Agur_FM.indd i 11/15/2011 10:28:49 AM Agur_FM.indd ii 11/15/2011 10:28:57 AM Agur_FM.indd iii 11/15/2011 10:29:04 AM Acquisitions Editor: Crystal Taylor Product Manager: Julie Montalbano Marketing Manager: Joy Fisher Williams Designer: Holly McLaughlin Compositor: SPi Global Thirteenth Edition Copyright © 2013, 2009, 2005, 1999, 1991, 1983, 1978, 1972, 1962, 1956, 1951, 1947, 1943 Lippincott Williams & Wilkins, a Wolters Kluwer business By J.C.B Grant: First Edition, 1943 Fourth Edition, 1956 Second Edition, 1947 Third Edition, 1951 Fifth Edition, 1962 Sixth Edition, 1972 By J.E Anderson: Seventh Edition, 1978 Eighth Edition, 1983 By A.M.R Agur: Ninth Edition, 1991 Tenth Edition, 1999 Eleventh Edition, 2005 By A.M.R Agur and A.F Dalley: Twelfth Edition, 2009 351 West Camden Street Baltimore, MD 21201 Two Commerce Square 2001 Market Street Philadelphia, PA 19103 Printed in China All rights reserved This book is protected by copyright No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews Materials appearing in this book prepared by individuals as part of their official duties as U.S government employees are not covered by the above-mentioned copyright To request permission, please contact Lippincott Williams & Wilkins at 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services) Library of Congress Cataloging-in-Publication Data Agur, A M R Grant’s atlas of anatomy / Anne Agur — 13th ed p ; cm Atlas of anatomy Includes bibliographical references and index ISBN 978-1-60831-756-1 I Grant, J C Boileau (John Charles Boileau), 1886-1973 II Title III Title: Atlas of anatomy [DNLM: Anatomy, Regional—Atlases QS 17] 611.0022’2—dc23 2011040823 DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions This is particularly important when the recommended agent is a new or infrequently employed drug Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320 International customers should call (301) 223-2300 Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST Agur_FM.indd iv 11/15/2011 10:29:12 AM To my husband Enno and my children Erik and Kristina for their support and encouragement (A.M.R.A.) To Muriel My bride, best friend, counselor, and mother of our sons; To my family Tristan, Lana, Elijah, Finley, Sawyer, Denver, and Skyler With great appreciation for their support, humor, and patience (A.F.D.) And with sincere appreciation for the anatomical donors Without whom our studies would not be possible Agur_FM.indd v 11/15/2011 10:29:12 AM Agur_FM.indd vi 11/15/2011 10:29:12 AM Agur_FM.indd vii 11/15/2011 10:29:13 AM Agur_FM.indd viii 11/15/2011 10:29:14 AM Longissimus Iliocostalis Levatores costarum 7th rib Angle of 8th rib Posterior ramus of thoracic nerve Posterior intercostal vessels and intercostal nerve, posterior to transparent parietal pleura covering the lung Collateral branch of intercostal nerve Lateral costotransverse ligament Innermost intercostal Internal intercostal Semispinalis Tip of transverse process Posterior View Agur_Chap01.indd 20 Internal intercostal membrane of the 10th intercostal space External intercostal 11/14/2011 2:44:29 PM Lateral cutaneous branch of intercostal nerve External intercostal 9th rib Internal intercostal Innermost intercostal Internal intercostal 10th intercostal nerve Rectus abdominis Transversus abdominis Internal oblique External oblique Anterior View Agur_Chap01.indd 21 11/14/2011 2:44:33 PM Posterior ramus Posterior branch of posterior intercostal artery Anterior ramus (intercostal nerve) Internal intercostal membrane Posterior intercostal artery External intercostal Lateral pectoral cutaneous branch Parietal pleura (cut edge) Lateral pectoral cutaneous branch Aorta Sympathetic trunk Rami communicantes Internal intercostal Innermost intercostal Common membrane of innermost intercostal and transversus thoracis Site of anastomosis/potential collateral pathway between posterior and anterior intercostal arteries Transversus thoracis External intercostal membrane Transverse Section Anterior pectoral cutaneous branch Anterior intercostal artery Internal thoracic artery Anterior perforating branch Agur_Chap01.indd 22 11/14/2011 2:44:36 PM Ribs: Ribs: Serratus posterior superior S t e r n u m Innermost intercostal Transversus thoracis Levatores costarum 10 10 11 11 Serratus posterior inferior 12 10 Subcostales Anterior View 12 External intercostal Posterior View Manubrium Muscles removed External intercostal membrane Body of sternum External intercostal Internal intercostal Internal intercostal Lateral View Agur_Chap01.indd 23 11/14/2011 2:44:39 PM Sternocleidomastoid Scalene Clavicular head Sternal head Subclavius Posterior Middle Anterior Axillary vein Axillary artery Brachial plexus Pectoralis minor Common origin of coracobrachialis and short head of biceps brachii Subclavian vein Sternothyroid Sternohyoid Tendon of long head of biceps brachii 1st intercostal nerve Parasternal lymph node 2nd intercostal nerve Internal thoracic