ᚥᙜ (Dedication) ຏᔁԧ۞ͭᏐ Francis Gilroy Ă၆ᗁጯ۞؇ᚥ፬ᐽ˞ԧĂؕਕѣώ३۞ࢬ͵ćගԧ۞ጯϠĂЯࠎࣇĂԧ ̖ਕ၆ˠវྋ࣠ጯ۞ሤଐĂ̶ֳ็ٚ˭ΝĄޢĂගԧ۞ ̄ޅColin Bryan Ăࣇјಶ˞ԧ݈ۡـ
ᚥ ᙜ
۞જ˧Ą
Anne M. Gilroy
ගԧ۞։रৈ̓ Dr. Ken McFaddenĞΐोֲ̂ұ྿̂ጯྋ࣠ጯࡊğ ĂЯࠎĂԧ̖ਕჟ̂ٺវྋ࣠ጯĄѩ γĂຏᔁ࿅Νˬ˩ѐԧି࿅۞යࡻጯ̄ࣇĂт̫࠰ࠎᗁጯࠧ۞ഏሇĄޢĂԧ۞ኰ̰ӄ Cynthia Long Ăࡶ՟ѣ сֽͽ˳ܜ၆ԧ۞͚ăણᄃခᐽĂಶ՟ѣдጯఙᅳા̚ѣٙјಶ۞ԧĄ
Brian R. MacPherson
ගԧ۞̰ˠ Irene ࣇ̄ޅChip, Jennifer, Jocelyn Barry, Tricia, Katie Snapper, Henry, Trey Alison Ă ͽ̈́ԧି࿅۞ٙѣጯϠࣇĂឰԧਕିăጯ࠹ܜĄ
Lawrence M. Ross
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ᔁ (Acknowledgements) ώ३ຏᔁ Thieme ᒔረ۞ˬΊ˘इࣧؕүĶAtlas of AnatomyķүཏĈ Michael Schuenke ă Erik Schulte Udo Schumacher Ăͽ̈́ώ३ᘱဦछ Karl Wesker ă Markus Voll Ăࣇགྷѐ͡۞͕ҕඕĂ̖ਕౄಶώ३ᘱ
ᔁ
ဦ۞ໂ̰உĄ ԧࣇТॡຏᔁధкିरăጯϠ۞ϒăͅ㒝ĂΒटԧࣇ۞ᄱă̙Ⴝ۞ᄲځĂՀ೩ֻԧࣇՀາ۞ۢᙊ ̰टĂᄃтңՀѣड़தӔனЧ࣎ᗟĂֹԧࣇۢтңӔனՀָ̰टĂЯ҃ѣ˞ώ३ௐ˟͵ࢬ۞ۍĄ ԧࣇГྕޘᇞгຏᔁણᄃௐ˘̰ۍट۞ிкᏙྙ؎ࣶົјࣶĈ
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݈֏
(Foreword)
ώ३Ξͽᄲߏன̫ТᙷಏΊˠវྋ࣠ဦᙉ̚۞ָүĄјࠎָ̝ᏴЯѣ˟Ĉݡኳ۞ ဦָͯ۞̰टበଵߛၹĄ
݈ ֏
ү۰ཏ̚యᘱဦ۞ Markus Voll Karl Wesker Ă̏ྋ࣠ᘱဦ̰உଯШՀ۞ᘹఙဩࠧĄဦ̚ዋ ޘг͔ϡΗځԫڱĂၹౄځăຳᆸѨត̼۞ୂዟೠଠĂ̟ͽ۰ָϲវෛᛇຏצĂࣕৈநྋՏ ˘ၹౄĄ ώ३ү۰ࢦາဦ̶ͯᙷበଵĂទᏭ̼ึԔѣӄጯϠϤրזડાྋ࣠Ăҋҋጯ௫Ăдཝঔ ̚ҋજᝑΐăߛၹˠវၹౄјĄѩγĂνăΠࢱᗕࢬಏ̮ёଵЕĂጯ௫̰टಏ̮̼Ăӈֹ՟ѣ ҁरдय़ᕇĂϺਕҋ࣒ᘣĄԧৌ۞ഇ୕༊ԧᔘߏጯϠॡĂ͘ᙝಶਕѣᆃഔ۞˘ώିࡊ३Ąனд ۞ጯϠңضĊ
Robert B. Acland Louisville, KY ˟͡Ă 2012
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ௐ˟ۍԔ (Preface to the Second Edition) ԧࣇܧ૱Ꮈώ३ௐ˘ۍྋ࣠ጯဦᙉ (Atlas of anatomyle) ય͵ޢĂྋ࣠ጯᅳાָ̰ෞтሗĄώ३ ໂࠎᎵ۞ᘱဦ༼Ă̈́ྎႽזಏӔன࣎Ҿ҉҇ͽ̈́੨Ъፋр۞҉҇ၡࢋёܑॾĂԆБၓព˞ώ ३পܜĂ֭ᛏధкТጓጯϠࣇ۞လ֏а㑺Ăឰԧࣇ၆ώ३ਕјࠎጯ௫ˠវྋ࣠ጯυ౯̍३˯
ௐ ˟ ۍ Ԕ
எ͕ܫĄ၆ٺ೩ֻԧࣇώ३ң̪ѣழ႒ă݈˘̙ޢăͽ̈́χфă̰टăࠤҌᘱဦᄱ۞۰ ࣇĂдѩܑү۰ăበᏭᆶቇ۰எஎᔁĂ֭Тॡԓ୕ЧҜ۰ᜈග̟а㒝Ăו፬ԧࣇ۞Հາજ ፟Ăֹώ३ਕ̝݈ͧՀрϡăՀځቁĄ ࠹ྵௐ˘ۍĂώ۞ۍາֹߏ೩ֻՀԆፋăՀາăՀ၁ϡ۞ˠវྋ࣠ጯણ҂३Ăͽࠎିጯጯ௫ ϡĄώ̰ۍӣ࿅ 2,400 ಾྋژဦͯᄲځϯຍဦă࿅ 150 ࣎ၡࢋܑॾăͽ̈́νăΠᗕࢬࠎ˘ಏ ̮۞णࢬଵॾۍёĂᖎሒăԆፋӔனߙ˘ᗟ̰உĄтТௐ˘ۍĂώ३ࢋͽડાֽထ̶ౢ༼ĂЧౢ ̰टӔன۞րᗟึԔߏ˘۞ĄՏ˘ౢฟؕͽܑࢬྋ࣠ጯ೬ฟԔ၌Ă̝ߏޢᐪă҉҇ăҕგă ৠགྷඈրᗟĂޢаזડાྋ࣠ĂϤזஎ˘ᆸ˘ᆸፋЪăၡࢋّዛୃፋ࣎ડાߛၹјĄдዋ ༊۞г͞Ăΐˢᕝࢬྋ࣠ဦᅃӄநྋγĂϺٺЧౢϐГޘӔனડાᕝࢬၹౄĄдώۍѨ̚ĂϺ҂ณ็ ၁វྋ࣠ኝᅮՐĂొ̶̰टึԔઇአፋĂֹጐณЪିጯăጯ௫ซึޘԔĄώۍк˞̙͌Б າᘱᄦ۞ဦͯĂТॡᕖ·υࢋ͛фᄲځĂࣕӀপؠᗟநྋĄΪࢋߏྍડાᅮࢋĂొ̶ೡ࿅ಏ˘ ጡ̈́ءડા۞̂ቑಛᄲځဦົࢦኑனĂ͞ܮડાมكѩᅟତĄдௐ˟̚ۍĂ۰ົ൴னԧࣇĈ ʔࢦາበଵࣧώፋЪд˘۞ཛටă࠴ටಏ̮Ă̝ٵј࣎Ҿಏ̮Ĉཛටă࠴ົౚĄາ۞ౢ ̚Ă̶Ҿΐˢ˞ధкາဦͯĄ ʔࣧώৠགྷྋ࣠ಏ̮̚۞ొ̶̰टтਖលொొࡦזăཝቯொזᐝᐚొĂֹጯϠдጯ௫̂វྋ࣠ጯॡ ̙ົԱ̙҃זழ႒ଫĄ ʔᕖ·ܑࢬྋ࣠ጯ̰टĂ̝֭ொזՏౢฟؕĄ ʔՏ˘ಏ̮ϐዋ༊ᆧΐᕝࢬྋ࣠ၹౄဦĄ ʔՀາăࠤҌБາᘱᄦՀᄲ۞ّځၹౄဦĄ ԧࣇਾ͕ഇ࠽ЧҜିरăጯϠࣇ၆ٺԧࣇٙઇ۞Հາਕૉຏᛇ၁ϡăѣᑒӄĄ ԧࣇ۞̍үϾҡĂ Thieme ̏ܝొۍјࠎፋώ३۞८͕͚ߗĂдѩႽгຏ፬ࣇࡦޢિૻ۞͚ ˧Ăѩ͍̚၆ିֈొۍበ Anne Vinnicombe ̰͕ຏ፬Ăώ३ҋࢵҌԍౌᄋග̟ᇊ֍ăခ ᐽăᄃΒटԧࣇՏ˘Ҝү۰Ąώ३ѣсჁം۞ՙҿĂֹԧࣇਕֶೈϒ݈ซĂۡז३Ą ѩγĂԧࣇᔘࢋᔁᔁ൴णበᏭ Avalon Garcia Ă্̙̙Ѓ۞̍үă΄ˠ͕Զ۞͕ĂֹԧࣇЪүͪ ֯ϹᏉĂ྿јϫ۞Ą၆ٺొۍበᏭ Megan Conway ֤ϖᅈజԧࣇˬҜү۰ក˘ဥᒷ۞Җࢍ ထܑĂஎຏి̍үਕ˧Ăֹត̼ਕᅁ˯ࢍထĂ̙ҌؼᏵώ३۞ۍॡĄ༊Ăՙ̙͌˞ࢋᔁ ᔁበᏭӄந Debra Zharnest Ą Anne M. Gilroy Brian R. MacPherson Lawrence M. Ross
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˟͡Ă 2012 Worcester, MA, Lexington, KY, and Houston, TX
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ࡦొ (Back)
ొ (Thorax)
1. ܑࢬྋ࣠ ܑࢬྋ࣠ ..........................................................2
5. ܑࢬྋ࣠ ܑࢬྋ࣠ ........................................................50
2. ᐪăิᄃᙯ༼ ਖߗĈፋវ៍...................................................4 ਖߗĈјߛၹ ...............................................6 ᐚഛ .................................................................8 ഛᄃཕഛ ....................................................10 ᖧഛᄃԍഛ ....................................................12 ഛมሹ............................................................14 ਖߗᙯ༼Ĉፋវ៍..........................................16 ਖߗᙯ༼Ĉ្ഛϹࠧડ ..................................18 ਖߗิĈፋវ៍ᄃᐚഛડ ...........................20 ਖߗิĈཕડ..........................................22
6. ጨ ొᐪ ........................................................52 ҈....................................................54 ၏ᙯ༼ ........................................................56 ጨ҉҇၁ڶ.................................................58 ፖჽ ...............................................................60 ፖჽৠགྷҕგ.................................................62 ጨજਔᐖਔ .............................................64 ጨ۞ৠགྷ ....................................................66 ጨ۞ৠགྷҕგԊొྋ࣠ጯ ...........................68 ّ̃֯ٗ ........................................................70 ّ̃֯ٗ͐გ .............................................72
3. ҉҇ ࡦొ҉҇Ĉፋវ៍..........................................24 ᐚഛડ۞̰ొ҉ཏ..........................................26 ࡦొ۞̰ొ҉ཏ .............................................28 ҉҇၁( ڶI)....................................................30 ҉҇၁( ڶII)...................................................32 ҉҇၁( ڶIII)..................................................34 4. ৠགྷҕგ ࡦొજਔᄃᐖਔ .............................................36 ࡦొৠགྷ ........................................................38 ਖល ...............................................................40 ਖល̶༼ᄃৠགྷ .............................................42 ਖលજਔᄃᐖਔ .............................................44 ࡦొৠགྷҕგԊొྋ࣠ጯ...............................46
