128 Øåÿ Neck Ëàðèíãîñêîïèÿ

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Øåÿ
Neck
Ïîâåðõíîñòü òåëà, ñ. 32
Surface p. 32
Ãîðòàíü
Larynx
Ñêåëåò, ò. II
Skeleton Vol. II
Ùèòîâèäíàÿ æåëåçà
Thyroid gland
Ëàðèíãîñêîïèÿ
Laryngoscopy
a
Epiglottis
Íàäãîðòàííèê
Epiglottis
Plica vocalis
Ãîëîñîâàÿ ñêëàäêà
Vocal fold
Cartilago arytenoidea; Cartilago corniculata
×åðïàëîâèäíûé õðÿù; Ðîæêîâèäíûé õðÿù
Arytenoid cartilage; Corniculate cartilage
Recessus piriformis
Ãðóøåâèäíûé êàðìàí
Piriform fossa
Epiglottis
Íàäãîðòàííèê
Epiglottis
Ventriculus laryngis
Æåëóäî÷åê ãîðòàíè
Laryngeal ventricle
Plica vocalis
Ãîëîñîâàÿ ñêëàäêà
Vocal fold
Ðèñ. 228 a, b Ëàðèíãîñêîïèÿ Laryngoscopy
a Íåïðÿìàÿ ëàðèíãîñêîïèÿ. Indirect laryngoscopy.
b Ïðÿìàÿ ýíäîñêîïè÷åñêàÿ ëàðèíãîñêîïèÿ.
Direct, endoscopic laryngoscopy.
b
Rima glottidis
Ùåëü ãîëîñîâîãî àïïàðàòà [Ãîëîñîâàÿ ùåëü]
Rima glottidis
Plica vestibularis
Ñêëàäêà ïðåääâåðèÿ
Vestibular fold
Incisura interarytenoidea
Ìåæ÷åðïàëîâèäíàÿ âûðåçêà
Interarytenoid notch
Ðèñ. 229 Ïðÿìàÿ ëàðèíãîñêîïèÿ;
ïîëîæåíèå ïðè äûõàíèè Direct
laryngoscopy; respiratory position
Rima glottidis
Ùåëü ãîëîñîâîãî àïïàðàòà [Ãîëîñîâàÿ ùåëü]
Rima glottidis
Plica vestibularis
Ñêëàäêà ïðåääâåðèÿ
Vestibular fold
Plica aryepiglottica
×åðïàëîâèäíî-íàäãîðòàííàÿ ñêëàäêà
Ary-epiglottic fold
Cartilago arytenoidea;
Cartilago corniculata
×åðïàëîâèäíûé õðÿù;
Ðîæêîâèäíûé õðÿù
Arytenoid cartilage;
Ñorniculate cartilage
Incisura interarytenoidea
Ìåæ÷åðïàëîâèäíàÿ âûðåçêà
Interarytenoid notch
Ðèñ. 230 Ïðÿìàÿ ëàðèíãîñêîïèÿ;
ïîëîæåíèå ïðè ãîëîñîîáðàçîâàíèè
Direct laryngoscopy; phonation position
Epiglottis
Íàäãîðòàííèê
Epiglottis
Plica vocalis
Ãîëîñîâàÿ ñêëàäêà
Vocal fold
Rima glottidis, Pars intercartilaginea
Ùåëü ãîëîñîâîãî àïïàðàòà
[Ãîëîñîâàÿ ùåëü], ìåæõðÿùåâàÿ ÷àñòü
Rima glottidis, intercartilaginous part
Rima glottidis, Pars intermembranacea
Ùåëü ãîëîñîâîãî àïïàðàòà [Ãîëîñîâàÿ ùåëü],
ìåæïåðåïîí÷àòàÿ ÷àñòü
Rima glottidis, intermembranous part
Plica vestibularis
Ñêëàäêà ïðåääâåðèÿ
Vestibular fold
Ðèñ. 231 Ïðÿìàÿ ëàðèíãîñêîïèÿ;
ïîëîæåíèå ïðè øåïîòå Direct
laryngoscopy; whispering position
Ãëîòêà
Pharynx
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Topography
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Ñðåçû
Sections
Âíóòðåííèé ðåëüåô ãîðòàíè
Inner contour of the larynx
Corpus adiposum preepiglotticum
Ïðåäíàäãîðòàííîå æèðîâîå òåëî
Pre-epiglottic fat body
Vestibulum laryngis
Ïðåääâåðèå ãîðòàíè
Laryngeal vestibule
Ventriculus laryngis; Glottis
Æåëóäî÷åê ãîðòàíè; Ãîëîñîâîé àïïàðàò
Laryngeal ventricle; Glottis
Cavitas infraglottica
Ïîäãîëîñîâàÿ ïîëîñòü
Infraglottic cavity
Radix linguae
Êîðåíü ÿçûêà
