Human Anatomy

Human anatomy is the scientific study of the body’s structures. Some of these structures are very small and can only be observed and analyzed with the assistance of a microscope. Other larger structures can readily be seen, manipulated, measured, and weighed. The word “anatomy” comes from a Greek root that means “to cut apart.” Human anatomy was first studied by observing the exterior of the body and observing the wounds of soldiers and other injuries. Later, physicians were allowed to dissect the bodies of the dead to augment their knowledge. When a body is dissected, its structures are cut apart to observe their physical attributes and their relationships to one another. Dissection is still used in medical schools, anatomy courses, and pathology labs. To observe structures in living people, however, several imaging techniques have been developed. These techniques allow clinicians to visualize structures inside the living body such as a cancerous tumor or a fractured bone.

Like most scientific disciplines, anatomy has areas of specialization. Gross anatomy is the study of the larger structures of the body, those visible without the aid of magnification (Figure 1a). Macro- means “large,” thus, gross anatomy is also referred to as macroscopic anatomy. In contrast, micro means “small,” and microscopic anatomy is the study of structures that can be observed only with the use of a microscope or other magnification devices (Figure 1b). Microscopic anatomy includes cytology, the study of cells, and histology, the study of tissues. As the technology of microscopes has advanced, anatomists have been able to observe smaller and smaller structures of the body, from slices of large structures like the heart to the three-dimensional structures of large molecules in the body.

Figure 1. Gross and Microscopic Anatomy

(a) Gross anatomy considers large structures such as the brain. (b) Microscopic anatomy can deal with the same structures, though at a different scale. This is a micrograph of nerve cells from the brain.

Anatomists take two general approaches to the study of the body’s structures: regional and systemic. Regional anatomy is the study of the interrelationships of all of the structures in a specific body region, such as the abdomen. Studying regional anatomy helps us appreciate the interrelationships of body structures, such as how muscles, nerves, blood vessels, and other structures work together to serve a particular body region. In contrast, systemic anatomy is the study of the structures that make up a discrete body system—that is, a group of structures that work together to perform a unique body function. For example, a systemic anatomical study of the muscular system would consider all of the skeletal muscles of the body.

Anatomical Terminology

Anatomists and healthcare providers use terminology that can be bewildering to the uninitiated. However, the purpose of this language is not to confuse, but rather to increase precision and reduce medical errors. For example, is a scar “above the wrist” located on the forearm two or three inches away from the hand? Or is it at the base of the hand? Is it on the palm side or the back side? By using precise anatomical terminology, we eliminate ambiguity. Anatomical terms derive from ancient Greek and Latin words. Because these languages are no longer used in everyday conversation, the meaning of their words does not change.

Anatomical terms are made up of roots, prefixes, and suffixes. The root of a term often refers to an organ, tissue, or condition, whereas the prefix or suffix often describes the root. For example, in the disorder hypertension, the prefix “hyper-” means “high” or “over,” and the root word “tension” refers to pressure, so the word “hypertension” refers to abnormally high blood pressure.

Anatomical Position

To further increase precision, anatomists standardize how they view the body. Just as maps are normally oriented with the north at the top, the standard body “map,” or anatomical position, is that of the body standing upright, with the feet at shoulder width and parallel, toes forward. The upper limbs are held out to each side, and the palms of the hands face forward as illustrated in Figure 1. Using this standard position reduces confusion. It does not matter how the body being described is oriented, the terms are used as if it is in an anatomical position. For example, a scar in the “anterior (front) carpal (wrist) region” would be present on the palm side of the wrist. The term “anterior” would be used even if the hand were palm down on a table.

Figure 1. Regions of the Human Body

The human body is shown in anatomical position in an (a) anterior view and a (b) posterior view. The regions of the body are labeled in boldface.

A body that is lying down is described as either prone or supine. Prone describes a face-down orientation, and supine describes a face-up orientation. These terms are sometimes used in describing the position of the body during specific physical examinations or surgical procedures.

Regional Terms

The human body’s numerous regions have specific terms to help increase precision (see Figure 1). Notice that the term “brachium” or “arm” is reserved for the “upper arm” and “antebrachium” or “forearm” is used rather than “lower arm.” Similarly, “femur” or “thigh” is correct, and “leg” or “crus” is reserved for the portion of the lower limb between the knee and the ankle. You will be able to describe the body’s regions using the terms from the figure.

Directional Terms

Certain directional anatomical terms appear throughout this and any other anatomy textbook (Figure 2). These terms are essential for describing the relative locations of different body structures. For instance, an anatomist might describe one band of tissue as “inferior to” another or a physician might describe a tumor as “superficial to” a deeper body structure. Commit these terms to memory to avoid confusion when you are studying or describing the locations of particular body parts.

