Functional Atlas of the Human Fascial System

Carla Stecco

Description

Principally based on dissections of hundreds of un-embalmed human cadavers over the past decade, Functional Atlas of the Human Fascial System presents a new vision of the human fascial system using anatomical and histological photographs along with microscopic analysis and biomechanical evaluation.

Prof. Carla Stecco – orthopaedic surgeon and professor of anatomy and sport activities – brings together the research of a multi-specialist team of researchers and clinicians consisting of anatomists, biomechanical engineers, physiotherapists, osteopaths and plastic surgeons. In this Atlas Prof. Stecco presents for the first time a global view of fasciae and the actual connections that describe the myofascial kinetic chains. These descriptions help to explain how fascia plays a part in myofascial dysfunction and disease as well as how it may alter muscle function and disturb proprioceptive input. Prof. Stecco also highlights the continuity of the fascial planes, explaining the function of the fasciae and their connection between muscles, nerves and blood vessels. This understanding will help guide the practitioner in selecting the proper technique for a specific fascial problem with a view to enhancing manual therapy methods.

Functional Atlas of the Human Fascial System opens with the first chapter classifying connective tissue and explaining its composition in terms of percentages of fibres, cells and extracellular matrix. The second chapter goes on to describe the general characteristics of the superficial fascia from a macroscopic and microscopic point of view; while the third analyzes the deep fascia in the same manner. The subsequent five chapters describe the fasciae from a topographical perspective. In this part of the Atlas, common anatomical terminology is used throughout to refer to the various fasciae but it also stresses the continuity of fasciae between the different bodily regions.

• Over 300 unique photographs which show fascia on fresh (not embalmed) cadavers
• Demonstrates the composition, form and function of the fascial system
• Highlights the role of the deep fascia for proprioception and peripheral motor coordination
• Companion website – www.atlasfascial.com – with videos showing how fascia connects with ligaments

Sujets

• Complementary Medicine
• Alternative Medicine
• Medical

Informations

• Publié par: Churchill Livingstone
• Date de parution: 05 novembre 2014
• Nombre de lectures: 5
• EAN13: 9780702058523
• Langue: English
• Poids de l'ouvrage: 8 Mo

Extrait

Functional Atlas of the Human Fascial System
Carla Stecco MD
Orthopaedic Surgeon
Professor of Human Anatomy and Movement Science, University of Padua, Italy
English Language Editor
Warren Hammer DC MS
Postgraduate Faculty, New York Chiropractic College, NY, and Northwestern Health Sciences University, Bloomington, MN, USA
Forewords by
Andry Vleeming PhD
Professor, Department of Anatomy, Center of Excellence in Neuroscience, University of New England, Maine, USA
Professor, Department of Rehabilitation and Kinesiotherapy, University of Ghent, Belgium
Program Chairman, World Congress Lumbopelvic Pain
Raffaele De Caro MD
Full Professor of Human Anatomy, Director, Institute of Human Anatomy, Department of Molecular Medicine, University of Padua, Italy; President, Italian College of Anatomists

Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2015
Table of Contents
Cover image
Title page
Copyright
Foreword
Preface
Acknowledgements
1 Connective Tissues
Composition of the Connective Tissues
Classification of Connective Tissue
References
Bibliography
2 Subcutaneous Tissue and Superficial Fascia
History
Current Evidence
Superficial Adipose Tissue
Superficial Fascia (Fascia Superficialis)
Deep Adipose Tissue
Transverse and Longitudinal Lines of Adhesions
Subcutaneous Vessels
Subcutaneous Nerves
Subcutaneous Bursa
Development of the Superficial Fascia
Mechanical Behaviour
Imaging of the Superficial Fascia
References
Bibliography
3 Deep Fasciae
Introduction
Definition
Aponeurotic Fascia
Epimysial Fascia
Imaging of the Deep Fasciae
References
Bibliography
4 Fasciae of the Head and Neck
Introduction
Superficial Fasciae
Deep Fasciae of the Head
Deep Fasciae of the Neck (Deep Cervical Fascia)
References
Bibliography
5 Fasciae of the Thorax and Abdomen
Introduction
Superficial Fascia of the Thorax and Abdomen
Deep Fascia
References
Bibliography
6 Fasciae of the Back
Introduction
Superficial Fascia
Deep Fasciae
Reference
Bibliography
7 Fasciae of the Upper Limb
Superficial Fascia
Deep Fasciae
References
Bibliography
8 Fasciae of the Lower Limb
Superficial Fascia of the Lower Limb
Deep Fascia of the Lower Limb
References
Bibliography
Index
Copyright

2015 Elsevier Ltd. All rights reserved.
No part of this publication may be reproduced 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 publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
ISBN 978-0-7020-4430-4

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.