7. ට ට̶ડ ........................................................74 ටજਔ ........................................................76 ටᐖਔ ........................................................78 ට͐გ ....................................................80 ටৠགྷ ........................................................82 8. ᓂ ᓂĈፋវ៍.................................................84 ᓂĈјၹౄ .............................................86 ͕ĈΑਕᙯܼ .............................................88 ͕Β ...............................................................90 ͕Ĉܑࢬටވ..........................................92 ͕Ĉᘝቯ ....................................................94 ͕જਔᐖਔ .............................................96 ͕็ጱৠགྷ͚੨ ......................................98 ͕Ĉٸडጯ...............................................100 Ϡ݈ăޢҕ߹ೈᒖ ....................................102 ࢴ .............................................................104 ࢴৠགྷҕგ...............................................106 ᓂ͐გ ..................................................108
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9. ቯට ቯට..........................................................110 ቯĈѨ̶ડăᔳৠགྷ͚੨ ..................112 ۱ .............................................................114 ۱Ĉٸडጯ...............................................116 ۱͚ঈგ۱༼ ...........................................118 ঈგ͚ঈგፘ ...........................................120 ײӛજ˧ጯ ..................................................122 ۱જਔᐖਔ...............................................124 ঈგ͚ঈგፘ۞ৠགྷҕგ.............................126 ቯට͐გ...............................................128
ඪඪ˯ཛྷ (II) .............................................174 14. ৠགྷਔგၹౄ ཛొ۞જਔ ..................................................176 ཛજਔඪજਔ........................................178 ཛටજਔ ..................................................180 ˯˭བᘭቯજਔ........................................182 ཛొ۞ᐖਔ ..................................................184 ˭ටᐖਔඪᐖਔ........................................186 ܝᐖਔ..........................................................188 ˯˭བᘭቯᐖਔ........................................190 ཛొጡ͐۞ءგ........................................192 ޢཛጨ۞͐ඕ ...........................................194 ඕབ˯ጡ͐۞ءඕ ....................................196 ඕབ˭ጡ͐۞ءඕ ....................................198 ཛጨ۞ৠགྷ ..................................................200 ҋৠགྷ͚੨ċፋវ៍ ................................202 ҋৠགྷᕍ ..................................................204 ཛొጡ۞ءৠགྷ͚੨ ....................................206 བ۞ৠགྷ͚੨...............................................208 ཛొ۞̷ࢬྋ࣠ ...........................................210
ཛొ (Abdomen) 10. ܑࢬྋ࣠ ܑࢬྋ࣠ ......................................................132 11. ཛጨ ཛጨ۞ߛ ..................................................134 ݈γཛጨ۞҉҇........................................136 ޢཛጨ۞҉҇ፖჽ ....................................138 ཛጨ҉҇۞၁ ڶ...........................................140 ཛ۵ડཛ۵გ ....................................142 ჟ৶ăౚᝃ༝˱........................................144 ݈ཛጨཛ۵ۛঈ ....................................146 12. ཛට۩ม ཛ࠴ට۞̶ડ...............................................148 ཛቯට̂ᝃ...............................................150 შቯᝃĂٕ̈ᝃ ...........................................152 བᘭቯޢጨ...............................................154
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13. ̰ొጡء ࡤ.................................................................156 ˩˟བ ......................................................158 ۩བਫ਼བ ..................................................160 ۠བăᔰԍඕབ........................................162 քċፋវ៍ ..................................................164 քċ̶߱ཧ...............................................166 ᓙᝃᓁᓙგ...............................................168 ත..........................................................170 ඪඪ˯ཛྷ (I) ..............................................172
࠴ົౚ (Pelvis and Perineum)