Root of tongue
Cartilago epiglottica
Íàäãîðòàííûé õðÿù
Epiglottic cartilage
Os hyoideum
Ïîäúÿçû÷íàÿ êîñòü
Hyoid bone
Bursa infrahyoidea
Ïîäïîäúÿçû÷íàÿ ñóìêà
Infrahyoid bursa
Lig. thyrohyoideum medianum
Ñðåäèííàÿ ùèòîïîäúÿçû÷íàÿ ñâÿçêà
Median thyrohyoid ligament
Lig. thyroepiglotticum
Ùèòîíàäãîðòàííàÿ ñâÿçêà
Thyro-epiglottic ligament
Lig. hyoepiglotticum
Ïîäúÿçû÷íî-íàäãîðòàííàÿ ñâÿçêà
Hyo-epiglottic ligament
Tuberculum cuneiforme
Êëèíîâèäíûé áóãîðîê
Cuneiform tubercle
Tuberculum corniculatum
Ðîæêîâèäíûé áóãîðîê
Corniculate tubercle
M. arytenoideus transversus
Ïîïåðå÷íàÿ ÷åðïàëîâèäíàÿ ìûøöà
Transverse arytenoid
Plica vocalis
Ãîëîñîâàÿ ñêëàäêà
Vocal fold
Lamina cartilaginis cricoideae
Ïëàñòèíêà ïåðñòíåâèäíîãî õðÿùà
Lamina of cricoid cartilage
Cartilago thyroidea
Ùèòîâèäíûé õðÿù
Thyroid cartilage
Ventriculus laryngis
Æåëóäî÷åê ãîðòàíè
Laryngeal ventricle
Plica vestibularis
Ñêëàäêà ïðåääâåðèÿ
Vestibular fold
Lig. cricothyroideum medianum
Ñðåäèííàÿ ïåðñòíåùèòîâèäíàÿ ñâÿçêà
Median cricothyroid ligament
Arcus cartilaginis cricoideae
Äóãà ïåðñòíåâèäíîãî õðÿùà
Arch of cricoid cartilage
Isthmus glandulae thyroideae
Ïåðåøååê ùèòîâèäíîé æåëåçû
Isthmus
Tunica mucosa
Ñëèçèñòàÿ îáîëî÷êà
Mucosa
Trachea, Paries membranaceus
Òðàõåÿ, ïåðåïîí÷àòàÿ ñòåíêà
Trachea, membranous wall
(Spatium oesophagotracheale)
(Ïèùåâîäíî-òðàõåàëüíîå ïðîñòðàíñòâî)
(Oesophagotracheal space)
Trachea
Òðàõåÿ
Cartilagines tracheales Trachea
Õðÿùè òðàõåè
Tracheal cartilages
Ðèñ. 232 Ãîðòàíü Larynx Larynx
Radix linguae
Êîðåíü ÿçûêà
Root of tongue
Lig. hyoepiglotticum
Ïîäúÿçû÷íî-íàäãîðòàííàÿ ñâÿçêà
Hyo-epiglottic ligament
Corpus adiposum preepiglotticum
Ïðåäíàäãîðòàííîå æèðîâîå òåëî
Pre-epiglottic fat body
Cartilago epiglottica
Íàäãîðòàííûé õðÿù
Epiglottic cartilage
Tuberculum cuneiforme
Êëèíîâèäíûé áóãîðîê
Cuneiform tubercle
Os hyoideum
Ïîäúÿçû÷íàÿ êîñòü
Hyoid bone
Lig. thyrohyoideum medianum
Ñðåäèííàÿ ùèòîïîäúÿçû÷íàÿ ñâÿçêà
Median thyrohyoid ligament
Tuberculum corniculatum
Ðîæêîâèäíûé áóãîðîê
Corniculate tubercle
Lig. thyroepiglotticum
Ùèòîíàäãîðòàííàÿ ñâÿçêà
Thyro-epiglottic ligament
M. arytenoideus transversus
Ïîïåðå÷íàÿ ÷åðïàëîâèäíàÿ ìûøöà
Transverse arytenoid
Cartilago thyroidea
Ùèòîâèäíûé õðÿù
Thyroid cartilage
Arcus cartilaginis cricoideae
Äóãà ïåðñòíåâèäíîãî õðÿùà
Arch of cricoid cartilage
Lamina cartilaginis cricoideae
Ïëàñòèíêà ïåðñòíåâèäíîãî õðÿùà
Lamina of cricoid cartilage
Cartilagines tracheales
Õðÿùè òðàõåè
Tracheal cartilages
Ðèñ. 233 Ãîðòàíü, Larynx; ïîëîæåíèå íàäãîðòàííèêà ïðè ãëîòàíèè
Larynx, Larynx; position of the epiglottis during swallowing
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Neck
Ïîâåðõíîñòü òåëà, ñ. 32
Surface p. 32
Ãîðòàíü
Larynx
Ùèòîâèäíàÿ æåëåçà
Thyroid gland
Àðòåðèè è íåðâû ãîðòàíè
Arteries and nerves of the larynx
Papillae vallatae
Æåëîáîâèäíûå ñîñî÷êè
Vallate papillae
Rr. linguales
ßçû÷íûå âåòâè
Lingual branches
N. glossopharyngeus [IX]
ßçûêîãëîòî÷íûé íåðâ [IX]
Glossopharyngeal nerve [IX]
N. glossopharyngeus [IX]
ßçûêîãëîòî÷íûé íåðâ [IX]
Glossopharyngeal nerve [IX]
Rr. tonsillares
Ìèíäàëèêîâûå âåòâè
Tonsillar branches
A. palatina ascendens, R. tonsillaris
Âîñõîäÿùàÿ í¸áíàÿ àðòåðèÿ, ìèíäàëèêîâàÿ âåòâü
Ascending palatine artery, tonsillar branch
Tonsilla palatina
͸áíàÿ ìèíäàëèíà
Palatine tonsil
Os hyoideum, Cornu majus
Ïîäúÿçû÷íàÿ êîñòü, áîëüøîé ðîã
Hyoid bone, greater horn
Epiglottis
Íàäãîðòàííèê
Epiglottis
N. laryngeus superior (X)
Âåðõíèé ãîðòàííûé íåðâ (X)
Superior laryngeal nerve (X)
A. laryngea superior
Âåðõíÿÿ ãîðòàííàÿ àðòåðèÿ
Superior laryngeal artery
Cartilago thyroidea, Cornu superius
Ùèòîâèäíûé õðÿù, âåðõíèé ðîã
Thyroid cartilage, superior horn
Aditus laryngis
Âõîä â ãîðòàíü
Laryngeal inlet
Vallecula epiglottica
ßìêà íàäãîðòàííèêà
Epiglottic vallecula
N. laryngeus superior (X), Rr. interni
Âåðõíèé ãîðòàííûé íåðâ (X), âíóòðåííèå âåòâè
Superior laryngeal nerve (X), internal branches
Incisura interarytenoidea
Ìåæ÷åðïàëîâèäíàÿ âûðåçêà
Interarytenoid notch
M. arytenoideus obliquus
Êîñàÿ ÷åðïàëîâèäíàÿ ìûøöà
Oblique arytenoid
Cartilago thyroidea, Lamina sinistra
Ùèòîâèäíûé õðÿù, ëåâàÿ ïëàñòèíêà
Thyroid cartilage, left lamina
Cartilago thyroidea, Cornu inferius
Ùèòîâèäíûé õðÿù, íèæíèé ðîã
Thyroid cartilage, inferior horn
M. cricoarytenoideus posterior
Çàäíÿÿ ïåðñòíå÷åðïàëîâèäíàÿ ìûøöà
Posterior crico-arytenoid
A. laryngea inferior
Íèæíÿÿ ãîðòàííàÿ àðòåðèÿ
Inferior laryngeal artery
Glandula thyroidea
Ùèòîâèäíàÿ æåëåçà
Thyroid gland
Rr. tracheales
Òðàõåàëüíûå âåòâè
Tracheal branches
Glandula parathyroidea superior
Âåðõíÿÿ îêîëîùèòîâèäíàÿ æåëåçà
Superior parathyroid gland
A. thyroidea inferior
Íèæíÿÿ ùèòîâèäíàÿ àðòåðèÿ
Inferior thyroid artery
Glandula parathyroidea inferior
Íèæíÿÿ îêîëîùèòîâèäíàÿ æåëåçà
Inferior parathyroid gland
N. laryngeus recurrens (X), Rr. oesophageales
Âîçâðàòíûé ãîðòàííûé íåðâ (X), ïèùåâîäíûå âåòâè
Recurrent laryngeal nerve (X), oesophageal branches
Trachea
Òðàõåÿ
Trachea
252
N. laryngeus recurrens (X)
Âîçâðàòíûé ãîðòàííûé íåðâ (X)
Recurrent laryngeal nerve (X)
Ðèñ. 234 Àðòåðèè è íåðâû ãîðòàíè, Larynx, è êîðíÿ ÿçûêà, Radix linguae
Arteries and nerves of the larynx, Larynx, and the root of the tongue, Radix linguae
Ñêåëåò, ò. II
Skeleton Vol. II
Ãëîòêà
Pharynx
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Topography
