t> ■. > , ' ‘ . ■ \ . . s - * s , •« " •'* , : ; ■ ENGRAVINGS OF THE ARTERIES. BY J. P. HOPKINSON, M. D. DEMONSTRATOR OF ANATOMY IN THE UNIVERSITY OF PENNSYLVANIA, &C. &C. PHILADELPHIA: PUBLISHED BY J. G. AUNER, No. 333 Market Street. 1833, \-\', • ;-v. A <« Kt i$ '*ih* ■ '*-** ' i*’* ’•* 4*M'■ t* *-**+ <. : y.., *»r + ■'■**’■*’■ + *■ fy&tpr *<* ';#(* ■♦« ■■■ -■.-*.' ?;■♦#'!». to 'M f ig%V ^ ■■ ■ **» -^i .(*# »? wj %» V «?.} *{ vV 'Sf***** . J»* >ft» -> .v "V* ■ -'•• .•>♦* « ■*> P V -- =■ ’• '• ■•> -, -i *» - IMP NUHriS •**•»** « iff) *«:■#*** 'tet.MN* , i »)t>wy» - W’ 1® '-'■ ••••►•# *' "A -v «M , 7 S ,-t A"\ « **» *.**••!•. ** ■**#**>** 4*~"> >' t # 1ft* vw#4lft»« ***&*#’ x . ' » WWI ftl> * *3* ?• *. ■*» #tpp***' **** « <# V K'«* ' n . ••* - Pi**- • * W* *r» * •.♦**•*»*•<*<- w> MfcM'to* -WM**** * IN*# v* '*= : *§**■-'' *ivv» ■"«< 7 - ■'■■>&' - ■ PI. 1. /e. - ^ • C - ' 1 $%Ce rnxxl Oa tcJj, d £l\ JtfJC <£d*- 7 Plate I. EXTERNAL CAROTID. A. The common Carotid, which divides just above the thyroid cartilage, into the two following : — B. Internal Carotid, enlarged at its root, and situated more externally than the next. C. External Carotid, which penetrates into the parotid gland, and at the neck of the lower jaw, divides into internal max- illary and temporal. D. Internal Maxillary. E. Great Temporal. Emerging from the parotid gland, it passes between the ear and the zygoma, and divides into an ante- rior and a posterior branch. 1. Superior Thyroid. Distributed to the larynx and thyroid gland, anastomosing with the other arteries of this gland. 2. Laryngeal Branch of Sup. Thyroid. Supplying interior of larynx, and crico thyroid membrane. 3. Lingual. Distributed as Dorsalis linguae, Sublingual and Ranina, to soft palate tonsils, sublingual gland, and tongue. 4. Facial. Emerging from within the lower jaw, it winds around its base to become superficial, and is distributed by the fol- lowing five branches : — 5. First, Submental, to the muscles inserted into the chin j anastomosing with its fellow, inferior coronary, &c. 6. Second, Inf. Labial: To the middle of the chin, sometimes wanting. 7. Third, Inf. Coronary : To the lower lip and the chin, anas- tomoses with its fellow. 8. Fourth, Sup. Caronary : To the upper lip, and anterior naris j anastomoses with its fellow. 9. Fifth, Nasal: To the ala nasi. The facial terminates at the internal canthus, anastomosing with the ophthalmic. 10. Inf. Pharyngeal. To the muscles and mucous lining of the pharynx. 11. Occipital. Deeply situated beneath the muscles of the mas- toid process. Goes to back of head : anastomoses with the vertebral posterior temporal and its fellow. 12. Post. Auricular. To the external ear, and side of the head. 13. Transverse of the Face. To the muscles, on the side of face ; anastomoses with facial and infra orbitar. 14. Middle Temporal. Passes over zygoma, penetrates tempo- ral aponeurosis, and anastomoses with deep seated temporals. 15. Anterior Temporal. To superior and anterior portion of cranium, anastomoses with the opthalmic and with its fellow. 16. Posterior Temporal. To superior and posterior portion of cra- nium, anastomoses with the occipital and other temporals. 8 Plate II. INTERNAL MAXILLARY. A. External Carotid. B. Great Temporal. C. Internal Maxillary : concealed by the lower jaw and zygo- matic arch. It passes first horizontally, next rises up, and then passes obliquely forward, to terminate at the spheno palatine foramen. It is distributed by the following thirteen branches. 1. Tympanic. Through the glenoid fissure to the tympanum. 