Transitional vertebra is one that has indeterminate characteristic and features of vertebrae from adjacent vertebral segments. They occur at the junction between spinal morphological segments:
atlanto-occipital assimilation: complete or partial fusion of C1 and the o...
Transposition of inferior vena-cava (also known as left sided IVC) refers to a variant course of the inferior vena cava. It is the most common anomaly of IVC and occurs due to persistence of left supracardinal vein.
Diagnosis of left sided IVC is important for
planning of vascular procedures l...
The transpyloric plane, also known as Addison's plane, is an imaginary axial plane located midway between the jugular notch and superior border of pubic symphysis, at approximately the level of L1 vertebral body. It an important landmark as many key structures are visualised at this level, altho...
Transversalis fascia is the lining fascia of the anterolateral abdominal wall which lies between the transversus abdominis muscle and peritoneum.
The transversalis fascia, inferior diaphragmatic fascia, pelvic fascia and iliacus fascia form a continuous lining of the abdominal a...
The transverse acetabular ligament is part of the labrum but has no cartilage cells. Its strong, flat fibres cross the acetabular notch forming a foramen through which vessels and nerves enter the joint.
The transverse arch of the foot is an arch in the coronal plane formed by the three cuneiforms, the cuboid, and the bases of the five metatarsals. They are held together by the deep transverse metatarsal ligaments. The peroneus longus and tibialis posterior tendons assist in maintaining the curv...
The transverse cervical artery, also known as the cervicodorsal trunk, is 1 of the 4 branches of the thyrocervical trunk (off the first part of the subclavian artery).
It is a short artery that bifurcates into the superficial and deep branches, both which course superficially and laterally acro...
The transverse cervical nerve, also known as the superficial cervical nerve, cutaneous cervical nerve or anterior cutaneous cervical nerve of the neck, is a cutaneous branch of the cervical plexus that innervates the skin covering the anterior cervical region.
The transverse colon is the longest and most mobile part of the large intestine. It measures up to 45 cm in length.
The transverse colon is the continuation of the ascending colon from the right colic flexure. It passes from the right to left hypochondrium in a downward convex p...
The transverse ligament of the hip bridges the acetabular notch (located anteroinferiorly along the margin of the acetabulum) and joins the two ends of the acetabular labrum, thus forming a complete ring. Beneath it (through the acetabular foramen) pass nutrient vessels which enter the ligamentu...
The transverse ligament of the knee is a ligament within the anterior aspect of the knee joint.
The transverse ligament is a variable band-like intracapsular knee ligament. It attaches transversely across the anterior aspects of the convex margins of the medial and lateral menisci.
The transverse mesocolon is a broad, meso-fold of peritoneum, which connects the transverse colon to the posterior wall of the abdomen.
It is continuous with the two posterior layers of the greater omentum, which, after separating to surround the transverse colon, join behind it, and are contin...
The transverse muscle of the tongue is one of the 4 intrinsic muscles of the tongue which alters the shape of the tongue mass, being entirely confined to the tongue without an attachment outside the tongue (like the extrinsic muscles of the tongue).
The muscles fibres attach prox...
The transverse pericardial sinus is the transverse communication between the left and right parts of the pericardial space proper behind the two outflow arteries of the heart.
It is superior to the left atrium and posterior to the intrapericardial parts of the pulmonary trunk a...
The transverse sinus is one of the dural venous sinuses and drains the superior sagittal sinus, the occipital sinus and the straight sinus, and empties into the sigmoid sinus which in turn reaches the jugular bulb.
The two transverse sinuses arise at the confluence of the three aforementioned s...
Transverse vaginal (transvaginal) septum (TVS) is a type of rare congenital utero-vaginal anomaly (class II under the Rock and Adam classification).
It is rare with a frequency of 1 in 70,000 females.
In the case of a complete septum, patients commonly pres...
The transversospinalis group is the deep layer of the intrinsic back muscles. These muscles lie between the transverse and spinous processes and are grouped by length of the fascicles, as well as region covered. The groups are rotatores, multifidus, and semispinalis.
The transversus abdominis muscle, named according to the direction of its muscle fibres, is one of the flat muscles that form the anterior abdominal wall. It is deep to the internal oblique muscle and ends in the anterior aponeurosis, which ultimately blends with the linea alba.
The trapezium (greater multangular) is one of the eight carpal bones of the hand. It is the most lateral (radial) bone of the distal row, located between the scaphoid and the first metacarpal bone . It articulates with the scaphoid proximally, the trapezoid medially, and the thumb and index meta...