15. ܑࢬྋ࣠ ܑࢬྋ࣠ ......................................................214 16. ăิ҇҉ ࠴۳..........................................................216 ّ̃շّ࠴ ...........................................218 ّ̃շّ࠴ീณ ....................................220 ࠴۞ิ ..................................................222 ࠴ົغౚ۞҉҇ ....................................224 ࠴ົغౚ҉҇۞၁ڶ.............................226 17. ۩ม ࠴۞̰टۏ...............................................228 ཛቯ۞࠹ᙯّ...............................................230 ࠴ົౚ ..................................................232 18. ̰ొጡء ۡབֆგ ..................................................234
ᏮԌგ..........................................................236 ჻Ԍ ..................................................238 Ϡതጡ۞ءፋវ៍........................................240 ̄झӉ૰ ..................................................242 ࠴எᆸ۞ิඏቯ ................................244 ౚ .............................................................246 ّ̃γϠതጡ...............................................248 ౚఀă༝˱ܢ༝........................................250 շّ۞ܢᛳّཛྷ ...........................................252 19. ৠགྷਔგၹౄ ࠴۞જਔᐖਔ........................................254 ۡབϠതጡ۞જਔᐖਔ .........................256 ཛొ͐۞࠴ඕ ....................................258 Ϡതጡ۞͐ඕ ...........................................260 ࠴۞ҋৠགྷᕍ........................................262 ҋৠགྷ͚੨ĈکԌϠതጡ ء..................264 ّ̃ົౚϠതጡ۞ৠགྷਔგၹౄ ..............266 շّົౚϠതጡ۞ৠགྷਔგၹౄ ..............268 ࠴ົౚ۞̷ࢬྋ࣠ ................................270
҉҇၁( ڶII).................................................298 ҉҇၁( ڶIII)................................................300
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҉҇၁( ڶIV) ...............................................302 22. ͘օ݈ᓖ ፠ ͎..................................................304 օᙯ༼..........................................................306 օᙯ༼ิ ..................................................308 ፠͎ᙯ༼ ......................................................310 ݈ᓖ҉҇ (I)..................................................312 ݈ᓖ҉҇ (II).................................................314 ҉҇၁( ڶI)..................................................316 ҉҇၁( ڶII).................................................318 ҉҇၁( ڶIII)................................................320 23. ͘ඦొ͘ ͘ඦొ͘ᐪ ...........................................322 ඦ .............................................................324 ͘ඦొ͘ᙯ༼ ...........................................326 ͘ొิ ......................................................328 ͘ඦิ ......................................................330 ͘ิ ......................................................332 ͘ొ҉҇Ĉᆸ̚ᆸ ................................334 ͘ొ҉҇Ĉ̚ᆸஎᆸ ................................336 ͘ࡦ .............................................................338 ҉҇၁( ڶI)..................................................340 ҉҇၁( ڶII).................................................342 24. ৠགྷҕგ
˯۳ (Upper Limb)
˯۳જਔ ......................................................344 ˯۳ᐖਔ͐გ........................................346 ᓖৠགྷᕍৠགྷ...............................................348
20. ܑࢬྋ࣠ ܑࢬྋ࣠ ......................................................274
ᗆ˯̶͚ޢ৶........................................350
21. ۷˯ᓖ ˯۳ᐪ ......................................................276 ᗆ۷ࡨ...............................................278 ۴ .............................................................280 ۷ొᙯ༼ ......................................................282 ۷ొᙯ༼Ĉ۟۴ᙯ༼ ....................................284 ۷प˭มᅩ୵ᝃ ....................................286 ۷ొ˯ᓖ݈͞҉҇ (I)................................288 ۷ొ˯ᓖ݈͞҉҇ (II)...............................290 ۷ొ˯ᓖ( ҇҉͞ޢI)................................292 ۷ొ˯ᓖ( ҇҉͞ޢII)...............................294 ҉҇၁( ڶI)..................................................296
̰৶γ৶ ...........................................354
ޢ৶Ĉඨৠགྷ፠ৠགྷ ................................352 ϒ̚ৠགྷ͎ৠགྷ........................................356 ˯۳ᆸᐖਔৠགྷ ....................................358 ͞ޢ۷ొඨડ ...........................................360 ݈͞۷ొ ......................................................362 ඨડԊొྋ࣠ጯ ...........................................364 ˯ᓖօડԊొྋ࣠ጯ ................................366 ݈ᓖԊొྋ࣠ጯ ...........................................368 ඦડԊొྋ࣠ጯ ...........................................370 ͘ೠԊొྋ࣠ጯ ...........................................372 ͘ࡦԊొྋ࣠ጯ ...........................................374 ˯۳ᕝࢬྋ࣠ጯ ...........................................376