2. Small Meningeal. Through foramen ovale, to the dura mater. Often a branch of the next. 3. Great Meningeal. Through foramen spinale, to dura mater ; also to interior of the ear. 4. Inf. Dental, or Maxillary. Through posterior mental fora- men to the lower jaw and teeth, anastomosing with facial. 5. Post. Deep Temporal. Beneath temporal muscle, anasto- mosing with other temporals. 6. Pteregoid. Several branches to the pteregoid muscles. 7. Baccal. To the buccinator muscle, and mucous membrane of the cheek. 8. Ant. Deep Temporal. Beneath temporal muscle, anastomo- sing with other arteries of this muscle. 9. Sup. Alveolar , or Maxillary. To antrum. Large and small molar teeth of upper jaw. 10. Infra Orbitar. Through infra orbitar canal : to antrum. Bicuspid and incisor teeth : anastomoses with facial and op- thalmic. 11. Sup. Palatine. Through posterior palatine canal: to soft palate and roof of the mouth. 12. Sup. Pharyngeal. To the upper part of the pharnyx. 13. Spheno Palatine. Through spheno palatine foramen, to Schneiderian membrane. / S.J 7 ) V ^ tirowris £ctk d£M. a'J' Muvn’s -LtCfc, PI. 3. r ^f/jJy lav can b JbxUlccw^ 9 Plate III. SUBCLAVIAN AND AXILLARY. A. Aorta. From its origin at the heart. B. Innominata. The root of the right carotid and right sub- clavian. C. Left carotid. Arising directly from the aorta. D. Left Subclavian. The next trunk, coming from the aorta. E. E. Axillarry. The continuation of the subclavian. 1. Vertebral. Passing to the foramen, in the transverse process of the sixth cervical vertebra. Ascends to the brain. 2. Inferior Thyroid. Sending off the ascending cervical, and then passing beneath the carotid and jugular, to the thyroid gland, there anastomosing freely. 3. Superior Intercostal. To the two upper intercostal spaces. 4. 4. Internal mammary. To the diaphragm and abdominal muscles. It anastomoses with the intercostal arteries, and with the epigastric. 5. Post. Cervical. Crosses the neck, to the muscles of the sca- pula, above. 6. Sup. Scapular. From axillary : to back of scapula. Anas- tomoses with scapular artery. 7. Sup. Thoracic. 8. Long Thoracic. 9. Acromial Thoracic. 10. Axillary Thoracic. 11.11. Scapular. To the muscles of the scapula : Teres : sub- scapular, &c. External mammary arteries, to the ^ parietes of the thorax and the axilla. ^ Anastomosing with the interior mam- mary and the intercostals. 12. Dorsal Branch. To back of scapula : anastomoses with superior scapular. 13. Anterior Circumflex. Surrounds neck of humerus in front : to deltoid and shoulder joint : anastomoses with scapular and the next. 14. Posterior Circumflex. Passing posteriorly around neck of humerus, to shoulder joint and deltoid: anastomoses with anterior circumflex, and scapular arteries. 10 Plate IV. ARTERIES OF THE ARM AND HAND. A Brachial. B. Radial. C. Ulnar. 1. Sup. Deep Humeral , (Profunda major.) Winds around back of the arm, to get to exterior condyle : anastomoses with ra- dial recurrent. 2. Inf. Deep Humeral , (Profunda minor.) Inner side of arm and internal condyle. 3. Nutritious Artery. Through medullary foramen, to os humeri. 4. Anastomotic. Upon internal condyle, to anastomose with ulnar recurrent. 5. Radial Recurrent . Around exterior condyle, to anastomose with profunda major. 6. Superficial Branch to Ballof the Thumb. (Superficialis Volae.) 7. Dorsal branch to the carpus. (Dorsalis Carpi.) 8. Great Artery of the thumb. (Magna pollicis.) Along the palmar surface of the thumb. 9. Radial Branch of fore finger, (Radialis Indicis.) Along outer side of fore finger. 