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 NETTER’S
Surgical
Anatomy
Review
P.R.N. 2nd Edition

Robert B. Trelease, PhD

Professor
Division of Integrative Anatomy
Department of Pathology and
Laboratory Medicine
David Geffen School of Medicine
University of California, Los
Angeles
Los Angeles, California

Illustrations by
Frank H. Netter, MD

Contributing Illustrators
Carlos A.G. Machado, MD
Kristen Wienandt Marzejon, MS,
MFA
Tiffany DaVanzo, MA, CMI
John A. Craig, MD
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
NETTER’S SURGICAL ANATOMY REVIEW P.R.N. ISBN: 978-0-323-44727-0
Copyright © 2017 by Elsevier Inc. All rights reserved.
Previous edition copyrighted 2011.
No part of this book may be produced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording or any
information storage and retrieval system, without permission in writing from
the publishers.
Permissions for Netter Art figures may be sought directly from Elsevier’s Health
Science Licensing Department in Philadelphia, PA, USA: phone 1-800-523-1649,
ext. 3276 or (215) 239-3276; or email [email protected].

Notice
Neither the Publisher nor the Author assumes any responsibility for any loss or
injury and/or damage to persons or property arising out of or related to any use
of the material contained in this book. It is the responsibility of the treating
practitioner, relying on independent expertise and knowledge of the patient, to
determine the best treatment and method of application for the patient.
The Publisher

Library of Congress Cataloging-in-Publication Data

Names: Trelease, Robert Bernard, author. | Netter, Frank H. (Frank Henry),
1906-1991, illustrator.
Title: Netter’s surgical anatomy review P.R.N. / Robert B. Trelease ;
illustrations by Frank H. Netter ; contributing Illustrators, Carlos A.G.
Machado, Kristen Wienandt Marzejon, Tiffany DaVanzo, John A. Craig.
Other titles: Netter’s surgical anatomy review pro re nata | Surgical anatomy
review PRN
Description: Second edition. | Philadelphia, PA : Elsevier, [2017] | Includes
index.
Identifiers: LCCN 2015047555 | ISBN 9780323447270 (pbk.)
Subjects: | MESH: Surgical Procedures, Operative | Anatomy | Atlases
Classification: LCC QM531 | NLM WO 517 | DDC 611/.9–dc23 LC record
available at http://lccn.loc.gov/2015047555
Content Strategist: Elyse O’Grady
Content Development Specialist: Marybeth Thiel
Publishing Services Manager: Patricia Tannian
Project Manager: Ted Rodgers
Designer: Julia Dummitt
Working together to grow
libraries in developing countries
www.elsevier.com | www.bookaid.org | www.sabre.org

Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
 This book is dedicated to
My parents, Florence and Robert Trelease (Sr.),
who always supported my pursuit of learning
and science;
My wife, Barbara, and our daughters, Cristin
and Heather, who have motivated all my work;
My students, who will put their anatomical
knowledge to good use in caring for their
patients.
This page intentionally left blank
 About the Author

Robert B. Trelease, PhD, is Professor in the

Division of Integrative Anatomy, Department of
Pathology and Laboratory Medicine, in the David
Geffen School of Medicine (DGSOM) at UCLA. In
1996, Dr. Trelease became a founding member of
and Faculty Advisor to the Instructional Design
and Technology Unit (IDTU), part of the DGSOM
Dean’s Office established to develop online learn-
ing resources for medical education. IDTU cur-
rently provides and manages a broad range of web
server– and mobile device–based educational
resources for all 4 years of the medical school cur-
riculum, as well as developing new multimedia
teaching tools and course management applica-
tions. Dr. Trelease currently serves as Associate
Director of IDTU, in addition to teaching medical
gross anatomy, embryology, and neuroanatomy.
This page intentionally left blank
 Preface

Netter’s Surgical Anatomy Review P.R.N. is a just-

in-time, point-of-contact review of anatomy for the
most common of the surgically treated diseases
and diagnoses encountered during medical student
clerkships and general surgery residencies.
This second edition includes new chapters on
Heart Diseases and Lungs and Respiratory Dis-
eases, content requested by users of the first
edition and its electronic versions. This extends
the coverage of material from general surgery into
thoracic surgery. There are also new updated
Netter Figures contributed by Dr. Carlos Machado,
Kristen Wienandt Marzejon, and Tiffany DaVanzo.
I thank the prior readers and institutional adopt-
ers for their confidence and support. In particular,
special thanks go out to Dr. David Chen, Associate
Professor of Clinical Surgery, and the medical stu-
dents and residents of the David Geffen School of
Medicine at UCLA (DGSOM) for their ongoing use
of the Web-based version for surgical clerkships
and in-service learning.
I am also grateful for the continuing support and
good counsel of my Department Chair, Dr. Jonathan
Braun, and feedback from former Senior Associate
Dean of Medical Education, Dr. LuAnn Wilkerson,
who originally suggested that I develop a PDA-based
learning resource for surgical clerkships.
viii Preface

Great appreciation is due to my colleagues at

DGSOM’s Instructional Design and Technology
Unit, directed by Dr. Anju Relan and including
master developers Zhen Gu, Katherine Wigan, Sam
Payne, and Jason Rock. Their continuing multime-
dia learning projects and dedicated support of the
online medical school curriculum have provided
many practical lessons on the complexities of
development and what really works in educational
technology.
Most of all, I thank my Editor, Elyse O’Grady, for
her continuing dedication to the distribution and
improvement of Netter’s Surgical Anatomy Review
P.R.N. I am especially grateful to Marybeth Thiel,
original Development Editor, for providing con-
tinuing editorial review and oversight for second
edition updates, including all the new artwork.
Their expert team at Elsevier worked skillfully to
produce the new, redesigned content that you are
using.

ROBERT B. TRELEASE, PHD

 Contents

Section I Head and Neck

1 Skull and Face Fractures   3
2 Thyroid Diseases   17

Section II Back and Spinal Cord

3 Vertebral Fractures   27

Section III Thorax

4 Breast Diseases   45
5 Heart Diseases   61
6 Lung Diseases   91
7 Esophageal Diseases   115
8 Ribs and Thorax Fractures   129

Section IV Abdomen
9 Appendix Diseases   139
10 Biliary Diseases   149
11 Colon Diseases   163
12 Gastroduodenal Diseases   181
13 Hernias   201
x Contents

14 Kidney Diseases   217

15 Liver Diseases   233
16 Pancreatic Diseases   253
17 Small Intestine Diseases   265

Section V Pelvis and Perineum

18 Anorectal Diseases   285
19 Pelvic Fractures   297
20 Prostate Diseases   311
21 Uterus and Adnexal Diseases   325

Section VI Upper Limb

22 Pectoral Girdle Fractures   343
23 Humerus Fractures   353
24 Forearm Fractures   367
25 Wrist and Hand Fractures   381

Section VII Lower Limb

26 Hip and Thigh Fractures   397
27 Knee and Leg Fractures   413
28 Ankle and Foot Fractures   429

Index   443
Head and Neck

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