Pectoralis major vein artery 3rd costal cartilage External intercostal 4th rib Anterior intercostal artery vein Internal intercostal Internal intercostal deep to external intercostal membrane Serratus anterior Pectoralis major Transversus thoracis External oblique Rectus abdominis 8th costal cartilage Anterior View Agur_Chap01.indd 24 11/14/2011 2:44:42 PM Sternohyoid Sternothyroid Subclavian artery Anterior scalene 1st rib Brachiocephalic vein Internal thoracic vein 2nd rib Internal thoracic artery 2nd intercostal nerve Anterior intercostal vein Internal intercostal Anterior intercostal artery Internal intercostal Body of sternum Transversus thoracis Diaphragm Transversus abdominis Xiphoid process Transversus abdominis Posterior View Agur_Chap01.indd 25 11/14/2011 2:44:48 PM Agur_Chap01.indd 26 11/14/2011 2:44:57 PM Right vagus nerve Internal jugular vein Trachea Right subclavian artery Left subclavian vein Apex of left lung Right subclavian vein Right brachiocephalic vein Left brachiocephalic vein Right phrenic nerve Left vagus nerve Arch of aorta Superior lobe of left lung Superior lobe of right lung Left phrenic nerve Superior vena cava Root of lung Parietal layer of serous pericardium Costal surface of lung Fibrous pericardium and mediastinal part of parietal pleura Horizontal fissure Middle lobe of right lung Mediastinal surface of lung Oblique fissure Oblique fissure Lingula Inferior lobe of left lung Inferior lobe of right lung Sternocostal surface of heart covered with visceral layer of serous pericardium Diaphragm Anterior View Agur_Chap01.indd 27 11/14/2011 2:45:01 PM Neck of 1st rib Right common carotid artery Apex of left lung Right internal jugular vein 1st rib Right subclavian artery Arch of aorta Right subclavian vein Left pulmonary artery Pulmonary trunk 4th rib Right atrium Cardiac notch of left lung Apex of heart 6th rib Lingula Diaphragm 8th rib Line of (parietal) pleural reflection Costochondral junction Right crus of diaphragm Agur_Chap01.indd 28 Left crus of diaphragm 10th rib 11/14/2011 2:45:05 PM Clavicle 1st rib Coracoid process Superior vena cava Arch of aorta Left pulmonary artery Ascending aorta Pulmonary trunk Left auricle Right atrium Left ventricle Right dome of diaphragm Apex of heart Left dome of diaphragm Inferior vena cava Costodiaphragmatic recess Costodiaphragmatic recess Posteroanterior View Arch of aorta SVC Ascending aorta Descending aorta Right pulmonary artery Left pulmonary artery Left auricle Pulmonary trunk Right atrium IVC Diaphragm Agur_Chap01.indd 29 11/14/2011 2:45:12 PM COLLAPSED LUNG INFLATED LUNG *Cervical part Nasal cavity Pleural cavity Pharyngeal opening of pharyngotympanic tube Palate Nasal part Tongue *Costal Pharynx Oral part Visceral pleura part Root of lung Laryngeal part Epiglottis Larynx Trachea *Mediastinal part Right main bronchus Parietal pleura Left main bronchus Right lung: Superior lobe B Anterior View *Diaphragmatic *Parts of part parietal pleura Left lung: Superior (upper) lobe Middle lobe Inferior (lower) lobe *Cervical part (cupula) Inferior lobe Pleural cavity *Costal part Mediastinum Diaphragm A Anterior View *Mediastinal Costodiaphragmatic recess part Mediastinum *Mediastinal part Left lung *Costal part Pleural cavity Left lung Right lung Diaphragm Right lung Root of lung Apex of heart *Diaphragmatic part Costodiaphragmatic recess Visceral pleura *Parts of parietal pleura C Transverse Section, Inferior View Agur_Chap01.indd 30 D Coronal Section 11/14/2011 2:45:18 PM Agur_Chap01.indd 31 11/14/2011 2:45:21 PM Ribs: 10 Midclavicular lines A Anterior View Vertebrae: T1 T12 B Posterior View Agur_Chap01.indd 32 11/14/2011 2:45:25 PM Ribs: Parts of parietal pleura: Cervical Mediastinal Costal Costal Pulmonary (or lung) cavity Diaphragmatic 10 11 12 C Right Lateral View Agur_Chap01.indd 33 D Left Lateral View (lung removed) 11/14/2011 2:45:30 PM Apex Neck of 1st rib Apex Superior lobe Sternum Anterior border Superior lobe Oblique fissure Horizontal fissure Oblique fissure Middle lobe Inferior lobe Right dome of diaphragm Horizontal fissure 6th rib Middle lobe 8th rib Costal part of diaphragm A Lateral View Inferior lobe B Lateral View Superior lobe Oblique fissure Posterior border Middle lobe Inferior lobe C Posterior View Agur_Chap01.indd 34 11/14/2011 2:45:34 PM ... 10 :29 :12 AM Agur_FM.indd vii 11 /15 /2 011 10 :29 :13 AM Agur_FM.indd viii 11 /15 /2 011 10 :29 :14 AM Agur_FM.indd ix 11 /15 /2 011 10 :29 :14 AM Agur_FM.indd x 11 /15 /2 011 10 :29 :15 AM Agur_FM.indd xi 11 /15 /2 011 ... 11 /15 /2 011 10 :29 :15 AM Agur_FM.indd xii 11 /15 /2 011 10 :29 :16 AM Agur_FM.indd xiii 11 /15 /2 011 10 :29 :16 AM Agur_FM.indd xiv 11 /15 /2 011 10 :29 :16 AM Agur_Chap 01. indd 11 /14 /2 011 2:43:03 PM Clavicular head of. .. (products and services) Library of Congress Cataloging-in-Publication Data Agur, A M R Grant’s atlas of anatomy / Anne Agur — 13 th ed p ; cm Atlas of anatomy Includes bibliographical references and