Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Andreas Vesalius Bruxellensis (1514- 1564)

A Flemish anatomist and surgeon, Andreas Vesalius was born on December 31, 1514 in Brussels, Belgium. He is considered to be the father of the science of Anatomy. Up until his studies and publications human anatomy studies consisted only on the confirmation of the old doctrines of Galen of Pergamon (129AD - 200AD). Anatomy professors would read to the students from Galen's work and a demonstrator would point in a body to the area being described, if a body was used at all. The reasoning was that there was no need to dissect since all that was needed to know was already written in Galen's books. Vesalius, Fallopius, and others started the change by describing what they actually saw in a dissection as opposed to what was supposed to be there. 

Vesalius had a notorious career, both as an anatomist and as a surgeon. His revolutionary book "De Humani Corporis Fabrica: Libri Septem" was published in May 26, 1543. One of the most famous anatomical images is his plate 22 of the book, called sometimes "The Hamlet". You can see this image if you hover over Vesalius' only known portrait which accompanies this article. Sir William Osler said of this book "... it is the greatest book ever printed, from which modern medicine dates" 

After the original 1543 printing, the Fabrica was reprinted in 1555. It was re-reprinted and translated in many languages, although many of these printings were low-quality copies with no respect for copyright or authorship.

The story of the wood blocks with the carved images used for the original printing extends into the 20th century. In 1934 these original wood blocks were used to print 617 copies of the book "Iconaes Anatomica". This book is rare and no more can be printed because, sadly, during a 1943 WWII bombing raid over Munich all the wood blocks were burnt.

One interesting aspect of the book was the landscape panorama in some of his most famous woodcuts which was only "discovered" until 1903.

Vesalius was controversial in life and he still is in death. We know that he died on his way back from a pilgrimage to Jerusalem, but how he died, and exactly where he died is lost in controversy. We do know he was alive when he set foot on the port of Zakynthos in the island of the same name in Greece. He is said to have suddenly collapsed and die at the gates of the city, presumably as a consequence of scurvy. Records show that he was interred in the cemetery of the Church of Santa Maria delle Grazie, but the city and the church were destroyed by an earthquake and Vesalius' grave lost to history. Modern researchers are looking into finding the lost grave and have identified the location of the cemetery. This story has not ended yet.

For a detailed biography of Andreas Vesalius CLICK HERE.

Personal note: To commemorate Andrea Vesalius' 500th birthday in 2014, there were many scientific meetings throughout the world, one of them was the "Vesalius Continuum" anatomical meeting on the island of Zakynthos, Greece on September 4-8, 2014. This is the island where Vesalius died in 1564. I had the opportunity to attend and there are several articles in this website on the presence of Andreas Vesalius on Zakynthos island. During 2015 I also attended a symposium on "Vesalius and the Invention of the Modern Body" at the St. Louis University. At this symposium I had the honor of meeting of Drs. Garrison and Hast, authors of the "New Fabrica". Dr. Miranda


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Post-

The prefix [post-] has its origin as a Latin adverb meaning "after". There are two variations in the use of this Latin adverb. The first is in its use as "after" referring to the position of a structure. This use is limited and is the root for the term "posterior". The most common usage is for [post-] to be used in its true meaning of "after" referring to time.

Applications of this prefix include:

  • postoperative: after the operation
  • postmortem: from the Latin word [mortis] meaning "death". After death
  • postpartumfrom the Latin word [partum] meaning "birth". After birth
  • postprandial: [prandium] is a Latin word meaning "a midday meal". Used to denote "after a meal"
  • posthumous: from the Latin word [humus] meaning "ground". Refers to activities performed after burial
  • postbellum: after a war

When using pure Latin terms, the word can be used as shown in the listing above, or they can be used as separate entities, such as "post partum", "post mortem", "post bellum", etc. (no hyphens). This leads to interesting facts, such as the pharmacological abbreviation "p.c." which stands for "post cibum"; the meaning of [cibum] is similar to [prandium], so "p.c." means "after a meal"


Retro-

The prefix [retro-] has a Latin origin and means "posterior", "backwards", or "behind". The main use of this prefix in human anatomy and surgery is "posterior".