The trapezium secondarium (or trapezium secundarium or secondary trapezium) is an accessory ossicle of the wrist. It can be seen adjacent to the tubercle of the trapezium superomedially 1,2.
According to Pfitzner, the trapezium secondarium is one of four potential secondary ossifica...
The trapezius muscle is a large, broad superficial muscle of the posterior neck and back. It gains its name from its diamond shape. Along with sternocleidomastoid muscle, it is invested by the superficial layer of the deep cervical fascia, which splits around it.
origin: superior nuch...
The trapezoid bone (also known as the os trapezoideum or the lesser multangular) is the smallest carpal bone in the distal row, sitting lateral to the capitate.
The trapezoid is an irregular, boot-shaped bone. The dorsal surface is larger than the palmar surface and i...
The trapezoid ligament is one of two components forming the coracoclavicular (CC) ligament. The conoid ligament is the other component.
The trapezoid ligament is a broad quadrilateral ligament that is quite thin. Its positioned almost horizontally. It is the anterolateral part of...
The triangle of safety is an anatomical region in the axilla that forms a guide as to the safe position for intercostal catheter (ICC) placement. With the arm abducted, the apex is the axilla, and the triangle is formed by the:
lateral border of the pectoralis major anteriorly
lateral border o...
The triangles of the neck are surgically focussed divisions of the neck, first described from early dissection-based anatomical studies which predated cross-sectional anatomical description based on imaging (see deep spaces of the neck).
The neck can be divided into anterior and posterior trian...
The triangular fibrocartilage complex (TFCC) is a complex structure that is a major contributor to the stability of the wrist.
The TFCC is located on the ulnar aspect of the wrist joint between the ulna and the lunate and triquetrum of the proximal carpal row. It has an elongate...
Triangular space of cruciate ligaments (TSC) is defined as the potential extrasynovial space between anterior and posterior cruciate ligaments of the knee joint.
anteriorly: anterior cruciate ligament
posteriorly: posterior cruciate ligament
inferiorly: tibial plate...
A useful mnemonic to remember the tributaries of the inferior vena cava is:
I Like To Rise So High
I: common iliac veins
L: lumbar veins
T: right testicular (gonadal) vein
R: renal veins
S: suprarenal veins
H: hepatic veins
The triceps brachii, which often referred to simply as the triceps is a three-headed muscle in the posterior compartment of the arm.
long head: infraglenoid tubercle of the scapula
medial head: posterior humerus, inferior to the radial groove, medial intermuscular septum
The triceps coxae is the tricipital (three headed) collection of 3 of the muscles in the posterior hip which act together on the hip, primarily to laterally rotate the extended thigh. It comprises (in order from superior to inferior) the superior gemellus, obturator internus and inferior gemellu...
Triceps surae is another term used for the calf muscles, more specifically 2 of the 3 muscles of the superficial posterior compartment of the leg:
medial and lateral heads of the gastrocnemius muscle
The group of muscles are innervated by the tibial nerve and form the Achilles t...
The tricuspid valve is one of the four cardiac valves. It is the atrioventricular valve that allows blood to flow from the right atrium to the right ventricle. It opens during diastole and closes during systole. The valve has anterior, posterior and septal leaflets (cusps), the bases of which at...
The trigeminal nerve is the fifth cranial nerve and its primary role is relaying sensory information from the face and head, although it does provide motor control to the muscles of mastication. It is both large and complicated and has multiple brainstem nuclei (sensory and motor) as well as man...
A mnemonic for remembering the names of the skull foramina that the division of the trigeminal nerve (CN V) pass through is:
Standing Room Only
standing: superior orbital fissure (ophthalmic division of trigeminal nerve)
room: foramen rotundum (maxillary division of trigeminal nerve...
The triquetrum (os triquetrum) is one of the carpal bones and forms part of the proximal carpal row.
The triquetrum is wedge-shaped carpal bone located between the lunate and the pisiform. It has an oval facet for articulation with the pisiform.
The triscaphe joint is the shared joint between the scaphoid, trapezium and trapezoid bones in the wrist. This joint is also referred to by its much longer name, the scaphotrapeziotrapezoid (STT) joint.
This joint may be fused as an alternative to scapholunate fusion in treat...
Trochlea (sing., pl. trochleae) is a general term that refers to an anatomic structure that resembles the grooved part of a pulley system:
Trochlea have been described in:
trochlea of the superior oblique muscle
trochlear nerve (CN IV)
trochlea of ...