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131
Ñðåçû
Sections
Ãîðòàíü, ïîïåðå÷íûå ñðåçû
Larynx, transverse sections
Sacculus laryngis
Ìåøî÷åê ãîðòàíè
Laryngeal saccule
Sacculus laryngis
Ìåøî÷åê ãîðòàíè
Laryngeal saccule
Glandulae laryngeales
Ãîðòàííûå æåëåçû
Laryngeal glands
Ventriculus laryngis
Æåëóäî÷åê ãîðòàíè
Laryngeal ventricle
M. thyroarytenoideus
Ùèòî÷åðïàëîâèäíàÿ ìûøöà
Thyro-arytenoid
Plica vocalis
Ãîëîñîâàÿ ñêëàäêà
Vocal fold
N. laryngeus superior (X), R. internus
Âåðõíèé ãîðòàííûé íåðâ (X), âíóòðåííÿÿ âåòâü
Superior laryngeal nerve (X), internal branch
M. vocalis
Ãîëîñîâàÿ ìûøöà
Vocalis
A. laryngea superior
Âåðõíÿÿ ãîðòàííàÿ àðòåðèÿ
Superior laryngeal artery
Cartilago thyroidea, Lamina sinistra
Ùèòîâèäíûé õðÿù, ëåâàÿ ïëàñòèíêà
Thyroid cartilage, left lamina
Vv. laryngeae superiores
Âåðõíèå ãîðòàííûå âåíû
Superior laryngeal veins
Cartilago arytenoidea
×åðïàëîâèäíûé õðÿù
Arytenoid cartilage
Plica vestibularis
Ñêëàäêà ïðåääâåðèÿ
Vestibular fold
Recessus piriformis
Ãðóøåâèäíûé êàðìàí
Piriform fossa
Rima glottidis
Ùåëü ãîëîñîâîãî àïïàðàòà
[Ãîëîñîâàÿ ùåëü]
Rima glottidis
M. constrictor pharyngis medius
Ñðåäíèé êîíñòðèêòîð ãëîòêè
Middle constrictor
M. constrictor pharyngis inferior
Íèæíèé êîíñòðèêòîð ãëîòêè
Inferior constrictor
Mm. arytenoidei transversus et obliqui
Ïîïåðå÷íàÿ è êîñûå ÷åðïàëîâèäíûå ìûøöû
Transverse and oblique arytenoids
235
236
Plexus venosus pharyngeus
Ãëîòî÷íîå âåíîçíîå ñïëåòåíèå
Pharyngeal venous plexus
Cavitas pharyngis
Ïîëîñòü ãëîòêè
Cavity of pharynx
Ðèñ. 235 Ãîðòàíü, Larynx. Áåëîé ñòðåëêîé ïîêàçàíî ñîîáùåíèå ìåæäó
æåëóäî÷êîì, Ventriculus laryngis, è ìåøî÷êîì ãîðòàíè, Sacculus laryngis
Larynx, Larynx. The white arrow indicates the connection between the laryngeal
ventricle, Ventriculus laryngis, and the laryngeal saccule, Sacculus laryngis
Rima glottidis, Pars intermembranacea
Ùåëü ãîëîñîâîãî àïïàðàòà
[Ãîëîñîâàÿ ùåëü], ìåæïåðåïîí÷àòàÿ ÷àñòü
Rima glottidis, intermembranous part
Lig. vocale
Ãîëîñîâàÿ ñâÿçêà
Vocal ligament
M. vocalis
Ãîëîñîâàÿ ìûøöà
Vocalis
Cartilago arytenoidea, Proc. vocalis
×åðïàëîâèäíûé õðÿù, ãîëîñîâîé îòðîñòîê
Arytenoid cartilage, vocal process
M. thyroarytenoideus
Ùèòî÷åðïàëîâèäíàÿ ìûøöà
Thyro-arytenoid
N. laryngeus superior (X)
Âåðõíèé ãîðòàííûé íåðâ (X)
Superior laryngeal nerve (X)
Rima glottidis, Pars intercartilaginea
Ùåëü ãîëîñîâîãî àïïàðàòà
[Ãîëîñîâàÿ ùåëü], ìåæõðÿùåâàÿ ÷àñòü
Rima glottidis, intercartilaginous part
A. laryngea superior
Âåðõíÿÿ ãîðòàííàÿ àðòåðèÿ
Superior laryngeal artery
Vv. laryngeae superiores
Âåðõíèå ãîðòàííûå âåíû
Superior laryngeal veins
Cartilago arytenoidea
×åðïàëîâèäíûé õðÿù
Arytenoid cartilage