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ϫ ᐂ
˭۳ (Lower Limb) 25 ܑࢬྋ࣠ ܑࢬྋ࣠ ......................................................380 26 ។ొᄃ̂ჿ ˭۳..........................................................382 ۵ .............................................................384 ។ᙯ༼Ĉፋវ៍ ...........................................386 ។ᙯ༼Ĉิᄃᙯ༼ᝃ ................................388 ។ొă̂ჿᄃᓗડ݈͞҉҇ (I).....................390 ។ొă̂ჿᄃᓗડ݈͞҉҇ (II)....................392 ។ొă̂ჿᄃᓗડ( ҇҉͞ޢI).....................394 ។ొă̂ჿᄃᓗડ( ҇҉͞ޢIIğ...................396 ҉҇၁( ڶI)..................................................398 ҉҇၁( ڶII).................................................400 ҉҇၁( ڶIII)................................................402 27 ተᄏᄃ̈ჿ ∧ᄃද ..................................................404 ተᙯ༼Ĉፋវ៍ ...........................................406 ተᙯ༼Ĉᙯ༼ᝃăิᄃ୵ᝃ ..................408 ተᙯ༼ĈิᄃΗ͡ ڕ................................410 ˩фิ ......................................................412 ተᙯ༼ට ......................................................414 ̈ჿ҉҇Ĉ݈มᄃγม......................416 ̈ჿ҉҇Ĉޢม........................................418 ҉҇၁( ڶI)..................................................420 ҉҇၁( ڶII).................................................422
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
xiv
28 ཙኺᄃ֖ొ ֖ొᐪ ......................................................424 ֖ొᙯ༼ (I)..................................................426 ֖ొᙯ༼ (II).................................................428 ֖ొᙯ༼ (III)................................................430 ཙኺᄃ֖ొิ ...........................................432 ֖غᄃ֖̕ ...........................................434 ֖ ҇҉غ......................................................436 ֖ొ҉҇ᄃཔᐘ ...........................................438 ҉҇၁( ڶI)..................................................440 ҉҇၁( ڶII).................................................442
29 ৠགྷҕგ ˭۳જਔ ......................................................444 ˭۳ᐖਔ͐გ........................................446 ཕᖧৠགྷᕍ ..................................................448 ཕৠགྷᕍৠགྷ...............................................450 ཕৠགྷᕍৠགྷĈౕ͋۵ৠགྷ......................452 ᖧৠགྷᕍৠགྷ...............................................454 ᖧৠགྷᕍৠགྷĈӱৠགྷ.............................456 ˭۳ᆸৠགྷҕგ ....................................458 ཛ۵ડԊొྋ࣠ጯ ....................................460 ᓗડԊొྋ࣠ጯ ...........................................462 ̂ჿ݈ă̰ᄃޢԊొྋ࣠ጯ......................464 ̈ჿᄃ֖ొޢมԊొྋ࣠ጯ......................466 ̈ჿγᄃ݈มԊొྋ࣠ጯ .........................468 ֖غԊొྋ࣠ጯ ...........................................470 ̂ჿ̈ჿᕝࢬྋ࣠ጯ ................................472
ᐝᐚొ
(Head & Neck)
30. ܑࢬྋ࣠ ܑࢬྋ࣠ ......................................................476 31. ᐝొᐪ ݈ᄃγ្ ...........................................478 ޢᐝᄃ្ᄏ........................................480 ្ ొغ......................................................482 ৠགྷҕგซ្ට۞ྮश.............................484 Ꭱᄃኅ ..................................................486 32. ្ᄃᗞࢬ҉҇ ᗞࢬܑଐᄃᚒ҉........................................488 ҉҇۞ᕇᄃͤბ ................................490 ҉҇၁( ڶI)..................................................492 ҉҇၁( ڶII).................................................494 33. ្ৠགྷ ្ৠགྷĈፋវ៍ ...........................................496 ௐ˘ᄃௐ˟၆្ৠགྷĈᄃෛৠགྷ ..............498 ௐˬăαᄃ̱၆្ৠགྷĈજீৠགྷă֘ৠ གྷᄃγणৠགྷ ...........................................500
ௐ̣၆្ৠགྷĈˬ˽ৠགྷ.............................502 ௐ˛၆្ৠགྷĈᗞࢬৠགྷ.............................504 ௐˣ၆្ৠགྷĈ݈ल҅ኈৠགྷ......................506 ௐ˝၆្ৠགྷĈҎݟৠགྷ.............................508 ௐ˩၆្ৠགྷĈਜ਼֕ৠགྷ.............................510 ௐ˩˘ᄃ˩˟၆្ৠགྷĈઘৠགྷᄃҎ˭ ৠགྷ..........................................................512 34. ᐝొᄃᗞࢬ۞ৠགྷҕგ ᗞࢬొ۞ৠགྷ͚੨........................................514 ᐝᄃᐚ۞જਔ...............................................516 ᐚγજਔĈ݈ă̚ă ̶͚ޢ.........................518 ᐚγજਔĈϐ̶͚ ....................................520 ᐝᄃᐚొᐖਔ...............................................522 ཝቯ .............................................................524 ർཝቯᚭ ......................................................526 ᗞࢬᆸԊొྋ࣠ጯ ...................................528 མཛྷડᄃ㝅۞Ԋొྋ࣠ጯ .........................530 㝅˭۞Ԋొྋ࣠ጯ ....................................532 ᓍ㡵۞Ԋొྋ࣠ጯ ....................................534 35. ீுᄃீ༗ ீு۞ᐪ ..................................................536 ீ۞҉҇ ..................................................538 ீு۞ৠགྷҕგ ...........................................540 ீு۞Ԋొྋ࣠ဦ........................................542 ீுᄃீᖁ ..................................................544 ீ .............................................................546 ֎ቯăࢆቯᄃͪវ ....................................548 36. ᆄටᄃᆄొ ᆄට۞ᐪ ..................................................550 ઘᆄᚭ..........................................................552 ᆄට۞ৠགྷҕგ ...........................................554 37. 㝅ᄃ҅ѧ 㝅 .............................................................556 γ҅ᄃ҅ ..................................................558 ҅̚Ĉခ ވ..................................................560 ҅̚Ĉ̈ᙥᄃခቯ ................................562 ҅̚۞જਔ ..................................................564 ̰҅ .............................................................566 38. ˾ටᄃొݟ ˾ට۞ᐪ ..................................................568 㝅ᗠᙯ༼ ......................................................570 Ͱጎ .............................................................572 ˾ට҉҇၁ڶ...............................................574 ˾ට۞ৠགྷ͚੨ ...........................................576 Ҏొ .............................................................578 ˾ටᄃ୵ཛྷԊొྋ࣠ ................................580 ॿវᄃ ݟ..................................................582 ҇҉ొݟ......................................................584 ۞ొݟৠགྷҕგ ...........................................586
39. ᐚొ ҉҇၁( ڶI)..................................................588 ҉҇၁( ڶII).................................................590 ҉҇၁( ڶIII)................................................592 ᐚొ۞જਔᄃᐖਔ........................................594 ᐚొ۞ৠགྷ͚੨ ...........................................596 ಘĈహᄃඕၹ ...........................................598 ಘĈЧᆸ҉҇...............................................600 ಘăϥېཛྷᄃઘϥېཛྷ۞ৠགྷҕგ ..............602 ᐚొ۞Ԋొྋ࣠Ĉ̶ડᄃඏቯ......................604 ݈ᐚડ۞Ԋొྋ࣠........................................606 ݈ᄃγᐚొડા۞Ԋొྋ࣠......................608 ᐚγડ۞Ԋొྋ࣠ ....................................610 ᐚޢડ۞Ԋొྋ࣠........................................612 ᐚొ۞͐ྮश ...........................................614 ᐝొ݄ ̷ې..................................................616 ᐝᄃᐚొ۞ፖ̷ࢬ........................................618 ᐝొ۞ϭ ࢬ̷ې...........................................620
ϫ ᐂ
ৠགྷྋ࣠ጯ (Neuroanatomy)
40. ཝ ৠགྷրĈፋវ៍........................................624 ཝ .............................................................626 ཝᄃมཝ ..................................................628 มཝăཝᄃ̈ཝ........................................630 ཝވᄃཝਖល୵ට........................................632 41. ཝొҕგ ཝొᐖਔ ......................................................634 ཝొજਔ ......................................................636 42. Αਕր ৠགྷྮश ......................................................638 ຏᛇᄃྻજྮश ...........................................640 ຏᛇր (I)..................................................642 ຏᛇր (II).................................................644 ຏᛇր (III)................................................646 43. ҋৠགྷր ҋৠགྷր...............................................648 ৶͔ ....................................................................652
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
xv
ࡦొજਔᄃᐖਔ ࡦ ొ
ဦ 4.1
ࡦొ۞જਔ
(Arteries & Veins of the Back) ᐚ̰જਔ
(Arteries of the back)
(Internal carotid a.)
ࡦొ۞ၹౄϤ҈ޢมજਔ (posterior intercostal artery) ۞̶ֽ͚ ֻᑕĂ҈ޢมજਔҋજਔ (thoracic aorta) ٕᗆ˭જ ਔ (subclavian artery)Ą
ᐚγજਔ (External carotid a.)
ᐚᓁજਔ (Common carotid a.)
ᗆ˭જਔ
ഛજਔ
ᐝᓖજਔ (Brachiocephalic trunk)
(Subclavian a.)
(Vertebral a.)
ᐚᓁજਔ
જਔ̕
(Common carotid a.)
(Aortic arch)
ϥېᐚજਔ
҈ޢมજਔ (Posterior intercostal aa.)
݈҈มજਔ (Anterior intercostal aa.)
જਔ
(Thyrocervical trunk)
҈ᐚજਔ (Costocervical trunk)
Πᗆ˭જਔ (Right subclavian a.)
ௐ˘၆҈ޢมજਔ (1st posterior intercostal a.)
(Thoracic aorta)
̰જਔ (Internal thoracic a.)
ௐ˟၆҈ޢมજਔ ཛજਔ (Abdominal aorta)
(2nd posterior intercostal a.)
҈˭જਔ (Subcostal a.)
B ᐚีડ۞ҕგֻᑕĂޢγ៍Ą ොċ ௐ˘၆ௐ˟ ၆҈ޢมજਔ (posterior intercostal arteries) Ϥ҈ᐚજ ਔ (costo-cervical trunk) ൴Ă҈ᐚજਔߏᗆ˭ જਔ (subclavian artery) ۞̶͚Ą
㎪γજਔ (External iliac a.)