• Anterior (or ventral) Describes the front or direction toward the front of the body. The toes are anterior to the foot.
• Posterior (or dorsal) Describes the back or direction toward the back of the body. The popliteus is posterior to the patella.
• Superior (or cranial) describes a position above or higher than another part of the body proper. The orbits are superior to the oris.
• Inferior (or caudal) describes a position below or lower than another part of the body proper; near or toward the tail (in humans, the coccyx, or the lowest part of the spinal column). The pelvis is inferior to the abdomen.
• Lateral describes the side or direction toward the side of the body. The thumb (pollex) is lateral to the digits.
• Medial describes the middle or direction toward the middle of the body. The hallux is the medial toe.
• Proximal refers to a position in a limb that is nearer to the point of attachment or the trunk of the body. The brachium is proximal to the antebrachium.
• Distal describes a position in a limb that is farther from the point of attachment or the trunk of the body. The crus is distal to the femur.
• Superficial describes a position closer to the surface of the body. The skin is superficial to the bones.
• Deep describes a position farther from the surface of the body. The brain is deep in the skull.

Figure 2. Directional Terms Applied to the Human Body

Paired directional terms are shown as applied to the human body.

Body Planes

A section is a two-dimensional surface of a three-dimensional structure that has been cut. Modern medical imaging devices enable clinicians to obtain “virtual sections” of living bodies. We call these scans. Body sections and scans can be correctly interpreted, however, only if the viewer understands the plane along which the section was made. A plane is an imaginary two-dimensional surface that passes through the body. There are three planes commonly referred to in anatomy and medicine, as illustrated in Figure 3.

• The sagittal plane is the plane that divides the body or an organ vertically into right and left sides. If this vertical plane runs directly down the middle of the body, it is called the midsagittal or median plane. If it divides the body into unequal right and left sides, it is called a parasagittal plane or less commonly a longitudinal section.
• The frontal plane is the plane that divides the body or an organ into an anterior (front) portion and a posterior (rear) portion. The frontal plane is often referred to as a coronal plane. (“Corona” is Latin for “crown.”)
• The transverse plane is the plane that divides the body or organ horizontally into upper and lower portions. Transverse planes produce images referred to as cross-sections.

Figure 3. Planes of the Body

The three planes most commonly used in anatomical and medical imaging are the sagittal, frontal (or coronal), and transverse planes.

Body Cavities and Serous Membranes

The body maintains its internal organization using membranes, sheaths, and other structures that separate compartments. The dorsal (posterior) cavity and the ventral (anterior) cavity are the largest body compartments (Figure 4). These cavities contain and protect delicate internal organs, and the ventral cavity allows for significant changes in the size and shape of the organs as they perform their functions. The lungs, heart, stomach, and intestines, for example, can expand and contract without distorting other tissues or disrupting the activity of nearby organs.

Figure 4. Dorsal and Ventral Body Cavities

The ventral cavity includes the thoracic and abdominopelvic cavities and their subdivisions. The dorsal cavity includes the cranial and spinal cavities.

Subdivisions of the Posterior (Dorsal) and Anterior (Ventral) Cavities

The posterior (dorsal) and anterior (ventral) cavities are each subdivided into smaller cavities. In the posterior (dorsal) cavity, the cranial cavity houses the brain, and the spinal cavity (or vertebral cavity) encloses the spinal cord. Just as the brain and spinal cord make up a continuous, uninterrupted structure, the cranial and spinal cavities that house them are also continuous. The brain and spinal cord are protected by the bones of the skull and vertebral column and by cerebrospinal fluid, a colorless fluid produced by the brain, which cushions the brain and spinal cord within the posterior (dorsal) cavity.

The anterior (ventral) cavity has two main subdivisions: the thoracic cavity and the abdominopelvic cavity (see Figure 4). The thoracic cavity is the superior subdivision of the anterior cavity, and it is enclosed by the rib cage. The thoracic cavity contains the lungs and the heart, which is located in the mediastinum. The diaphragm forms the floor of the thoracic cavity and separates it from the inferior abdominopelvic cavity. The abdominopelvic cavity is the largest in the body. Although no membrane physically divides the abdominopelvic cavity, it can be useful to distinguish between the abdominal cavity, the division that houses the digestive organs, and the pelvic cavity, the division that houses the organs of reproduction.

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient’s abdominal pain or a suspicious mass, healthcare providers typically divide up the cavity into either nine regions or four quadrants (Figure 5).

Figure 5. Regions and Quadrants of the Peritoneal Cavity

There are (a) nine abdominal regions and (b) four abdominal quadrants in the peritoneal cavity.

The more detailed regional approach subdivides the cavity with one horizontal line immediately inferior to the ribs and one immediately superior to the pelvis, and two vertical lines drawn as if dropped from the midpoint of each clavicle (collarbone). There are nine resulting regions. The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient’s umbilicus (navel).

Membranes of the Anterior (Ventral) Body Cavity

A serous membrane (also referred to a serosa) is one of the thin membranes that cover the walls and organs in the thoracic and abdominopelvic cavities. The parietal layers of the membranes line the walls of the body cavity (pariet- refers to a cavity wall). The visceral layer of the membrane covers the organs (the viscera). Between the parietal and visceral layers is a very thin, fluid-filled serous space, or cavity (Figure 6).