Articulatio cricoarytenoidea
Ïåðñòíå÷åðïàëîâèäíûé ñóñòàâ
Ñrico-arytenoid joint
Cartilago thyroidea, Lamina sinistra
Ùèòîâèäíûé õðÿù, ëåâàÿ ïëàñòèíêà
Thyroid cartilage, left lamina
Recessus piriformis
Ãðóøåâèäíûé êàðìàí
Piriform fossa
Cavitas pharyngis
Ïîëîñòü ãëîòêè
Cavity of pharynx
Tunica mucosa
Ñëèçèñòàÿ îáîëî÷êà
Mucosa
M. cricoarytenoideus posterior
Çàäíÿÿ ïåðñòíå÷åðïàëîâèäíàÿ ìûøöà
Posterior crico-arytenoid
M. constrictor pharyngis inferior
Íèæíèé êîíñòðèêòîð ãëîòêè
Inferior constrictor
Tunica mucosa
Ñëèçèñòàÿ îáîëî÷êà
Mucosa
Lamina cartilaginis cricoideae
Ïëàñòèíêà ïåðñòíåâèäíîãî õðÿùà
Lamina of cricoid cartilage
Ðèñ. 236 Ãîðòàíü Larynx Larynx
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Âåðõíÿÿ êîíå÷íîñòü
Upper limb
M
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MY
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Ïîâåðõíîñòü òåëà
Surface
Îáçîð
Overview
Ñêåëåò
Skeleton
Ïëå÷åâîé ïîÿñ
Shoulder
Ìûøöû êèñòè
Muscles of the hand
M. interosseus dorsalis III
Òûëüíàÿ ìåæêîñòíàÿ ìûøöà III
Dorsal interosseus III
M. interosseus dorsalis IV
Òûëüíàÿ ìåæêîñòíàÿ ìûøöà IV
Dorsal interosseus IV
Mm. interossei palmares, Tendines
Ëàäîííûå ìåæêîñòíûå ìûøöû, ñóõîæèëèÿ
Palmar interossei, tendons
M. interosseus dorsalis II
Òûëüíàÿ ìåæêîñòíàÿ ìûøöà II
Dorsal interosseus II
M. interosseus dorsalis I
Òûëüíàÿ ìåæêîñòíàÿ ìûøöà I
Dorsal interosseus I
M. extensor digitorum, Tendines
Ðàçãèáàòåëü ïàëüöåâ, ñóõîæèëèÿ
Extensor digitorum, tendons
Mm. lumbricales, Tendines
×åðâåîáðàçíûå ìûøöû, ñóõîæèëèÿ
Lumbricals, tendons
Ðèñ. 382 Òûëüíûå ìåæêîñòíûå ìûøöû, Mm. interossei
dorsales; âèä ñçàäè Dorsal inteosseous muscles,
Mm. interossei dorsales; dorsal view
T 37
M. interosseus palmaris III
Ëàäîííàÿ ìåæêîñòíàÿ ìûøöà III
Palmar interosseus III
Ðèñ. 383 Ëàäîííûå ìåæêîñòíûå ìûøöû,
Mm. interossei palmares; âèä ñïåðåäè. Ñóõîæèëèÿ
ìåæêîñòíûõ è ÷åðâåîáðàçíûõ ìûøö âïëåòàþòñÿ
â òàê íàçûâàåìûå òûëüíûå àïîíåâðîçû ïàëüöåâ
(óêàçàíî ñòðåëêàìè) Palmar inteosseous muscles,
Mm. interossei palmares; palmar view. The tendons
of the interosseous and the lumbrical muscles radiate
into the so-called dorsal aponeurosis of the fingers
(arrows)
T 37
M. interosseus palmaris II
Ëàäîííàÿ ìåæêîñòíàÿ ìûøöà II
Palmar interosseus II
M. interosseus palmaris I
Ëàäîííàÿ ìåæêîñòíàÿ ìûøöà I
Palmar interosseus I
Ìûøöû
Muscles
쑌֔
Arm
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Òîïîãðàôèÿ
Topography
M
Y
CM
MY
CY CMY
K
213
Ñðåçû
Sections
Ïðåäïëå÷üå
Forearm
Êèñòü
Hand
Ìûøöû êèñòè
Muscles of the hand
M. flexor digitorum profundus, Tendines
Ãëóáîêèé ñãèáàòåëü ïàëüöåâ, ñóõîæèëèÿ
Flexor digitorum profundus, tendons
