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Gray's Anatomy, 39th edition
The Anatomical Basis of Clinical Practice

By Susan Standring, PhD, DSc, Professor of Experimental Neurobiology, Head, Division of Anatomy, Cell and Human Biology, Guy's King's and St. Thomas` School of Biomedical Sciences, King's College London, London, UK
ISBN 0443071683 / 9780443071683 · Hardback · 1600 Pages · 1912 Illustrations
Churchill Livingstone · Published November 2004
Price: £ 59.99

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The 'ultimate truth' in anatomy. Gray's Anatomy is the peerless source of reference on all matters concerning human anatomy. The new 39th edition has been redesigned, reduced in size and rigorously edited to improve readability, remove duplication and thereby produce one of the most radical revisions in the book's long and distinguished history. For the first time, Gray's Anatomy has been organised by body region, and edited by a team of clinicians, to ensure maximum relevance to those working in medicine, dentistry and professions allied to medicine. Our goal has been to provide the most reliable and comprehensive human anatomy resource possible, together with 'signposts' to the most current sources of molecular and cytological information available elsewhere, on the web or in print. Also available as an e-dition.



"The eminent mid-20th century British historian of medicine F.N.L. Poynter once said of Gray's Anatomy that "what began as a book has become an institution." Like all progressive institutions, this one periodically looks itself over, evaluates its development and takes measures to be sure that it has kept up with the times. Keeping up has occasionally required increasing the complexity of its operations, necessarily expanding its bureaucracy, and seeking new forward-looking leadership. As the institution among medical books, Gray's Anatomy has throughout its history continued to do all these things, with the result that it has only improved with age; it is venerable, but not hoary. Quite obviously, no single reviewer is competent to judge the reliability of every bit of material to be found in this encyclopedic book. As a general surgeon selectively studying sections with which I have a career's worth of experience and only perusing others, I am much taken with their usefulness and lucid readability, which says a great deal for an anatomy text. At the astonishingly low price of $169 for the print edition and only an extra $30 to have it on CD-ROM and online as well, this may be the best value seen in medical publishing since 1819, when Rene Laennec's two-volume treatise on auscultation was put on sale at a price of 13 francs, with a stethoscope thrown in for a small additional cost. One final word. It is customary when reviewing a book that is in all ways as outstanding as this one to introduce a quibble or two, if for no other reason than to show that the volume has been carefully and completely evaluated with a critical eye. Being a surgeon and not an anatomist (who therefore does not know a fissura antitragohelicina from a sulcus antihelcis transversus), I have been able to find only one item about which to grouse: One looks in vain for the "Surface Anatomy of the Lower Limb" to be found on page 1339, as the table of contents claims. It is to be located 60 pages further on, where the topic is just as clearly presented as is every other facet of this beautifully produced and medically invaluable book." -Scientific American

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  • Unparalleled description of human structure - serves as the ultimate resource on human anatomy
  • Spectacular artwork programme including almost 700 entirely new illustrations, summarising information, helping you to learn and memorise 3-D relationship of anatomical structures and then apply this knowledge to your practice
  • Editorial board comprises mainly clinicians, not just basic scientists - ensures applicability to a range of disciplines
  • Regional organisation - all anatomical content relevant to, say, an operation on the shoulder is contained in one place, not scattered between body-system sections
  • Now more concise and accessible
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What's New