10. Deep seated Arch. (Arcus Profundus.) Situated beneath flexor tendons. 11. Ulnar Recurrent. Around external condyle. Anastomoses with the anastomotic. 12. Interosseal. On interroseous ligament. Divides into anterior and posterior branches. 13. Recurrent Branch of Interrosseal. To back of elbow, anas- tomosing with radial recurrent and deep humeral. 14. Dorsal Bracli , to back of the hand. (Dorsalis Manus.) 15. Deep Ulnar branch. (Cubitalis manus profunda.) To join arcus profundus. 16. Superficial Arch. (Arcus Sublimis.) Situated between pal- mar aponeurosis and flexor tendons. 17. 17. 17. Digital Branches. To sides of fingers. Anastomose freely at their extremities. PI. v. % a rta. r %. H . dd y$mm* £dh 11 Plate V. AORTA. A. Semilunar valves of Aorta, and coronary arteries. B. B. Termination of Aorta in common Jliacs. 1. Arteria Innominata. The common root to the right sub- clavian and right carotid. 2. 2. Two Vertebruls. 3. Left Carotid. 4. Left Subclavain. 5. 5. Bronchial. To the lungs. 6. 6. Ten lower Intercostals. Anastomosing with internal mam- mary. The last with the lumbar and circumflexa ilii. 7. Phrenic. To Diaphragm and liver. Anastomoses with inter- nal mammary and intercostals. 8. Cceliac. Divides into three following branches. 9. Sup. Gastric, or Coronary : to stomach. 10. Splenic : to spleen. 11. Hepatic : to liver. 12. Sup. Mesenteric. To small intestines. 13. 13. Emulgents : to kidnies. 14. 14. Lumbar Arteries. To abdominal muscles and medulla spinalis, anastomose with epigastric, circumflex of ilium and gluteal. 15. 15. Spermatic. To testicle or ovarium. 16. Inf. Mesenteric. To large intestines. 17. Sup. Hemorrhoidal. To the rectum: anastomoses with other haemorrhoidal and lateral sacral. 18. Middle Sacral. To sacrum. 19. Epigastric. To rectus abdominis : anastomoses with internal mammary, lumbar, intercostals, and spermatic. 20. Internal Mammary : anastomoses with phrenic, intercostal, and epigastric. 21. Circumflex of Ileum : anastomoses with ileo lumbar, internal mammary, lumbar, and intercostal. 12 Plate VI. EXTERNAL AND INTERNAL ILIACS. A. Aorta. B — B. Common Macs. C. Ext. Mac. D. Int. Mac. E. PouparCs Ligament. F. Foramen Ovale. 1 — 1. Middle Sacral. Down middle of sacrum to coccyx. 2 — 2. Ileo Lumbar. To iliacus and quadratus muscles : anas- tomoses with circumflexa ilii and lower lumbar aiteries. 3 — 3. Jjateral Sacral. To interior of spinal canal : anastomoses with middle sacral. 4 — 4. Obturator. Passes through obturator foramen to hip joints, and to muscles on inner side of thigh : anastomoses with ischiatic, and surrounds obturator foramen. 5. Dotted line ; representing obturator arising from epigastric. 6. Middle ILsemorrhoidal. To lower part of rectum, prostate gland, &c. 7. Vesical. To bladder. From root of umbilical artery of fetus. 8. Uterine. In female, to uterus : anastomoses with arteries of uterus, o.varium,and fallopian tubes. 9 — 9. Gluteal. Through ischiatic foramen, to glutei muscles : anastomoses with ischiatic and femoral. 10 — 10. Ischiatic. Through sacro-sciatic notch, to hamstring muscles : anastomoses with branches of femoral. 11. Internal Pudic. Branch of preceding. Passes out of pelvis and returns between two sacro-sciatic ligaments. 12. Lower Ileemorrhoidal. To sphincter ani muscle. 13. Perineal. Transversely across the perineum. 14. Urethro-Bulbar. To corpus spongiosum urethrae, at the bulb. 15. Dorsal Branch. To back of penis. 16. Cavernous Artery. To cellular structure of penis. 