Many parts of the body are symmetrically arranged. For
example the right and left limbs are similar; there are right and left eyes and
ear, right and left lungs, and right and left kidneys. But there is also a good
deal of asymmetry in the arrangement of the body. The spleen lies entirely on
the left side; the larger part of the liver lies on the right side; the
pancreas lies partly on each side.
The human body is
studied from the erect position with the arms by the sides and the palms of the
hands facing forwards, the head erect the eyes looking straight in front. This
is describes as the anatomical position.
The various part
of the body is then described in relation to certain imaginary lines or plane.
The median plane runs through the center of the body. Any structure which lies
nearer to the median plane of the body than another is said to be medial to
that other. For example the hamstring muscles which lie on the inner side of
the thigh are nearer the median plane than those which lie on the outer side and
are therefore medial to the other group which as described as lateral. Similarly
the inner side of the thigh is described as the medial aspect and the outer as
the lateral aspect.
The term internal
and external are used to describe the relative distance of an organ or
structure from the center of a cavity. The ribs for example have an internal
surface which is near the chest cavity and an external surface which is on the
outer side, farther away from the cavity. The internal carotid artery, is
within the cranial cavity and the external is outside the cavity.
The
terms superficial and deep are used to denote relative distance from the
surface of the body, and the term superior and inferior denote positions
relatively high or low, particularly in relation to the trunk, such as the and
inferior surfaces of the clavicle.
The terms anterior
and posterior are synonymous with ventral and dorsal. These terms are only
applied to man in the erect attitude or ‘anatomical position’. For example the
anterior and posterior tibial arteries lie in the front and behind in the leg.
In describing the
hand the terms palmar and dorsal are used instead of anterior and posterior,
and in describing the foot the terms plantar and dorsal are similarly employed.
The terms proximal
or distal are employed to described nearness to, or distance from a given
point, particularly in relation to the limbs. For example the proximal phalanges
are nearer to the wrist and distal ones are the farthest away. When three structures
in a line running from the median plane of the body outwards, they are described
as being placed in medial, intermediate and lateral positions. An example of
this is seen in the arrangement of three cuneiform bones of the foot. Similarly
when three structure run from front to back (anterior to posterior) or from
above downwards (superior to inferior), these are described as anterior, middle
and posterior as happens in the arrangement of the three fossae of the skull
and superior, middle and inferior, as occurs in the arrangement of the
superior. Middle and inferior radio-ulnar joints.
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