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Moving beyond Vesalius: Why anatomy needs a mapping update
graham scarr, Leonid Blyum
Medical Hypothesis, 2024
The improvement of the human condition is the driver behind a vast amount of ongoing research and naturally employs the most up-to-date methods in its endeavours. It has contributed greatly to our understanding of the body and benefitted our healthcare systems in remarkable ways, but there is a problem. The mapping of anatomy to its physiological functions is essentially derived from the work of Vesalius and traditionally favoured mobility over stability, and as a consequence has allowed the entrenched and simplifying assumptions of the musculoskeletal duality to persist to the present day, despite advances in technology. The lever model of motion, for example, assumes that the body is an intrinsically unstable system that requires an external controller (e.g. neural) to provide the necessary ‘catch-up’ stability for transient muscular latencies, and it is likely that the vulnerabilities inherent within such a mechanism would severely compromise living tissues. The foundational biomechanical assumptions of steady-state forces and kinematics has meant that the disproportionate and potentially damaging consequences of transient peak loadings have been largely overlooked, and which added to the long healing times required for post-traumatic recovery, suggests that such a mechanism would lead to material fatigue and destructive tissue failure. The musculoskeletal duality, however, was not always so dominant but conceptually rivalled in the 17th and 18th centuries by Hooke’s ‘cells’ and Malpighi’s ‘cellular tissues’, both of which have been largely forgotten but now deserve a re-evaluation. The definition of the term ‘cell’ as a small compartment within a larger structure had quite different connotations then than it does today, but this compartmental aspect of connective tissue anatomy gradually faded and is now only recognized for its pathological significance. This paper examines musculoskeletal anatomy from both historical and more recent viewpoints and highlights the concept of the fascial system as a distinct and intrinsically stable functional entity. It is a perspective that enables every anatomical ‘part’ to be included within a ‘cellular’ framework that differs substantially from the mobility-driven machine model: a tensioned fibrous network encompassing a complex heterarchy of regionally specialized compartments under compression, each of which has its own physical and parenchyma-driven characteristics that contribute to the functional whole. In other words, an updated fascia-centric interpretation of architectural anatomy that maps muscles and bones in a substantially different way from traditional models, renders the term musculoskeletal obsolete and greatly expands the meaning of compartment syndrome.
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Cunningham Manual of Practical Anatomy Volume 1
Tanzir Islam Britto
Oxford University Press
Cunningham's has been thoroughly revised for the modern-day anatomy student. The language has been simplified for easy understanding, making this textbook ideal for students at the undergraduate level. Each dissection reflects current medical school teaching and is now broken down into clear, step-by-step instructions. New learning features prepare students for the dissection lab, university examinations, and clinical practice. Completely updated full-color artwork brings the friendly explanations to life. Following a logical structure, each chapter explains in a clear and friendly manner the key knowledge expected of students. Improved diagrams with clear labelling and full colour illustrate key anatomical features, bringing the text to life. Learning objectives introduce each dissection, and clear step-by-step instructions make it easy to follow in the dissection lab. Throughout the book, new clinical application boxes and radiology images explain how anatomy relates to clinical medical practice. At the end of each part, multiple-choice questions allow students to quickly review their knowledge before checking the answers in the appendix. Student-friendly and richly illustrated, this new edition of Cunningham's brings expert anatomical teaching to the modern-day student of medicine, dentistry, and allied health sciences. Retaining the trustworthy authority of the previous editions, this sixteenth edition offers a contemporary account of this excellent practical anatomy book.
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Flesh and Bones: The Art of Anatomy, with contributions by Thisbe Gensler, Naoko Takahatake, and Erin Travers. Exh. cat. Los Angeles: Getty Research Institute, 2022.
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A review of the importance of research in Anatomy, an evidence-based science
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Considered an absolute unchanging truth, and not research-led, human anatomy has been subject to a steady decline in course hours and funding. However, this is a misconstruction, as anatomy plays an important role in the clinical and surgical field, with the need of evidencebased data, more so now than ever. Research in anatomy not only establishes an evolutionary and functional database with variability between populations, sex, and age, but develops the tools needed for patient safety, development of prostheses, technology and surgical materials, improves interpretation of imaging studies, and provides evidence of clinical and anatomical implications. Evidence-based education is an exponentially growing field in anatomical sciences, providing the best evidence for technological and pedagogical strategies integrated in the classroom and laboratory. The gold-standard cadaveric dissections are currently only one of the wide range of educational resources available, with imaging studi...
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ESSENTIAL CLINICAL ANATOMY
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Anatomy in Action
Sam Dancis
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Increasing and maintaining student engagement within anatomy education at a pre-collegiate level is a challenge that educators continue to encounter. Finding an appropriate level of difficulty that prepares students for the rigor of undergraduate anatomy education while balancing the need to inspire student interest in STEM-related fields of study can inadvertently discourage students, particularly when content is relayed in a ‘traditional’ lecture-based curriculum. The University of Colorado’s Pre-Health Scholars Program (CUPS) is an academic enrichment program for high school students from under-represented minority groups who are interested in healthcare and STEM-related professions. To address the challenges in pre-collegiate anatomy education, the CUPS anatomy curriculum has shifted away from instruction that is purely lecture-based, to a project-oriented curriculum utilizing 3D printing. Here, students are encouraged to connect hands-on experiences and collaborate on individua...
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