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

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Posterior cerebral artery

The posterior cerebral artery is a bilateral artery with a common origin from the basilar artery at the level of the mesencephalon (midbrain). The basilar artery itself is formed by the junction of both vertebral arteries.

After the common origin of  both posterior cerebral arteries, the posterior communicating arteries arise, forming the posterior aspect of the arterial circle of Willis. The posterior cerebral arteries provide blood supply to the medial aspect of the occipital lobe of the brain, as well the inferior and medial aspect of the temporal lobe. It also provides deep arteries to the thalamus and hypothalamus

For information on the anatomical variations of the posterior cerebral artery click here.

Arterial circle of Willis  (Wikipedia.en.com
Sources:
1. 
"An Overview of Intracranial Aneurysms" Keedy, A Mcgill J Med. 2006 July; 9(2): 141–146 
2. "Observations on the length and diameter of the arteries forming the circle of Willis" Kamath S 1981 J Anat 133; 3:419-423"
Image modified from the 
original courtesy of Wikipedia.
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-ptosis

The suffix [-(o)ptosis] arises from the Greek [πτώσηι?] meaning "to fall", "to sag" or "go down". This suffix is used in medical words such as:

• Nephroptosis: The root term [-nephr-] means "kidney". A falling or drooping of a kidney
• Blepharoptosis: The root term [-blephr-] means "eyelid". A falling or drooping of an eyelid
• Hysteroptosis: The root term [-hyster-] is used to mean "uterus". A falling, drooping, or prolapse of the uterus
• Gastroptosis: The root term [-gastr-] means "stomach". A drooping or sagging of the stomach

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Henry Gray F.R.S


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.To search all the articles in this series, click here.

Henry Gray F.R.S. (1827 – 1861). English anatomist, Henry Gray was born in 1827. Not much is known of his early studies. What is known is that on May 6, 1845 Gray was studying as a pupil at St. George’s Hospital in London. At 21 years of age Gray won an award for an anatomical paper on human and comparative anatomy of the eye and its appendages.

In 1850 Henry Gray was appointed as house surgeon to the St. George’s Hospital, and in 1852 he was elected as a Fellow of the Royal Society. He wrote several anatomical papers and in 1852 became a lecturer on Anatomy at the same hospital.

At this time he started work on what would become his legacy to the world. A systematic analysis and treatise on human anatomy that was originally published in 1858, entitled “Anatomy, Descriptive, and Surgical” which was profusely illustrated by Henry Vandyke Carter, M.D.

Unfortunately for the world, Henry Gray was affected by smallpox and died on June 13, 1861 shortly after he was elected as a member of the Royal College of Surgeons. Henry Gray died when he was only 34 years old.

Henry Gray, FRS
Original imagecourtesy of NLM  

Much of the original work of Henry Gray is today in the public domain. Still, the book that he published is still in print, much modified, but with the same educational purpose. The 40th British Edition of “Gray’s Anatomy: The Anatomical Basis of Clinical Practice” was published in November 2008. The American Edition of the same book was published in 1908, long after his death. The 30thAmerican Edition of Gray’s Anatomy was last published in the USA in 1984.

Sources:
1. “Henry Gray and Henry Vandyke Carter: Creators of a Famous Textbook" Roberts, S. J Med Biog 2000 8: 206-212
2. "Henry Gray, Anatomist: An Appreciation" Boland, F Am J Med Sci 1908 1827-1924
3. "The Anatomist: A True Story of Gray’s Anatomy" Hayes, B. Random House PG 2007

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Pathology

The word [pathology] is formed by two components. The root term [-path-] arises from the Greek [πάθος], meaning “suffering”. The term [πάθος], or [pathos] was first used by Galen of Pergamon (129AD - 200AD) (see accompanying image) to denote an alteration of a vital process. The suffix [-(o)logy] also has Greek origin from [logos] or [λόγος], meaning a "book", a "treatise" or "to study". Therefore [pathology] or [παθολογία] is the “study of disease or conditions”. In simpler terms the word [pathology] is also used as a synonym for "sickness", "disease", or "condition".