M. lumbricalis IV
×åðâåîáðàçíàÿ ìûøöà IV
Lumbrical IV
M. lumbricalis II
×åðâåîáðàçíàÿ ìûøöà II
Lumbrical II
M. lumbricalis III
×åðâåîáðàçíàÿ ìûøöà III
Lumbrical III
M. lumbricalis I
×åðâåîáðàçíàÿ ìûøöà I
Lumbrical I
M. flexor digitorum superficialis, Tendines
Ïîâåðõíîñòíûé ñãèáàòåëü ïàëüöåâ, ñóõîæèëèÿ
Flexor digitorum superficialis, tendons
M. flexor digitorum superficialis, Tendines
Ïîâåðõíîñòíûé ñãèáàòåëü ïàëüöåâ, ñóõîæèëèÿ
Flexor digitorum superficialis, tendons
M. flexor digitorum profundus, Tendines
Ãëóáîêèé ñãèáàòåëü ïàëüöåâ, ñóõîæèëèÿ
Flexor digitorum profundus, tendons
Ðèñ. 384 ×åðâåîáðàçíûå ìûøöû, Mm. lumbricales; âèä
ñïåðåäè Lumbrical muscles, Mm. lumbricales; palmar view
T 37
M. interosseus palmaris
Ëàäîííàÿ ìåæêîñòíàÿ ìûøöà
Palmar interosseus
Os metacarpi II
Ïÿñòíàÿ êîñòü II
Metacarpal II
M. extensor indicis, Tendo
Ðàçãèáàòåëü óêàçàòåëüíîãî ïàëüöà, ñóõîæèëèå
Extensor indicis, tendon
M. interosseus dorsalis I
Òûëüíàÿ ìåæêîñòíàÿ
ìûøöà I
Dorsal interosseus I
M. interosseus palmaris I
Ëàäîííàÿ ìåæêîñòíàÿ ìûøöà I
Palmar interosseus I
M. lumbricalis I
×åðâåîáðàçíàÿ ìûøöà I
Lumbrical I
M. flexor digitorum
superficialis, Tendo
Ïîâåðõíîñòíûé
ñãèáàòåëü ïàëüöåâ,
ñóõîæèëèå
Flexor digitorum
superficialis, tendon
Vincula longa
Äëèííûå ñâÿçêè
Vincula longa
M. flexor digitorum
profundus, Tendo
Ãëóáîêèé ñãèáàòåëü
ïàëüöåâ, ñóõîæèëèå
Flexor digitorum
profundus, tendon
Vinculum breve
Êîðîòêàÿ ñâÿçêà
Vinculum breve
M. flexor digitorum
profundus, Tendo
Ãëóáîêèé ñãèáàòåëü
ïàëüöåâ, ñóõîæèëèå
Flexor digitorum
profundus, tendon
M. interosseus dorsalis I
Òûëüíàÿ ìåæêîñòíàÿ ìûøöà I
Dorsal interosseus I
Articulatio metacarpophalangea II,
Capsula articularis
Ïÿñòíî-ôàëàíãîâûé ñóñòàâ II,
ñóñòàâíàÿ êàïñóëà
Metacarpophalangeal joint II,
joint capsule
Vagina tendinis, Stratum fibrosum
Âëàãàëèùå ñóõîæèëèÿ,
ôèáðîçíûé ñëîé
Tendinous sheath, fibrous layer
M. lumbricalis I
×åðâåîáðàçíàÿ ìûøöà I
Lumbrical I
M. flexor digitorum superficialis, Tendo
Ïîâåðõíîñòíûé ñãèáàòåëü ïàëüöåâ,
ñóõîæèëèå
Flexor digitorum superficialis, tendon
Vagina tendinis, Stratum synoviale
Âëàãàëèùå ñóõîæèëèÿ,
ñèíîâèàëüíûé ñëîé
Tendinous sheath, synovial membrane
Vincula tendinum
Ñâÿçêè ñóõîæèëèé
Vincula tendinum
Lig. collaterale
Êîëëàòåðàëüíàÿ ñâÿçêà
Collateral ligament
Lig. collaterale
Êîëëàòåðàëüíàÿ ñâÿçêà
Collateral ligament
a
b
Ðèñ. 385 a, b Ïðèêðåïëåíèÿ ñóõîæèëèé íà ïðàâîì óêàçàòåëüíîì ïàëüöå;
ñóõîæèëèÿ îáîèõ ñãèáàòåëåé âûäåëåíû èç ñóõîæèëüíîãî âëàãàëèùà Tendon
insertions at the right index; the tendons of both flexors have been dissected
from the tendon sheath
a âèä ñïåðåäè; palmar view.
b âèä ñ ëàòåðàëüíîé ñòîðîíû; lateral view.
