Kadasne’s Textbook of ANATOMY (Clinically Oriented) Kadasne’s Textbook of ANATOMY (Clinically Oriented) Volume 2: Thorax, Abdomen and Pelvis DK Kadasne MS FRCS FICS Emeritus Professor Department of Anatomy Pandit Jawaharlal Nehru Medical College DMIMS (a Deemed University) Sawangi, Wardha Maharashtra, India ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Ahmedabad • Bengaluru • Chennai • Hyderabad • Kochi • Kolkata • Lucknow • Mumbai • Nagpur Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, +91-11-43574357 (30 lines) Registered Office B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672, Rel: +91-11-32558559 Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected], Website: www.jaypeebrothers.com Branches 2/B, Akruti Society, Jodhpur Gam Road Satellite Ahmedabad 380 015 Phones: +91-79-26926233, Rel: +91-79-32988717 Fax: +91-79-26927094, e-mail: [email protected] 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East Bengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, +91-80-22372664 Rel: +91-80-32714073, Fax: +91-80-22281761, e-mail: [email protected] 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road Chennai 600 008 Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089 Fax: +91-44-28193231, e-mail: [email protected] 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road Hyderabad 500 095 Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929 Fax:+91-40-24758499, e-mail: [email protected] No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road Kochi 682 018, Kerala Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740 e-mail: [email protected] 1-A Indian Mirror Street, Wellington Square Kolkata 700 013 Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415 Rel: +91-33-32901926, Fax: +91-33-22656075, e-mail: [email protected] Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar Lucknow 226 016 Phones: +91-522-3040553, +91-522-3040554 e-mail: [email protected] 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel Mumbai 400012 Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896 Fax: +91-22-24160828, e-mail: [email protected] “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road Nagpur 440 009 (MS) Phone: Rel: +91-712-3245220, Fax: +91-712-2704275, e-mail: [email protected] USA Office 1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA, Ph: 001-636-6279734 e-mail: [email protected], [email protected] Kadasne’s Textbook of Anatomy (Clinically Oriented) (Volume 2) © 2009, Jaypee Brothers Medical Publishers All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only. First Edition: 2009 ISBN 978-81-8448-456-4 Typeset at JPBMP typesetting unit Printed at Rajkamal Press Dedicated to the Sacred Memory of My Late Beloved Parents FFFFFOOOOORRRRREEEEEWWWWWOOOOORRRRRDDDDD Peeping into memory lanes of the yester years, it vividly comes into my focused attention of the Herculean difficulties which I had to face as an ordinary student of first MBBS in the early 70's, while groping into the annals of Anatomy as a subject. It appeared to be "tough, baffling and difficult to grasp", and much more, difficult to 'retain' for the purposes of 'recall'. Frankly speaking, it was genuinely a dreadful proposition till we were told by our seniors to just fall back to the notes titled' Approach to Anatomy' penned by none else than respected Dr DK Kadasane Sir. It realistically had an astonishing effect to the extent that what was 'dreadful; till the previous day became understandingly lovable subsequent thereto. It was some sort of realistic magic which till date does not go out of the memory. I therefore feel greatly privileged to be writing this foreword for the present book, which is a genuine manifestation of unparalleled creativity brought out by respected Dr DK Kadasane Sir in his lucid and free flowing style. The contents, description, syntaxing and diagrammatic depiction, all taken together make it look as if it is "Anatomy made easiest" for one and all. Indeed, it is a great venture which is nothing but a depiction of the commitment that Dr DK Kadasane Sir has harboured deep in his heart and mind for the subject of anatomy all his life and has never fallen short when he started writting the book which would cater to the cause of the learners as well as teachers in a meaningful way. No amount of praise showered on him would be sufficient to commensurate with his single minded devotion to the teaching and learning of the subject of anatomy and facilitating it in a way which would really be memorable on all counts. I have every reason to believe that this book entitled Kadasne's Textbook of Anatomy (Clinically Oriented) would not only be handy, useful, purposive and relevant to the requirements of students and teachers of anatomy but would also be of significant consequence to the teachers of surgery and its allied specialities. The unique feature of applied aspects in this book is due to the fact that Dr Kadasne is a qualified Anatomist as well as Surgeon of cognition and repute. I take the privilege of saluting the 'unending zeal and unfathomable commitment of 'teacher of teachers' respected Dr DK Kadasane Sir, inspite of being aware of the fact that any expression howsoever, genuine and bonafide it be, would not be able to match his creative prowess. Vedprakash Mishra Chairman Post Graduate Medical Education Committee, Medical Council of India, New Delhi PPPPPRRRRREEEEEFFFFFAAAAACCCCCEEEEE I had the pleasure of teaching Anatomy at the Government Medical College, Nagpur and Surgery at the Indira Gandhi Medical College, Nagpur. I am convinced that surgery brings meaning to anatomy. Surgery is an applied anatomy in the true sense. Anatomy was written and taught by surgeons and physicians in the golden era of rise of medicine. Anatomy was brought to a respectable stage by great surgeons and physicians. It happened in the days when touching of dead and the blood was considered a sin. The call was given to all the anatomists over the world by a famed and the pioneer surgeon as “Anatomist should come out of the dead house and prove their worth in other clinical sciences. In case of the members of clinical sciences prevent them, the loss is theirs—the loss of humanity”. Every structure in the body has the hidden surgical and clinical thrill of practical importance. It is only on the foundation of anatomy the clinical sciences progressed to the stage of organ transplant. Emergence of the non-invasive techniques of investigation have acted as a boon for anatomy in its further research and clinical application. Keeping in view the thoughts expressed, I ventured to write a book to create interest and enthusiasm amongst the students while learning anatomy. No book is complete and no book can be comprehensive. DK Kadasne