Applications of this prefix include:

  • retroesternal: posterior to the sternum, such as the heart or the internal thoracic vessels
  • retropharyngeal: posterior to the pharynx, as in the "retropharyngeal space", a potential space found posterior to the pharynx
  • retroperitoneal: posterior to the peritoneum, referring to abdominal organs found outside and posterior to the peritoneal sac, such as the aorta and kidneys
  • retrogastric: posterior to the stomach, as in the "retrogastric space", an area also known as the "lesser bursa"
  • retroversion: a posterior rotation or turn. Usually refers to the posterior rotation of the uterus or a joint

Francois Poupart

This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.

No image available
François Poupart 

François Poupart (1661-1709). Physician, zoologist, entomologist, and anatomist, Francois Poupart was born in Le Mans, France. His origins were very humble and he studied Medicine in Paris as a very poor student.  He had great interest in entomology, studying the anatomy of insects. Poupart obtained his MD a the University of Reims and was a surgeon at the H?tel (hospital) Dieu. A naturalist, Poupart is known for having written a monograph on the anatomy of the leech.

His life is mostly unknown. Poupart died at the age of 48. His name is eponymically associated with the inguinal ligament, which he described in detail in 1705. Although this structure was originally described by Gabrielle Fallopius, it was Poupart who stated the function of the inguinal ligament as an attachment for the three lateral muscles of the abdominal wall.

 *: There is no known image of Francois Poupart that we could find. If you have any source, please let us know through our "Contact Us" form.

Sources:
1. "Two eponymous surgeons: Cowper and Poupart" Ellis, H. Brit J Hosp Med 2009 701:4 225
2. "The Anatomical History of the Leech" Poupart, F. Phil Transact 1697 19:722-726


Pinna

Lateral view of the pinna
Click for a larger image

The word [pinna] is Latin and means "feather". It also means "wing". The variation [penna] as in the case of [pennate], means "winged". It refer to the external ear, or auricle. It appears that the use of the term [pinna] for ear arises from the ear-like or winged extensions of Viking and medieval helmets.

The ear has three components, the internal, middle, and external ear. The external ear is composed of the external acoustic canal and the pinna. The pinna is composed of fibrocartilage covered with skin, and has several ligaments and small muscles related to it. These muscles are  extrinsic (between the pinna and the skull) and intrinsic (within the pinna) All these muscles have limited capabilities in the human.

The pinna receives blood supply from the anterior and posterior auricular arteries, and a small branch of the occipital artery. The nerve supply is by way of the great auricular nerve, the auricular branch of the vagus nerve, the auriculotemporal branch of the mandibular nerve, and the lesser occipital nerve.

The external (lateral) anatomy of the pinna is complicated and very detailed, with potential anatomical variations. Click on the image for a higher detail. The medial aspect of the pinna presents elevations which correspond to the depressions (fossae) on its lateral surface and they are named, eminentia conchae, eminentia triangularis, eminentia scaphoides, etc.

Image property of: CAA, Inc. Artist: Dr. Miranda 


Circum-

The prefix [circum-] is Latin and means "around" or "about". It is used in medical terms such as:

  • Circumcision: the root term [-cis-] meaning to "cut". To cut around
  • Circumflex: the root term [flex] for [flexion] meaning to "bend". Bends around, as in "circumflex artery"
  • Circumambulation: a patient that walks in circles

Also in everyday terms such as:

  • Circumlocution: to talk around a subject
  • Circumnavigation: To sail or navigate around
  • Circumscribe: to write in circles or around a subject

Flexion / extension

Flexion / extension

The word [flexion] comes from the Latin [flexere] meaning "to bend". In anatomy, flexion is the reduction in the angle between two bodily components that are communicated by a type of joint.

By contrast, [extension] refers to the opposite action, that is, the increase in the angle between two bodily components that are communicated by a type of joint.

The image shows flexion of the head, the upper extremity, and the lower extremity. Hover over the image to see extension of the same structures. 

Excessive flexion (hyperflexion) or extension (hyperextension) of a joint can lead to potential pathology as would be the case of hyperextension of the neck as a result of a car crash (whiplash injury)

Note that in a human in the anatomical position, flexion of the upper extremity is an anterior movement, while flexion of the lower extremity is a posterior movement. You could make a case that in these image the upper extremity is performing an anteflexion (anterior flexion) while the lower extremity is performing a retroflexion (posterior flexion). 

In the upper and lower extremities there are whole groups of muscles that, because of their action, are called flexors or extensors.