Tuberositas phalangis distalis
Áóãðèñòîñòü äèñòàëüíîé ôàëàíãè
Tuberosity of distal phalanx
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214
M
Y
CM
MY
CY CMY
K
Âåðõíÿÿ êîíå÷íîñòü
Upper limb
Ïîâåðõíîñòü òåëà
Surface
Îáçîð
Overview
Ïëå÷åâîå ñïëåòåíèå
Brachial plexus
C4
IV
*
C5
V
*
C6
1
2
*
Pars supraclavicularis
Íàäêëþ÷è÷íàÿ ÷àñòü
Supraclavicular part
Divisiones anteriores
Ïåðåäíèå ðàçäåëåíèÿ
Anterior divisions
Divisiones posteriores
Çàäíèå ðàçäåëåíèÿ
Posterior divisions
C7
+a
4
5
A. axillaris
Ïîäìûøå÷íàÿ àðòåðèÿ
Axillary artery
I
*
b
a
c
T1
II
7
9
10
N. cutaneus brachii medialis (T1)
Ìåäèàëüíûé êîæíûé íåðâ ïëå÷à (T1)
Medial cutaneous nerve of arm (T1)
N. medianus (C5–T1)
Ñðåäèííûé íåðâ (C7–T1)
Median nerve (C7–T1)
N. cutaneus antebrachii medialis (C8, T1)
Ìåäèàëüíûé êîæíûé íåðâ ïðåäïëå÷üÿ (C8, T1)
Medial cutaneous nerve of forearm (C8, T1)
N. ulnaris (C7–T1)
Ëîêòåâîé íåðâ (C7–T1)
Ulnar nerve (C7–T1)
* Nn. spinales, Rr. anteriores
Cïèííîìîçãîâûå íåðâû,
ïåðåäíèå âåòâè
Spinal nerves, anterior branches
+ a Truncus superior
Âåðõíèé ñòâîë
Superior trunk
b Truncus medius
Ñðåäíèé ñòâîë
Middle trunk
c Truncus inferior
Íèæíèé ñòâîë
Inferior trunk
a Fasciculus lateralis
Ëàòåðàëüíûé ïó÷îê
Lateral cord
b Fasciculus posterior
Çàäíèé ïó÷îê
Posterior cord
c Fasciculus medialis
Ìåäèàëüíûé ïó÷îê
Medial cord
T 24, T 25
*
11
N. musculocutaneus (C5–C7)
Ìûøå÷íî-êîæíûé íåðâ (C5–C7)
Musculocutaneous nerve (C5–C7)
N. radialis (C5–T1)
Ëó÷åâîé íåðâ (C5–T1)
Radial nerve (C5–T1)
VII
C8
+c
8
N. axillaris (C5, C6)
Ïîäìûøå÷íûé íåðâ (C5, C6)
Axillary nerve (C5, C6)
*
3
+b
6
Pars infraclavicularis
Ïîäêëþ÷è÷íàÿ ÷àñòü
Infraclavicular part
VI
3
1 N. phrenicus (C3–C5)
Äèàôðàãìàëüíûé íåðâ (C3–C5)
Phrenic nerve (C3–C5)
2 N. dorsalis scapulae (C5)
Äîðñàëüíûé íåðâ ëîïàòêè (C5)
Dorsal scapular nerve (C5)
3 Rr. musculares
Ìûøå÷íûå âåòâè
Muscular branches
4 N. suprascapularis (C5, C6)
Íàäëîïàòî÷íûé íåðâ (Ñ5, Ñ6)
Suprascapular nerve (Ñ5, Ñ6)
5 N. subclavius (C5, C6)
Ïîäêëþ÷è÷íûé íåðâ (Ñ5, Ñ6)
Subclavian nerve (Ñ5, Ñ6)
6 N. pectoralis lateralis (C5–C7)
Ëàòåðàëüíûé ãðóäíîé íåðâ (C5–C7)
Lateral pectoral nerve (C5–C7)
7 N. subscapularis (C5–C7)
Ïîäëîïàòî÷íûé íåðâ (C5–C7)
Subscapular nerve (C5–C7)
8 N. thoracodorsalis (C6–C8)
Ãðóäîñïèííîé íåðâ (C6–C8)
Thoracodorsal nerve (C6–C8)
9 N. pectoralis medialis (C8, T1)
Ìåäèàëüíûé ãðóäíîé íåðâ (C8, T1)
Medial pectoral nerve (C8, T1)
10 N. thoracicus longus (C5–C7)
Äëèííûé ãðóäíîé íåðâ (C5–C7)
Long thoracic nerve (C5–C7)
11 N. intercostalis (T1)
Ìåæðåáåðíûé íåðâ (Ò1)
Intercostal nerve (T1)
Ðèñ. 386 Ïëå÷åâîå ñïëåòåíèå Plexus brachialis Brachial plexus
Ñêåëåò
Skeleton
Ïëå÷åâîé ïîÿñ
Shoulder
Ìûøöû
Muscles
쑌֔
Arm
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Òîïîãðàôèÿ
Topography
M
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CM
MY
CY CMY
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215
Ñðåçû
Sections