A ᖻ۞જਔĂ Πγ៍Ą
͚
γϩ͚
(Sternal branches)
(Lateral cutaneous branch)
͚ޢ
݈ϩ͚
(Posterior branch)
(Anterior cutaneous branch)
ਖល͚ (Spinal branch)
̰જਔ (Internal thoracic a.)
݈͚ (Anterior branch)
̰ϩ͚ (Medial cutaneous branches)
݈҈มજਔ (Anterior intercostal a.)
જਔ (Thoracic aorta)
҈ޢมજਔ (Posterior intercostal a.)
ཛજਔ (Abdominal aorta)
㎪ᓁજਔ
ᖧϒ̚જਔ
(Common iliac a.)
(Median sacral a.)
㎪γજਔ
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
(External iliac a.)
γϩ͚ (Lateral cutaneous branch)
(Internal iliac a.)
(Lateral sacral a.)
C ҈ޢมજਔ (posterior intercostal arteries)Ă˯ޢ ៍Ą҈ޢมજਔ൴ϩ͚ (cutaneous branches)ă҉͚ (muscular branches) ᔘѣਖល͚ (spinal branches) ֻᑕ ਖលĄ
ԍ (Coccyx)
D ֻᑕᖧ (sacrum) ۞ҕგĂ݈៍Ą
36
㎪̰જਔ
ᖧγજਔ
۱જਔᐖਔ ొ
(Pulmonary Arteries & Veins)
۱જਔҋΠ͕ވĂ T ࠎ̶ݭνăΠ۱જਔซˢ၆ᑕ۱ĄνăΠЧҋј၆۞۱ᐖਔ̶ϤνăΠڦˢν͕ٗĄ۱જ ਔҡҖ͚ঈგĂͷםТ͚ঈგፘߛၹ˘̶͚݈ซĂҜٺ۱̈ཧᙝቡ۞۱ᐖਔӎĂιѣҋ̏۞а߹ྮቢĄ
ဦ 9.23
۱જăᐖਔ
(Pulmonary arteries and veins)
Πᐚ̰ᐖਔ (Right internal jugular v.)
݈៍Ą Π۱જਔ
ν۱જਔ
(Right pulmonary artery)
νᐚ̰ᐖਔ (Left internal jugular v.)
νᗆ˭ᐖਔ
Πᗆ˭ᐖਔ
(Left pulmonary artery)
(Left subclavian v.)
(Right subclavian v.)
νᐝᓖᐖਔ
Πᐝᓖᐖਔ
(Left brachiocephalic v.)
(Right brachiocephalic v.)
˯ටᐖਔ
ν۱ᐖਔ
(Superior vena cava)
(Left pulmonary vv.)
Π۱ᐖਔ ۱જਔ
(Right pulmonary vv.)
(Pulmonary trunk)
˭ටᐖਔ (Inferior vena cava)
A ۱જਔጨԸᇆ
B ۱ᐖਔጨԸᇆ ঈგ (Trachea)
ν۱
Π۱
(Left lung)
(Right lung)
˯ཧ
˯ཧ
(Superior lobe)
(Superior lobe)
જਔ̕
Π͚ঈგ
(Aortic arch)
(Right main bronchus)
ν͚ঈგ Π۱જਔ
(Left main bronchus)
(Right pulmonary a.)
ν۱જਔ
Π˯۱ᐖਔ
(Left pulmonary a.)
(Superior right pulmonary v.)
ν˯۱ᐖਔ
Π˭۱ᐖਔ
(Superior left pulmonary v.)
(Inferior right pulmonary v.)
ν˭۱ᐖਔ (Inferior left pulmonary v.)
˯ටᐖਔ (Superior vena cava)
۱જਔ
̿જਔ
(Pulmonary trunk)
(Ascending aorta)
Π͕ٗ
ν͕ވ
(Right atrium)
(Left ventricle)
̚ཧ
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
(Middle lobe)
˭ටᐖਔ ˭ཧ (Inferior lobe)
C ۱જăᐖਔ̶Ҷ݈៍Ą
124
(Inferiro vena cava)
Π͕ވ (Right ventricle)
͕ы
˭ཧ
(Cardiac apex)
(Inferior lobe)
۷ొᙯ༼ ˯ ۳
(Joints of the Shoulder)
ဦ 21.6 ۷ొᙯ༼Ĉፋវ៍
(Joints of the shoulder: Overview)
Π۷݈៍Ą
۷ᗆᙯ༼ (Acromioclavicular joint)
۷ࡨᙯ༼ (Scapulothoracic joint)
۷प˭มᅩ (Subacromial space)
ᗆᙯ༼ (Sternoclavicular joint)
۟۴ᙯ༼ (Glenohumeral joint)
ဦ 21.7
۷ᙯ༼ (Joints of the shoulder girdle)
Π˯៍Ą
۷ᗆᙯ༼Ğӣ۷ᗆิğ [Acromioclavicular joint (with acromioclavicular lig.)]
ಚࡎ۷पิ (Coracoacromial lig.)
ᙯ༼ᝃ (Joint capsule)
ဦ 21.8
۷ࡨᙯ༼ (Scapulothoracic joint)
Π˯៍Ąд۷ٙѣજүன̚Ă۷ࡨ д݈ᏼ҉۷ࡨ˭҉มؾԛજĄЯ ѩĂϤΑਕ֎࠻ޘĂΞѩ҇҉มෛࠎϠ நΑਕّᙯ༼Ą ۷ࡨᙯ༼ (Scapulothoracic joint)
۷ࡨ˭҉ (Subscapularis)
۷ࡨᙯ༼ (Scapulothoracic joint)
۷प (Acromion)
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
۴ᐝ (Head of humerus)
ಚࡎ (Coracoid process) ݈ᏼ҉ (Serratus anterior) ᗆ (Clavicle)
282
ޢᗆิ (Posterior sternoclavicular lig.)
ᗆᙯ༼Ğӣ݈ᗆิğ (Sternoclavicular joint, with anterior sternoclavicular lig.)