Printed in China
Last digit is the print number: 10 9 8 7 6 5 4 3 2
Foreword by Andry Vleeming
Before me is a new anatomical atlas of the human fascial system. Its focus is on the integration of the fascial and muscular tissues and their relevance in mutual interactions for effectively transferring loads through the body. I believe it will help us to better appreciate how we function as humans.
Classical topographical atlases divide our bodies into regions and sections. This serves a crucial didactic purpose, to understand the constituents of our body. However, in complex constructs like our bodies, focusing on single tissues impedes a proper analysis of daily life functioning, because the interplay between these various tissues is also crucial. In addition, the mechanical load encountered in the body is distributed through this continuous network of fascia, ligaments and muscles, which support the entire skeleton.
Unlike standard topographic anatomy, functional anatomy should present the necessary information to incorporate the interrelationships between muscle, its internal fascial skeleton and the surrounding external fascial network into which it is integrated. Such an approach can be easily missed in traditional anatomical dissection. Moments and reaction forces, generated by muscles and their associated passive structures, provide an equilibrium in the multiple degrees of freedom of our joints. The passive structures also interact with the muscular system through their role as sensory organs, thereby adding a component of feedback control to the system.
The various myofascial structures with differing elastic moduli, contribute to the formation of composites in our body: from the superficial skin, to the bones, we find connective tissues with very different abilities to be pulled and strained. Describing the physical properties and functions of these composite arrangements is a necessary prerequisite for understanding the many complex roles of our body.
This new atlas helps us to appreciate the unique architecture of our bodies and how we are able to express ourselves through so many different forms of movement. By necessity, we will gain a deeper respect of its miraculous architecture.
The first chapter gives an effective overview on what we can expect from this new atlas. The wish to create a complete overview of the fascial structure of the body, took the author more than 10 years to finalize.
As readers of this book, we see a new anatomical universe enfolding before our eyes in the form of superb dissections and drawings, combined with an accurate text, describing the consequences of this new anatomical integrated approach.
This book is conceived by an author with a great scientific and medical family tradition. Prof. Dr. Carla Stecco, created many respectable articles on integrating fascia into a realistic functional concept of our locomotorsystem.
I have had the great honor to know Dr. Stecco for many years and realize that her benchmark for quality has been raised to a very high level. The excellence of this book can be recognized from the first to last chapter. From the people who donated their body to science, to the precision of which the dissections were performed, not to mention the ability to photograph this all in a way that helps us appreciate the complexity of the human body.
Dissection with precision needs very specific skills, both academically as well as outstanding dexterity. Characteristics which have not often been combined in fascial research studies. In fact, the author must have explored and refined her approach many times, finding the best form of dissection to present the amazing pictures and drawings.
The author has composed a lucid and fascinating atlas of fascia and connective tissue in relation to muscles, bones, joints and organs.
Reading this book will not only enhance your anatomical knowledge and skills, but will also reveal how the body is able to allow sliding of superficial and deep tissues when we are in motion .
Perhaps we needed an Italian orthopedic surgeon and anatomist like Carla Stecco, who by nature understands the double connotation of the Latin word E motione meaning literally in motion . And that is what we can see in the beautiful pictures: functional anatomy showing specific anatomical layers of tissue enabling in movement .
I can assure you that the pictures in this book are one of the finest I have ever seen. Although by necessity 2 dimensional pictures, they are dissected so precisely and carefully on fresh specimen, it almost seems that we get a 3D look of the bodies as if the energy of this fine tuned system of a moving and sliding fascia is still palpable in these pictures!
This book can be regarded as a new standard atlas for understanding integrated anatomy of the locomotorsystem and