Ëîêòåâàÿ ÿìêà
Cubital fossa
Ïðåäïëå÷üå
Forearm
Êèñòü
Hand
Íåðâû âåðõíåé êîíå÷íîñòè
Nerves of the upper limb
Plexus brachialis,
Pars infraclavicularis
Ïëå÷åâîå ñïëåòåíèå,
ïîäêëþ÷è÷íàÿ ÷àñòü
Brachial plexus,
infraclavicular part
Fasciculus medialis
Ìåäèàëüíûé ïó÷îê
Medial cord
Fasciculus posterior
Çàäíèé ïó÷îê
Posterior cord
Fasciculus lateralis
Ëàòåðàëüíûé ïó÷îê
Lateral cord
Plexus brachialis, Pars supraclavicularis
Ïëå÷åâîå ñïëåòåíèå, íàäêëþ÷è÷íàÿ ÷àñòü
Brachial plexus, supraclavicular part
A. axillaris
Ïîäìûøå÷íàÿ àðòåðèÿ
Axillary artery
Radix lateralis nervi mediani
Ëàòåðàëüíûé êîðåøîê ñðåäèííîãî íåðâà
Lateral root of median nerve
N. cutaneus brachii medialis
Ìåäèàëüíûé êîæíûé íåðâ ïëå÷à
Medial cutaneous nerve of arm
N. medianus
Ñðåäèííûé íåðâ
Median nerve
N. axillaris
Ïîäìûøå÷íûé íåðâ
Axillary nerve
Radix medialis nervi mediani
Ìåäèàëüíûé êîðåøîê ñðåäèííîãî íåðâà
Medial root of median nerve
N. cutaneus brachii lateralis superior
Âåðõíèé ëàòåðàëüíûé êîæíûé íåðâ ïëå÷à
Superior lateral cutaneous nerve of arm
N. cutaneus antebrachii medialis
Ìåäèàëüíûé êîæíûé íåðâ ïðåäïëå÷üÿ
Medial cutaneous nerve of forearm
N. musculocutaneus
Ìûøå÷íî-êîæíûé íåðâ
Musculocutaneous nerve
N. radialis
Ëó÷åâîé íåðâ
Radial nerve
N. cutaneus brachii posterior
Çàäíèé êîæíûé íåðâ ïëå÷à
Posterior cutaneous nerve of arm
N. cutaneus brachii lateralis inferior
Íèæíèé ëàòåðàëüíûé êîæíûé íåðâ ïëå÷à
Inferior lateral cutaneous nerve of arm
N. ulnaris
Ëîêòåâîé íåðâ
Ulnar nerve
N. cutaneus antebrachii lateralis
Ëàòåðàëüíûé êîæíûé íåðâ ïðåäïëå÷üÿ
Lateral cutaneous nerve of forearm
R. superficialis (N. radialis)
Ïîâåðõíîñòíàÿ âåòâü (Ëó÷åâîé íåðâ)
Superficial branch (Radial nerve)
R. profundus (N. radialis)
Ãëóáîêàÿ âåòâü (Ëó÷åâîé íåðâ)
Deep branch (Radial nerve)
N. cutaneus antebrachii posterior
Çàäíèé êîæíûé íåðâ ïðåäïëå÷üÿ
Posterior cutaneous nerve of forearm
N. interosseus antebrachii anterior
Ïåðåäíèé ìåæêîñòíûé íåðâ ïðåäïëå÷üÿ
Anterior interosseous nerve
R. dorsalis (N. ulnaris)
Òûëüíàÿ âåòâü (Ëîêòåâîé íåðâ)
Dorsal branch (Ulnar nerve)
R. palmaris (N. ulnaris)
Ëàäîííàÿ âåòâü (Ëîêòåâîé íåðâ)
Palmar branch (Ulnar nerve)
R. communicans cum nervo ulnari
Ñîåäèíèòåëüíàÿ âåòâü ñ ëîêòåâûì íåðâîì
Communicating branch with ulnar nerve
Nn. digitales palmares communes
Îáùèå ëàäîííûå ïàëüöåâûå íåðâû
Ñommon palmar digital nerves
R. profundus (N. ulnaris)
Ãëóáîêàÿ âåòâü (Ëîêòåâîé íåðâ)
Deep branch (Ulnar nerve)
R. superficialis (N. ulnaris)
Ïîâåðõíîñòíàÿ âåòâü (Ëîêòåâîé íåðâ)
Superficial branch (Ulnar nerve)
Nn. digitales palmares communes
Îáùèå ëàäîííûå ïàëüöåâûå íåðâû
Ñommon palmar digital nerves
Nn. digitales palmares proprii
Ñîáñòâåííûå ëàäîííûå ïàëüöåâûå íåðâû
Proper palmar digital nerves
Nn. digitales palmares proprii
Ñîáñòâåííûå ëàäîííûå ïàëüöåâûå íåðâû
Proper palmar digital nerves
Ðèñ. 387 Íåðâû âåðõíåé êîíå÷íîñòè; îáçîð Nerves of the upper limb; overview
T 24, T 25