҉҇၁ڶ ˯ ۳
ဦ 21.25
(II) [Muscle Facts (II)]
̂҉ಚ۴҉ (Pectoralis major and coracobrachialis)
݈៍Ą ۷प
̂҉ᗆొ
(Acromion)
(Pectoralis major, clavicular part)
ᗆ (Clavicle)
ಚࡎ (Coracoid process)
̈ඕ༼ (Lesser tubercle)
ඕ༼ม ̂҉҈ొ
(Intertubercular groove)
[Pectoralis major (sternocostal part)]
̂ඕ༼㠸 (Crest of greater tubercle)
ಚ۴҉
(Sternum)
(Coracobrachialis)
A ϯຍဦĄ
̂҉ཛొ (Pectoralis major, abdominal part)
۴ (Humerus)
ᗆొ (Clavicular part)
҈ొ (Sternocostal part)
C ̂҉ಚ۴҉Ą
ཛొ (Abdominal part)
B ̂҉ࣧؕҜཉĞνğ˯ᓝĞΠğ Ą
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
ܑ 21.3 ҉҇ ̂҉
d ಚ۴҉
298
̂҉ಚ۴҉ (Pectoralis major and coracobrachialis) ᕇ a ᗆొ
ᗆĞ̰˘Ηğ
b ҈ొ
ௐ˘ ~ ̱҈హ
c ཛొ
ཛۡ҉ᐘĞ݈ᆸğ ۷ࡨĞಚࡎğ
ͤᕇ ۴ Ğ̂ඕ༼㠸ğ
͚੨
үϡ
γă̰ৠགྷĄ
Бొ҉҇Ĉ̰ќă̰Ą ᗆొ҈ొĈئă۷ᄃ˯ ᓖؠॡΞםӄײӛĄ
(Lateral, medial pectoral nn., C5-T1)
۴ĞπҖٺ ҉ϩৠགྷ ̈ඕ༼㠸̰ቡğ (Musculocutaneous nn., C5-C7)
ئă̰ќă̰Ą
23 ͘ ඦ ͘ ొ Ґې (Scaphoid)
͡ې (Lunate)
ˬ֎ (Triquetrum)
֑ې (Pisiform)
Ґېඕ༼ (Tubercle of scaphoid)
ᙯ༼Ğ͎ඦğሹ (Articular disk, ulnocarpal disk)
፠ఀࡎ (Styloid process of radius)
͎ఀࡎ (Styloid process of ulna)
ࡦඕ༼ (Dorsal tubercle)
፠ඦᙯ༼ࢬ (Radius, carpal articular surface)
ᙯ༼ᝃ (Articular capsule)
͎ඦઘิ (Ulnar carpal collateral ligament)
C Π͘ඦ፠ඦᙯ༼ᙯ༼ࢬĄဦϯඦܕଵ ܕბĂ፠ă͎̈́ᙯ༼Ğ͎ඦğሹᖙ ᖼ 180 ޘពϯ݈ᓖᅈბĄ
ௐ˘זௐ̣ೠ (1st to 5th metacarpals)
ᐝ( ېCapitate) ࿘ (Hamate) ඦᅈଵ (Distal row of carpal bones)
̈к֎ (Trapezoid)
࿘࿘ (Hook of hamate)
̂к֎ (Trapezium)
֑( ېPisiform)
̂к֎ඕ༼ (Tubercle of trapezium)
ඦܕଵ (Proximal row of carpal bones)
Ґېඕ༼ (Tubercle of scaphoid)
Ґې
D Π͘ඦඦ̚ᙯ༼ (midcarpal joint) ᙯ ༼ࢬĄඦᅈଵពϯܕბĂܕ ଵᖙᖼ 180 ޘពϯᅈბĄ
(Scaphoid)
͡( ېLunate)
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
ˬ֎ (Triquetrum)
325
͘ࡦԊొྋ࣠ጯ ˯ ۳
ဦ 24.46
(Topography of the Dorsum of the Hand)
͘ࡦϩৠགྷ͚੨ (Cutaneous innervation of the dorsum)
Π͘ޢ៍Ą ೠৠགྷࡦ͚ Ğϒ̚ৠགྷğ ࡦৠགྷĞ፠ৠགྷğ
(Palmar digital nn., dorsal branches, median n.)
ϒ̚ৠགྷೠৠ གྷࡦ͚ (Median n., dorsal branches of palmar digital nn.)
ϒ̚ৠགྷಏ͚੨ડ
(Dorsal digital nn., radial n.)
(Exclusive area of median n.)
ࡦৠགྷĞ͎ৠ གྷಏ͚੨ğ
ࡦৠགྷ Ğ͎ৠགྷğ
(Dorsal digital n., exclusive area of ulnar n.)
(Dorsal digital nn., ulnar n.)
͎ৠགྷࡦ͚ (Ulnar n., doral branch)
፠ৠགྷ͚ ࡦৠགྷ
͎ৠགྷࡦ͚ (Ulnar n., dorsal branch)
፠ৠགྷ͚ (Radial n., superficial branch)
(Radial n., superficial branch and dorsal digital nn.)
݈ᓖޢϩৠགྷĞ፠ৠགྷğ (Posterior antebrachial cutaneous n., radial n.)
B ຏᛇ͚੨ቑಛĄ࠹ዐᙝࠧځពѣᗕࢦ͚੨ડĂಏৠགྷ͚੨ડ ͽຳҒពϯĄ
A ͘ࡦৠགྷ͚੨Ą
ဦ 24.47
ྋ࣠ᆄ (Anatomic snuffbox)
Π͘፠ࢬ៍Ąˬ֎ԛ۞ྋ࣠ᆄ (anatomic snuffbox)Ă ᙝϤγण҉ܜ٭པăҩܜ٭ൺ҉པٙࠧؠĄ ፠ҩඦ҉ܜཔ (Extensor carpi radialis longus tendon)
ҩ҉པҩࢴ҉པ
፠ҩඦൺ҉པ
(Extensor digitorum and ̂к֎ extensor indicis tendon) (Trapezium)
(Extensor carpi radialis brevis tendon)
ҩ҉ܜ٭པ (Extensor pollicis longus tendon)
ҩ҉͚ (Extensor retinaculum)
፠ৠགྷ͚ (Radial n., superficial branch)
፠ఀࡎ
ௐ˘ࡦม҉
(Styloid process of radius)
(1st dorsal interosseous)
Ґې
፠જਔࡦඦ͚
(Scaphoid)
(Radial a., dorsal carpal branch)
ҩ٭ൺ҉པ ፠જਔ
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
374
(Radial a.)
