Jul 9, 2010

From "Surgical Anatomy" by Joseph Maclise (1815-1880)

トムのナレーションによるビジュアル作品。
Joseph Maclise (ジョセフ・マックリース)の有名な解剖図と、その解説が書かれている『Surgical Anatomy』の一部です。
この作品を利用し、医学英語に聞き慣れ、単語の発音に慣れ親しみ、自然に発音が出来るよう活用してください。



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Transcript
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Of the illustrations of this work I may state, in guarantee of their anatomical accuracy, that they have been made by myself from my own dissections.

The middle point, between 7, the clavicle, and 6, the sternum, of Plate 4, is marked by a small triangular space occurring between the clavicular and sternal divisions of the sterno-cleido-mastoid muscle. This space marks the situation (very generally) of the bifurcation of the innominate artery into the subclavian and common carotid arteries of the right side; a penetrating instrument would, if passed into this space at an inch depth, pierce first the root of the internal jugular vein, and under it, but somewhat internal, the root of either of these great arterial vessels, and would wound the right vagus nerve, as it traverses this region. For some extent after the subclavian and carotid vessels separate from their main common trunk, they lie concealed beneath the sterno-mastoid muscle, B, Plate 4, and still deeper beneath the sternal origins of the sterno-hyoid muscle, 5, and sterno-thyroid muscle, some of whose fibres are traceable at the intervals.

The ulnar artery, C, Plate 17, is attended by the ulnar nerve, D, in the wrist, and both these pass in company to the palm. The ulnar nerve, D E, lies on the ulnar border of the artery, and both are in general to be found ranging along the radial side of the tendon of the flexor carpi ulnaris muscle, T, and the pisiform bone, G. The situation of the radial artery is midway between the flexor carpi radialis tendon, I, and the outer border of the radius. The deep veins, called comites, lie in close connexion with the radial and ulnar arteries. When it is required to lay bare the radial or ulnar artery, at the wrist, it will be sufficient for that object to make a simple longitudinal incision (an inch or two in length) over the course of the vessel A or C, Plate 17, through the integument, and this incision will expose the fascia, which forms a common investment for all the structures at this region.

The popliteal artery, F, Plate 66, being the continuation of the femoral, extends from the opening in the great adductor tendon at the junction of the middle and lower third of the thigh, to the point where it divides, in the upper, and back part of the leg, at the lower border of the popliteus muscle, L, into the anterior and posterior tibial branches. In order to expose the vessel through this extent, we have to divide and reflect the heads of the gastrocnemius muscle, E E, and to retract the inner flexors. The popliteal artery will now be seen lying obliquely over the middle of the back of the joint. It is deeply placed in its whole course. Its upper and lower thirds are covered by large muscles; whilst the fascia and a quantity of adipose tissue overlies its middle. The upper part of the artery rests upon the femur, its middle part upon the posterior ligament of the joint, and its lower part upon the popliteus muscle.

An anatomical illustration enters the understanding straight-forward in a direct passage, and is almost independent of the aid of written language. A picture of form is a proposition which solves itself. It is an axiom encompassed in a frame-work of self-evident truth. The best substitute for Nature herself, upon which to teach the knowledge of her, is an exact representation of her form.

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Posted by M. Dolan