The trochlear nerve is the fourth cranial nerve and is the motor nerve of the superior oblique muscle of the eye. It can be divided into four parts:
nucleus and an intraparenchymal portion
cavernous sinus portion
Nucleus and intraparenchy...
The true vocal cords are the thickened, free edge of the cricovocal membrane, the cricovocal ligament, lined by mucous membrane 1. Together they form part of the glottis, the V-shaped aperture through which air passes. Their primary role is in phonation where vibration of the adducted vocal cord...
Tuber cinereum is a hollow eminence of gray matter. It is a part of the hypothalamus.
It is located between mammillary bodies and optic chiasm. Devoid of the blood brain barrier, it normally enhances after contrast administration.
It is continuous:
laterally: with an...
The tuberculum sellae is the ridged process of the sphenoid bone which forms the anterior wall of the sella turcica.
The tuberculum sellae forms the anterior wall of the sella turcica, which houses the pituitary gland. It is an elongated ridge located immediately poste...
The twelfth rib is an atypical rib. It is the shortest rib, and one of two floating ribs.
The 12th rib has a single facet on its head for articulation with the T12 vertebra. It has a short neck and no tubercle. It also lacks a costal groove and angle. internal surface ...
The tympanic membrane is a thin membrane that separates the external ear from the middle ear. It acts to transmit sound waves from air in the external auditory canal to the ossicles of the middle ear.
The malleus is the first bone in the ossicular chain that eventually sees the sound wave trans...
The tympanic part of the temporal bone is situated inferiorly to the squamous part and anteriorly to the mastoid part.
The tympanic part surrounds the external auditory meatus, forming the anterior wall, floor and some of the posterior wall of the bony external acoustic meatus. The lateral bord...
Of the seven cervical vertebrae, C3 through C6 have typical anatomy, while C7 looks very similar. C1 (atlas) and C2 (axis) have very distinct anatomical features. For a basic anatomic description of the structure a generic vertebra, see vertebrae.
small, oval-sized vertebral bodi...
Typical ribs are those numbered 2 to 10 with ribs 1, 11 and 12 considered atypical.
A typical rib is long and flat. They contain a:
Ribs have a rounded, smooth superior border. The inferior border is thin and sharp.
Given the twelve thoracic vertebrae are largely similar, most are considered typical thoracic vertebrae with the exceptions T1 and T9 to T12. For a basic anatomic description of the structure of typical vertebrae, see vertebrae.
Relative to cervical and lumbar vertebrae, thoracic...
The ulna (plural: ulnae) is one of the two long bones of the forearm. It is located medially in the supinated anatomic position. It has a larger proximal end and tapers to a smaller distal end (opposite to the radius).
Prominent features of the ulna include:
The ulnar artery is a terminal branch of the brachial artery, arising at the proximal aspect of the forearm. Along with the radial artery, it is one of the main arteries of the forearm.
origin: terminal branch of the brachial artery
location: inferior aspect of the cubital fossa
The ulnar nerve is one of the terminal branches of the brachial plexus and has motor and sensory supply to the forearm and hand.
The ulnar nerve originates as a terminal branch of the medial cord of the brachial plexus with nerve root fibres from C8-T1.
The ulnar vein is one of the two major deep veins of the forearm, along with the radial vein. As is usual in the upper and lower limbs, there are often two veins (venae comitantes) that run on either side of the ulnar artery and anastomose freely with each other.
It forms in the hand from the d...
The ulnomeniscal homologue (UMH) is an obliquely oriented, fibrocartilaginous structure, that forms part of the ulnar collateral ligament complex (ULC).
The UMH is located between the ulnar styloid process and the triquetrum. It adheres to the ulnar joint capsule and merges with ...
The umbilical artery gives rise to both a nonfunctional remnant of the fetal circulation, and an active vessel giving supply to the bladder. In the adult the obliterated area of the vessel is identifiable as the medial umbilical ligament and the patent segment is the superior vesical artery.
The umbilical cord is a fetal organ and connects the placenta to the uterus and is a vital passage for nutrients, oxygen and waste products to and from the fetus.
The umbilical cord inserts into the centre of the placental bulk and into the fetus at the umbilicus. Variations in insertion can o...
Uncovertebral joints, also called Luschka’s joints, are seen bilaterally between adjacent cervical vertebrae, identified by the cat ear shaped uncinate processes of the C3-7 vertebrae (C1 and C2 have no uncinate processes).
The articulation forms between the uncina...
The uncus is the innermost part of the anterior parahippocampal gyrus, part of mesial temporal lobe.
