, throughout the world. • To avoid ambiguity, all anatomical descriptions assume that the body is in the conventional ‘anatomical position', i.e. standing erect and facing forwards, upper limbs by the side with the palms facing forwards, and lower limbs together with the toes facing forwards • Supine position • Prone position • Descriptions are based on four imaginary planes, median, sagittal, coronal and horizontal, applied to a body in the anatomical position. • The median plane passes longitudinally through the body and divides it into right and left halves. • The sagittal plane is any vertical plane parallel with the median plane: although often used, ‘parasagittal’ is therefore redundant. • The coronal (frontal) plane is orthogonal to the median plane and divides the body into anterior (front) and posterior (back). • The horizontal (transverse) plane is orthogonal to both median and sagittal planes. • The sagittal plane is the plane that divides the body or an organ vertically into right and left sides. If this vertical plane runs directly down the middle of the body, it is called the midsagittal or median plane. If it divides the body into unequal right and left sides, it is called a parasagittal plane, or less commonly a longitudinal section. • The frontal plane is the plane that divides the body or an organ into an anterior (front) portion and a posterior (rear) portion. The frontal plane is often referred to as a coronal plane, following Latin corona, which means "crown“ • The transverse plane is the plane that divides the body or organ horizontally into upper and lower portions. Transverse planes produce images referred to as cross sections. • Structures nearer the head are superior, cranial or (sometimes) cephalic, whereas structures closer to the feet are inferior; caudal is most often used in embryology to refer to the tail end of the embryo. • Medial and lateral indicate closeness to the median plane, medial being closer than lateral: in the anatomical position, the little finger is medial to the thumb, the great toe is medial to the little toe. TERMS • ANTERIOR • POSTERIOR • VENTRAL • DORSAL • FLEXOR • EXTENSOR • PALMER • PLANTER TERMS CONTD • PROXIMAL • DISTAL • EXTERNAL • INTERNAL • Superficial and deep are used to describe the relationships between adjacent structures. Ipsilateral refers to the same side (of the body, organ or structure), bilateral to both sides, and contralateral to the opposite side. • Anterior and posterior, which describe structures at the front (anterior) and back (posterior) of the body. For example, the toes are anterior to the heel, and the popliteus is posterior to the patella.[1] • Superior and inferior, which describe a position above (superior) or below (inferior) another part of the body. For example, the orbits are superior to the oris, and the pelvis is inferior to the abdomen.[1] • Proximal and distal, which describe a position that is closer (proximal) or further (distal) from the trunk of the body. [1] For example, the shoulder is proximal to the arm, and the foot is distal to the knee. • Superficial and deep, which describe structures that are closer to (superficial) or further from (deep) the surface of the body. For example, the skin is superficial to the bones, and the brain is deep to the skull.[1] Sometimes profound is used synonymously with deep. • Medial and lateral, which describe a position that is closer to (medial) or further from (lateral) the midline of the body. For example, the nose is medial to the eyes, and the thumb is lateral to the other fingers. • Ventral and dorsal, which describe structures derived from the front (ventral) and back (dorsal) of the embryo, before limb rotation. • Cranial and caudal, which describe structures close to the top of the skull (cranial), and towards the bottom of the body (caudal). • Occasionally, sinister for left, and dexter for right are used. • Paired, referring to a structure that is present on both sides of the body • Intermediate : between two structures, one will be medial the other lateral. Eg the ring finger is intermediate between the fifth digit and the third digit • Combined terms: inferomedial; anterosuperior MOVEMENTS • Movement types are generally paired, with one being the opposite of the other. Body movements are always described in relation to the anatomical position of the body: upright stance, with upper limbs to the side of body and palms facing forward • Terms describing motion in general include: • Flexion and extension, which refer to a movement that decreases (flexion) or increases (extension) the angle between body parts. For example, when standing up, the knees are extended. • Abduction and adduction refers to a motion that pulls a structure away from (abduction) or towards (adduction) the midline of the body or limb. For example, a star jump requires the legs to be abducted. • Internal rotation (or medial rotation) and external rotation (or lateral rotation) refers to rotation towards (internal) or away from (external) the center of the body. For example, the Lotus position posture in yoga requires the legs to be externally rotated. • Elevation and depression refer to movement in a superior (elevation) or inferior (depression) direction. Primarily refers to movements involving the scapula and mandible • Special motions of the hands and feet[edit] • These terms refer to movements that are regarded as unique to the hands and feet:[12]:590–7 • Dorsiflexion and plantarflexion refers to flexion (dorsiflexion) or extension of the foot at the ankle. For example, plantarflexion occurs when pressing the brake pedal of a car. • Palmarflexion and dorsiflexion refer to movement of the flexion (palmarflexion) or extension (dorsiflexion) of the hand at the wrist. For example, prayer is often conducted with the hands dorsiflexed. • Pronation and supination refer to rotation of the forearm or foot so that in the anatomical position the palm or sole is facing anteriorly (supination) or posteriorly (pronation) . For example, if a person makes a "thumbs up" gesture, supination will cause the thumb to point away from the body midline and the fingers and plam to be upwards, while pronation will cause the thumb to point towards the body midline with the back of the hand upwards. • Eversion and inversion refer to movements that tilt the sole of the foot away from (eversion) or towards (inversion) the midline of the body. • Circumduction : Circular movement combining flexion,extension,abduction and adduction • Eversion : Moving the sole of the foot away from the median plane • Inversion : Moving the sole of the foot toward the median plane • Protrusion : Moving anteriorly • Retrusion : Moving posteriorly