ௐ˘ೠ (1st metacarpal)
(Extensor pollicis brevis tendon)
γण҉ܜ٭པ (Abductor pollicis longus tendon)
፠જਔ (Radial a.)
ᓗ̚҉
ᓗ̚҉
(Gluteus medius)
(Gluteus medius)
26
ᓗ̂҉
ᔮඏቯૺ҉
ᔮඏቯૺ҉
(Tensor fasciae latae)
(Tensor fasciae latae)
ᓗ̈҉
(Gluteus maximus)
᧺˯҉
ᓗ̈҉
ᓗ̂҉
(Gluteus minimus)
(Gluteus minimus)
(Gluteus maximus)
۵ۡ҉
᧺˯҉
(Gemellus superior)
(Rectus femoris)
(Gemellus superior)
୨҉ې
᧺˭҉
(Piriformis)
(Gemellus inferior)
᧺˭҉
ౕ̰͋҉
(Quadratus femoris)
(Sacrotuberous ligament)
۵γ҉ (Vastus lateralis)
̰ќ̂҉ (Adductor magnus)
ᓗ̂҉ (Gluteus maximus)
(Gluteus medius and minimus)
(Obturator internus)
۵͞҉
ᖧษิ
ᓗ̚҉ ᓗ̈҉
ౕ̰͋҉
(Gluteus medius)
(Obturator internus)
୨( ҉ېPiriformis)
(Gemellus inferior)
ᓗ̚҉
។ ొ ᄃ ̂ ჿ
۵͞҉
Ηቯ҉
(Quadratus femoris)
(Semimembran osus)
۵˟ᐝ҉Ğܜᐝğ Ηཔ҉
ᓗ̂҉ (Gluteus maximus)
[Biceps femoris (long head) and semitendinosus]
̰ќ̂҉
̰ќ̂҉
(Adductor magnus)
(Adductor magnus)
۵̚ม҉
۵̚ม҉
(Vastus intermedius)
(Vastus intermedius)
Ηቯ҉ (Semimembranosus)
۵˟ᐝ҉ൺᐝ Ηཔ҉Ğ̷ᕝğ [Semitendinosus (cut)]
(Biceps femoris, short head)
۵γ҉ (Vastus lateralis)
۵˟ᐝ҉ൺᐝ ۵ᓠ҉ (Gracilis)
۵˟ᐝ҉ܜᐝ (Biceps femoris, long head)
̰ќ҉ෘ͋
(Biceps femoris, short head)
(Adductor hiatus)
㈋҉ (Plantaris)
㈋҉ (Plantaris)
දབ҉̰γᐝ (Gastrocnemius,medial and lateral heads)
Ηቯ҉ (Semimembranosus)
۵˟ᐝ҉ (Biceps femoris)
⯰҉ (Popliteus)
දབ҉̰γᐝ (Gastrocnemius,medial and lateral heads)
(Soleus)
∧҉ޢ ئశ҉ܜ (Flexor digitorum longus)
C ொੵĈΗཔ҉۵˟ᐝ҉Ğొ̶ğćᓗ̂҉ᓗ̚҉ĞԆБğ Ą
ͧϫ౦҉
(Tibialis posterior)
D ொੵĈ⯰य़҉ཏĞΗཔ҉ăΗቯ҉ă۵˟ᐝ҉ğ ăᓗ̈҉ăද བ҉̈ჿ҉҇Ą
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
395
֖ొᙯ༼ ˭ ۳
ဦ 28.9
(III) [Joints of the Foot (III)]
˭ᙯ༼( ิSubtalar joint and ligaments)
˭ᙯ༼χฟ۞Π֖Ą˭ᙯ༼Ϥྫྷมิฟј࣎Чҋϲ۩มĈޢมĞྫྷᙯ༼ğ݈มĞྫྷҐᙯ༼ğ Ą
̰ແې
ௐ̣㈋Ğೠğ
(Medial cuneiform)
(5th metatarsal)
Ґې (Navicular)
ᅼ (Cuboid)
ද҉ܜཔᐋ (Tunnel for fibularis longus tendon)
֖غĞ㈋ğ ྫྷҐิ (Plantar calcaneonavicular lig.)
֖غĞ㈋ğิܜ (Long plantar lig.)
ྶࡎ
ྫྷ (Calcaneus)
(Sustentaculum tali)
̰ແې
(Talus)
(Medial cuneiform)
Ґې (Navicular)
֖غĞ㈋ğྫྷҐิ (Plantar calcaneonavicular lig.)
ᅼ (Cuboid) ̶ิڡ (Bifurcate lig.)
ࡦྫྷᅼิ
B ֖៍غĄ֖غĞ㈋ğྫྷҐิϺჍĶᇅّิ (spring ligament)ķ ણᄃԛјྫྷᙯ༼ّĂ֖҃غĞ㈋ğ( ิܜlong plantar lig.) ᖬᄏᅼษĂֹ݈ቡԛјგ఼ېֻද҉ܜཔĞ ཱིğ఼࿅Ą
(Dorsal Calcaneocuboid lig.)
(Talus)
݈ม (Anterior compartment)
˭ᙯ༼
ޢม (Posterior compartment)
(Subtalar joint)
ྫྷ (Calcaneus)
ྫྷมิ (Interosseous talocalcaneal lig.)
∧
A ࡦ៍ (Dorsal view)Ą
(Tibia)
Ґېᙯ༼ࢬ
̰ኺ
(Navicular surface)
(Medial malleolus)
Ґې
(Navicular)
(Talus)
̰ແې (Medial cuneiform)
ྫྷมิ (Interosseous talocalcaneal lig.)
ௐ˘㈋Ğೠğ (1st metatarsal)
ྶࡎ (Sustentaculum tali)
Ъ ဦ ३ ۍ ۤ ā ൴ Җ
430
ྫྷ (Calcaneus)
֖غĞ㈋ğཔቯ
C ̰៍Ąྫྷมิ̏జ̷ฟͷ˯ொĄኛ ڦຍ֖غĞ㈋ğྫྷҐิĂιםТ֖غĞ㈋ğܜ ิغ֖Ğ㈋ğཔቯВТ͚֖ొᓂ֖֕̕Ą
(Plantar aponeurosis)
֖غĞ㈋ğ ิܜ (Long plantar lig.)
֖غĞ㈋ğྫྷҐิ (Plantar calcaneonavicular lig.)