The uncus is the most anterior portion of the medial parahippocampal gyrus. It belongs to the limbic system. Housing the primary olfactory cortex, it is part of the olfactory sys...
Unfused spinous process, which is really failure of fusion of the neural arch, is a relatively common anatomical variant and is part of the spectrum of spina bifida occulta.
This should be differentiated from accessory ossicles of the spinous process, which appear after non-fusion of the secon...
A unicornuate uterus or unicornis unicollis is a type of Mullerian duct anomaly (class II) that is the second most commonly associated with miscarriages.
This type can account for ~10% (range 6-13%) of uterine anomalies and infertility is seen in ~12.5% (range 5-20%) of cases.
Upper limb anatomy encompasses the anatomy of the shoulder, arm, elbow, forearm, wrist and hand.
The upper subscapular nerve, also known as the short or superior subscapular nerve, arises from the posterior cord of the brachial plexus and supplies the subscapularis muscle.
The upper subscapular nerve branches from the posterior cord of the brachial plexus with fibres...
The upper T sign is one of the features useful in identifying the central sulcus on cross-sectional imaging.
It relies on identifying the superior frontal sulcus which intersects the precentral sulcus in a "T" junction, thus defining the precentral gyrus. The central sulcus is the next posterio...
The urachus is the fibrous vestigal remnant of the fetal allantois.
The lumen of the urachus usually obliterates after birth and it becomes the median umbilical ligament, a midline linear fibrous fold of parietal peritoneum, extending from the apex of the bladder to the umbilicus.
If the lumen...
The ureter is a paired fibromuscular tube that conveys urine from the kidneys in the abdomen to the bladder in the pelvis.
The ureter is 25-30 cm long and has three parts:
abdominal ureter: from the renal pelvis to the pelvic brim
pelvic ureter: from the pelvic brim to the bla...
Ureteral duplication is the most common congenital abnormality associated with the urinary tract, and occurs in ~1% of the population.
Duplication can occur unilaterally or bilaterally, and may be partial or complete:
partially duplicated ureters fuse into a single ureter proxim...
The ureteric bud (also known as the metanephrogenic diverticulum) is a protrusion of the mesonephric duct that appears during the embryological development of urogenital organs. It will eventually form the urinary collecting system (i.e. collecting tubes, calyces, renal pelvis, ureter) of the ki...
The urethra is the terminal segment of the genitourinary system. Because of vastly different anatomy between the sexes, male and female urethras are discussed separately:
The urinary bladder (more commonly just called the bladder) is a distal part of the urinary tract and is an extra-peritoneal structure located in the true pelvis.
The bladder has a triangular shape with a posterior base, an anterior apex and an inferior neck with two inferolatera...
The urinary system consists of the kidneys, ureter, bladder and urethra. With the exception of the urethra, this is equitable in both males and females. It spans the abdomen and pelvis, from the upper abdomen to the extreme pelvis, being inextricably linked with the genital system.
The U sign denotes the characteristic "U" shaped appearance of the subcentral gyrus which surrounds the inferolateral end of the central sulcus and abuts the lateral (Sylvian) fissure. It has been found, at least in one study, to be the most reliable anatomical feature to identify the central su...
Uterine agenesis is the extreme of Mullerian duct anomalies (Class I) where there is a complete absence of uterine tissue above the vagina.
The uterine agenesis-hypoplasia spectrum accounts for ~10-15% of all Müllerian duct anomalies.
The uterine artery is seen bilaterally and is a branch of the anterior division of the internal iliac artery.
It runs medially in the pelvis, within the base of the broad ligament, to the outer surface of the uterus. From lateral to medial it has a descending, transverse ...
Uterine duplication anomalies are a group of Müllerian duct anomalies where fusion of the Müllerian duct associated structures fail to some degree:
uterus didelphys: class III
bicornuate uterus: class IV (second commonest duplication anomaly)
septate uterus: class V (commonest duplication ano...
The uterine tube, also known as the fallopian tube, is a paired structure that bridges between each ovary and the uterus and functions to convey the mature ovum from the former to the latter. If conception occurs, it normally does so within the tube. It can be affected by a wide range of patholo...
The uvea (also called the uveal layer or vascular tunic) is the middle three layers that make up the eye. It is the pigmented layer and its main function is of nutrition and gas exchange. It sits between the retina (innermost layer) and sclera.
It is traditionally split up into three anatomica...
The vagina is a midline fibromuscular tubular structure positioned in the female perineum extending superiorly to the cervix and uterus in the pelvis.