17. Circumjlex of the Ilium. To iliacus internus, and abdominal muscles; anastomoses with ileo-lumbar, internal mammary, and lumbar arteries. 18. Epigastric. To rectus abdominis muscle : anastomoses with interior mammary, lumbar, and lower intercostals. cT.L /.acrf mown ‘■s J u, v - 13 Plate VII. FEMORAL AND T1BIALS. A. PouparPs Ligament. B. Femoral. C. Profunda. D. D. Tendinous insertion of triceps. E. . interior Tibial. F. Posterior Tibial. 1. Subcutaneous of abdomen. (Art. ad cutem abdominis ;) anas- tomosing with epigastric and interior mammary. 2. External Pudics. To penis and scrotum : or labium ex- ternum. 3. Extern. Circumflex. To glutei: vastus externus, cruralis, knee and hip joints ; anastomoses with gluteal, ischiatic, and articular arteries. 4. Intern. Circumflex. To adductor and hamstring muscles and hip joint : anastomoses with obturator, and external circumflex. 5. 5. 5. 5. Four Perforating. Passing through triceps tendon to gluteus magnus, and flexor muscles of thigh : anastomoses with external circumflex, gluteal, and ischiatic. 6. Anastomotic. To inner side of knee joint : anastomoses with the articular. 7. 7. 7.7. 7. Five Articular. From Popliteal to knee joint, in- ternally and externally. 8. 8. Gastrocnemial. To two heads of gastrocnemius muscle. S. Recurrent Tibial. To anastomose with articular arteries. 10. Int. Malleolar. To inner side of ancle joint. 11. Ext. Malleolar. To outer side of joint: anastomoses with peroneal and tarsal. 12. Tarsal. To outer surface of tarsus : anastomoses with ex- ternal malleolar, external plantar, and metatarsal. 13. Metatarsal. To metatarsus : anastomoses with branches of external plantar. 14. Dorsal of Great Toe, (Dorsalis Hallucis.) To back of great toe, and outer side of next toe. * Termination of anterior tibial, passing to the sole of the foot to join plantar arch. 15. Peroneal or Fibidar. From posterior tibial, down to ankle and outer side of foot : anastomoses with anterior tibial. 16. Nutritious. To the tibia. 17. Int. Plantar. Along inner side of foot to the great toe: anastomoses with dorsalis. 18. Ext. Plantar. Crosses sole of foot to outer margin. 19.19. Plantar Arch. Sending perforating arteries to interosseal muscles : anastomoses with metatarsal arteries $ terminates in anterior tibial. 20. 20. 20. 20. Four Digital Arteries. Arising from platar arch to supply the toes. 14 Plate VIII. FCETAL CIRCULATION. A. A. The liver. Fig. I. B. Vena cava, ascendens. 1. Umbilical Vein. Running in the umbilical fissure, to open in left branch of sinus venae portae. 2 — 2. Vena Portae. Dividing to form the Sinus. 3 — 3. Left branch of sinus venae portae. 4. Right branch of sinus venae portae. 5. Left hepatic vein. 6. Ductus Venosus. Conveying blood from umbilical vein, into left hepatic vein, and thus into vena cava. 5. 5. Branches of pulmonary artery, to right and left lungs. 6. Ductus Arteriosus. Conveying blood from pulmonary artery into aorta. 7. 7. Great trunks from aorta, to supply head and upper ex- tremities. A. A. Right auricle and ventricle, communicating by ostcum venosum. B. B. Left auricle and ventricle ; also communicating. 1. 1. Superior and Inferior venae cnvae. 2. Eustachian Valve. Directingtheblood toward the foramen ovale. 3. Foramen Ovale. Forming a communication between the two auricles. 4. Valve in left auricle, opposed to foramen ovale, and subse- quently closing it. 5. Pulmonary Veins. Returning blood from lungs to left auricle. Fig. II. 1. Right ventricle of foetal heart. 3. 3. Aorta. 2. Left ventricle. 4. Pulmonary Artery. Fig. Ill, GaliC GxCtuet. 1 CPoe/uzc Jblfcty