The root term [-path-] can be found in many medical terms such as:

• Pathology: Study of disease

• Pathophysiology: This combined root adds the root term [-phys-] meaning “function” Study of the function of disease (a disease in action)

Pathognomonic: See definition here

• Pathogenesis: The suffix [-(o)genesis] means “creation”, or “origin”. Origin of a disease

 Galen of Pergamon
Original image courtesy of Images from the History of Medicine at nih.gov

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Dr. Franz Kaspar Hesselbach


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.To search all the articles in this series, click here.

Franz Kaspar Hesselbach (1759 – 1816). German physician, surgeon, and anatomist. Hesselbach was born in Bavaria in 1759. At the age of 19 he became an apprentice to Karl Von Siebold (1736 - 1807), a German surgeon, obstetrician and anatomist. He worked with him as an unpaid assistant for six years until 1789 when he was hired as a prosector.

Hesselbach became a lecturer on anatomy at the University of W?rzburg and a surgical assistant at the Juliusspital at W?rzburg. Later Hesselbach became a professor of Surgery at the same university.

 Hesselbach’s name is eponymically tied to many structures, most of them related to hernia, an area where he is best known. In 1806 he published a treatise on hernia (Anatomisch-chirurgische Abhandlung ?ber den Urspurng der Leistenbr?che) “Anatomical and surgical treatise on the origin of Hernias”. These structures are:

• Hesselbach’s fascia: the cribriform fascia covering the saphenous hiatus of the thigh
• Hesselbach’s  ligament: also known as the interfoveolar ligament
 Hesselbach’s triangle: site for direct inguinal hernia
Hesselbach’s hernia: a femoral hernia protruding through the cribriform fascia

  Hesselbach's triangle Primary Image property of: CAA.Inc.
Artist: M. Zuptich.

Hesselbach also described the femoral hernia in 1798 and distinguished between direct and indirect inguinal hernias.

In 1807 Hesselbach’s contributions were acknowledged and he was conferred the degree of Doctor of Surgery. During his life Hesselbach published several books, treatises, and papers.

A depiction of Hesselbach has not been found (yet) so we publish an image of his eponymic “triangle”. If you click on the image, you will see an original image from Hesselbach's book.

Sosurces:
1. "Franz Kaspar Hesselbach (1759–1816): Anatomist and Surgeon" R. Shane Tubbs et al W J Surg (2008) 32:11 2527-2529

2. "Groin Hernia Anatomical and Surgical History" McClusky DA, et al Arch Surg. 2006; 141(10):1035-1042
3. "Eponyms in groin surgery" Ellis, H. Surgery (Oxford) (2006) 24:8, 257–259
4. "Franz Kaspar Hasselbach (1759–1816)" Agarwal, AK; Mukherjee, R. Indian J. Surg (2008); 70:96–98

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Version

The word [version] comes from the Latin [versum / vertere] meaning "to turn" or "to turn around" (see the use of this Latin root in the word "vertebra"). In anatomy, version is the angulation (or turning) of an organ or a structure as a unit. The term is also used to denote the "turning" of a fetus "in utero"  by active manipulation to allow proper birth.

Normally, the cervix of the uterus is anteversed or has an "anterior version".  This means that the body and uterine cervix are tilted anteriorly (as a unit). Because of this in a female in the anatomical position, the fundus of the uterus looks almost anteriorly, while the main axis of the cervix points towards the coccyx. See the accompanying image.

The opposite, pathological presentation, is retroversion, where the uterus as a unit is tilted posteriorly. The angulation between the main axis of the uterine body and the main axis of the cervix is normal, but the organ as a unit is tilted posteriorly. Varying degrees of retroversion can cause varying degrees of infertility, a condition known vernacularly as a "slippery uterus".

 Female pelvis, lateral view. c=cervix. The purple lines represent the main axes of the uterine body and the uterine cervix  Images property of: CAA.Inc.Artist:Dr. E. Miranda

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