The vagina is 8-10 cm in length, extending posterosuperior from the vestibule through the urogenital diaphragm to the uterus. Th...
The vaginal artery is a branch of the anterior division of the internal iliac artery, and should not to be mistaken with the vaginal branch of the uterine artery. It is often considered to be a homolog of the inferior vesical artery, which is present only in males.
origin: anterior div...
The vagus nerve is the tenth cranial nerve and provides the bulk of the parasympathetic input to the gastrointestinal system and to the heart. It is a complex mixed sensory, motor and parasympathetic nerve.
The vagus nerve arises as multiple rootlets at the ...
The valvulae conniventes, also known as Kerckring folds, plicae circulares or just small bowel folds, are the mucosal folds of the small intestine, starting from the second part of the duodenum, they are large and thick at the jejunum and considerably decrease in size distally in the ileum to di...
Variant anatomy of the aortic arch occurs when there is failure of normal aortic development. It results in a number of heterogenous anomalies of the aorta and its branch vessels.
Normally, the aorta ascends in the superior mediastinum to the level of the sternal notch before arc...
Variation in hepatic arterial anatomy is seen in 40-45% of people. Classic branching of the common hepatic artery from the coeliac artery, and the proper hepatic artery into right and left hepatic arteries to supply the entire liver, is seen in 55-60% of the population.
In general, the common ...
There can be several variations in placental morphology. These include:
single lobed discoid placenta (single disc): most common scenario
bilobed placenta: two near equal size lobes
succenturiate lobe(s): one of more smaller accessory lobes
circumvallate placenta: rolled placental edges with...
The vastus intermedius muscle is one of the 4 quadriceps muscles in the anterior compartment of the thigh. The others are the vastus medialis, the vests laterals, and the rectus femoris.
origin: upper two thirds of the anterior and lateral surfaces of the femur
The vastus lateralis is largest of the four quadriceps muscles in the anterior compartment of the thigh. The others are the rectus femoris, the vastus intermedius, and the vastus medialis.
lateral part of intertrochanteric line
margin of greater trochanter
The vastus medialis muscle is one of the four quadriceps muscles in the anterior compartment of the thigh. The others are the rectus femoris, the vastus intermedius, and the vastus lateralis.
medial part of intertrochanteric line
medial lip of the linea ...
The vein of Galen, also known as the great cerebral vein or great vein of Galen, is a short trunk formed by the union of the two internal cerebral veins and basal veins of Rosenthal. It lies in the quadrigeminal cistern. It curves backward and upward around the posterior border of the splenium o...
The vein of Labbé, also known as inferior anastomotic vein, is part of the superficial venous system of the brain.
The vein of Labbé is the largest channel that crosses the temporal lobe between the Sylvian fissure and the transverse sinus and connects the superficial middle cerebral vein and ...
The vein of Marshall, oblique vein of Marshall or the oblique vein of the left atrium is a small vein that descends on and drains the posterior wall of the left atrium. It drains directly into the coronary sinus at the same end as the great cardiac vein, marking the origin of the sinus.
Veins of Sappey are small veins around the falciform ligament that drain the venous blood from the anterior part of the abdominal wall directly into the liver. This flow dilutes the portal perfusion at these sites, causing hepatic pseudolesions.
The superior vein of Sappey drains...
The velum interpositum is a small membrane containing a potential space just above and anterior to the pineal gland which can become enlarged to form a cavum velum interpositum.
The velum interpositum is formed by an invagination of pia mater forming a triangular membrane the ap...
The vena caval foramen is one of the three major apertures in the diaphragm. It is the highest of the three and situated at the level of T8-9. It is quadrilateral and placed at the junction of the right and middle leaflets of the central tendon.
It transmits several structures between the thora...
The venae cordis minimae (smallest cardiac veins or thebesian veins) are a small group of valveless myocardial coronary veins within the walls of each of the 4 cardiac chambers that drain venous blood directly into each of the respective chambers. They are most frequent in the right atrium and t...
The venous drainage of the thoracic wall drains deoxygenated venous blood from the peripheries of the thoracic cage back into systemic circulation.
Anterior thoracic wall
Anterior intercostal veins
The anterior intercostal veins originate from the intercostal space just inferio...
The ventral horn of the spinal cord is one of the grey longitudinal columns found within the spinal cord. It contains the cell bodies of the lower motor neurones which have axons leaving via the ventral spinal roots on their way to innervate muscle fibres.
On transverse section o...