Figure 6. Serous Membrane

Serous membrane lines the pericardial cavity and reflects to cover the heart—much the same way that an underinflated balloon would form two layers surrounding a fist.

There are three serous cavities and their associated membranes. The pleura is the serous membrane that surrounds the lungs in the pleural cavity; the pericardium is the serous membrane that surrounds the heart in the pericardial cavity; and the peritoneum is the serous membrane that surrounds several organs in the abdominopelvic cavity. The serous membranes form fluid-filled sacs, or cavities, that are meant to cushion and reduce friction on internal organs when they move, such as when the lungs inflate or the heart beats. Both the parietal and visceral serosa secrete the thin, slippery serous fluid located within the serous cavities. The pleural cavity reduces friction between the lungs and the body wall. Likewise, the pericardial cavity reduces friction between the heart and the wall of the pericardium. The peritoneal cavity reduces friction between the abdominal and pelvic organs and the body wall. Therefore, serous membranes provide additional protection to the viscera they enclose by reducing friction that could lead to inflammation of the organs.

REVIEW

Ancient Greek and Latin words are used to build anatomical terms. A standard reference position for mapping the body’s structures is the normal anatomical position. Regions of the body are identified using terms such as “occipital” that are more precise than common words and phrases such as “the back of the head.” Directional terms such as anterior and posterior are essential for accurately describing the relative locations of body structures. Images of the body’s interior commonly align along one of three planes: the sagittal, frontal, or transverse. The body’s organs are organized in one of two main cavities—dorsal (also referred to posterior) and ventral (also referred to anterior)—which are further subdivided according to the structures present in each area. The serous membranes have two layers—parietal and visceral—surrounding a fluid-filled space. Serous membranes cover the lungs (pleural serosa), heart (pericardial serosa), and some abdominopelvic organs (peritoneal serosa).

GLOSSARY

abdominopelvic cavity

division of the anterior (ventral) cavity that houses the abdominal and pelvic viscera

anatomical position

standard reference position used for describing locations and directions on the human body

anterior

describes the front or direction toward the front of the body; also referred to as ventral

anterior cavity

larger body cavity located anterior to the posterior (dorsal) body cavity; includes the serous membrane-lined pleural cavities for the lungs, pericardial cavity for the heart, and peritoneal cavity for the abdominal and pelvic organs; also referred to as ventral cavity

caudal

describes a position below or lower than another part of the body proper; near or toward the tail (in humans, the coccyx, or lowest part of the spinal column); also referred to as inferior

cranial

describes a position above or higher than another part of the body proper; also referred to as superior

cranial cavity

division of the posterior (dorsal) cavity that houses the brain

deep

describes a position farther from the surface of the body

distal

describes a position farther from the point of attachment or the trunk of the body

dorsal

describes the back or direction toward the back of the body; also referred to as posterior

dorsal cavity

posterior body cavity that houses the brain and spinal cord; also referred to as the posterior body cavity

frontal plane

two-dimensional, vertical plane that divides the body or organ into anterior and posterior portions

inferior

describes a position below or lower than another part of the body proper; near or toward the tail (in humans, the coccyx, or lowest part of the spinal column); also referred to as caudal

lateral

describes the side or direction toward the side of the body

medial

describes the middle or direction toward the middle of the body

pericardium

sac that encloses the heart

peritoneum

the serous membrane that lines the abdominopelvic cavity and covers the organs found there

plane

imaginary two-dimensional surface that passes through the body

pleura

serous membrane that lines the pleural cavity and covers the lungs

posterior

describes the back or direction toward the back of the body; also referred to as dorsal

posterior cavity

posterior body cavity that houses the brain and spinal cord; also referred to as the dorsal cavity

prone

face down

proximal

describes a position nearer to the point of attachment or the trunk of the body

sagittal plane

two-dimensional, vertical plane that divides the body or organ into right and left sides

section

in anatomy, a single flat surface of a three-dimensional structure that has been cut through

serous membrane

membrane that covers organs and reduces friction; also referred to as serosa

serosa

membrane that covers organs and reduces friction; also referred to as serous membrane

spinal cavity

division of the dorsal cavity that houses the spinal cord; also referred to as the vertebral cavity

superficial

describes a position nearer to the surface of the body

superior

describes a position above or higher than another part of the body proper; also referred to as cranial

supine

face up

thoracic cavity

division of the anterior (ventral) cavity that houses the heart, lungs, esophagus, and trachea

transverse plane

two-dimensional, horizontal plane that divides the body or organ into superior and inferior portions

ventral

describes the front or direction toward the front of the body; also referred to as anterior

ventral cavity

larger body cavity located anterior to the posterior (dorsal) body cavity; includes the serous membrane-lined pleural cavities for the lungs, pericardial cavity for the heart, and peritoneal cavity for the abdominal and pelvic organs; also referred to as anterior body cavity