  • Specialist revision of topics such as the anatomy of the pelvic floor, the inner ear, the organisation of the peritoneum, preimplantation embryology, assisted fertilisation, spread of infection via fascial planes in the head and neck, smooth and cardiac muscle, wrist kinematics and kinetics, the temporomandibular joint
  • Extensive use of new imaging modalities, e.g. the anatomy of the pelvic floor
  • Revision of the entire neuroanatomy section
  • Introduction of descriptions of the blood supply to the skin and muscles, on the grounds that they have surgical relevance when raising flaps for reconstructive surgery
  • Standardisation of views in diagrams and photographs, so that wherever possible, the body is seen from the left side, irrespective of whether a lateral or medial view is presented, and transverse sections are viewed from below
  • Updated photomicrographs ensure that as many as possible are of human material
  • Selecting clinicopathological examples where the pathology is either a direct result of, or a consequence of, the (biomechanical) anatomy, or where the anatomical features are instrumental in the diagnosis/treatment/management of the condition
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Anatomical Nomenclature • Basic Structure and Function of Cells • Integrating Cells into Tissues
Systemic Overview:
Nervous System • Blood, Lymphoid Tissues and Haemopoiesis • Functional Anatomy of the Musculoskeletal System • Smooth Muscle and the Cardiovascular and Lymphatic systems • Skin and its Appendages • Endocrine System: Principles of Hormone Production and Secretion • Embryogenesis • Prenatal and Neonatal Growth
Overview of the Organization of the Nervous System • Autonomic Nervous System • Development of the Nervous System • Cranial Meninges • Ventricular System and Cerebrospinal Fluid • Vascular Supply of the Brain • Spinal Cord • Brain Stem • Cerebellum • Diencephalon • Cerebral Hemisphere • Basal Ganglia • Special Senses
Surface Anatomy of the Head and Neck • Overview of the Development of the Head and Neck
Skull and Mandible • Development of the Skull • Face and Scalp • Infratemporal Region and Temporomandibular Joint
Neck and Upper Aerodigestive Tract:
Neck • Nose, Nasal Cavity, Paranasal Sinuses and Pterygopalatine Fossa • Oral Cavity • Development of the Face and Neck • Pharynx • Larynx • Development of the Pharynx, Larynx and Oesophagus
Ear and Auditory and Vestibular Apparatus:
External and Middle Ear • Inner Ear • Development of the Ear
The Bony Orbit and Peripheral and Accessory Visual Apparatus:
The Orbit and its Contents • The Eye • Development of the Eye
Surface Anatomy of the Back • The Back • Macroscopic Anatomy of the Spinal Cord and Spinal Nerves • Development of the Vertebral Column
General Organization and Surface Anatomy of the Upper Limb • Pectoral Girdle, Shoulder Region and Axilla • Upper Arm • Elbow • Forearm • Wrist and Hand • Overview of Development of the Limbs • Development of the Pectoral Girdle and Upper Limb
Surface Anatomy of the Thorax • Chest Wall • Breast Heart and Mediastinum:
Mediastinum • Heart and Great Vessels • Development of the Cardiovascular and Lymphatic Systems
Lungs and Diaphragm:
Microstructure of the Trachea, Bronchi and Lungs • Pleura, Lungs, Trachea and Bronchi • Diaphragm and Phrenic Nerve • Development of the Trachea, Lungs and Diaphragm
Surface Anatomy of the Abdomen and Pelvis • Anterior Abdominal Wall • Posterior Abdominal Wall and Retroperitoneum • Peritoneum and Peritoneal Cavity
Gastrointestinal Tract:
General Microstructure of the Gut Wall • Stomach and Abdominal Oesophagus
Small Intestine:
Microstructure of the Small Intestine • Duodenum • Jejunum and Ileum
Large Intestine:
Microstructure of the Large Intestine • Overview of the Large Intestine • Caecum • Vermiform Appendix • Ascending Colon • Transverse Colon • Descending Colon • Sigmoid Colon • Rectum • Anal Canal
Hepatobiliary System
Liver • Gall Bladder and Biliary Tree
Pancreas, Spleen and Suprarenal Gland:
Pancreas • Spleen • Suprarenal (Adrenal) Gland
Development of the Peritoneal Cavity, Gastrointestinal Tract and its Adnexae:
Development of the Peritoneal Cavity, Gastrointestinal Tract and its Adnexae
Kidney and Ureter:
Kidney • Ureter
Bladder, Prostate and Ureter:
Bladder • Male Urethra • Female Urethra • Prostate
Male Reproductive System:
Testes and Epididymes • Vas Deferens and Ejaculatory Ducts • Spermatic Cords and Scrotum • Penis • Accessory Glandular Structures
Female Reproductive System:
Ovaries • Uterine Tubes • Uterus • Implantation, Placentation, Pregnancy and Parturition • Vagina • Female External Genital Organs
True Pelvis, Pelvic Floor and Perineum:
True Pelvis, Pelvic Floor and Perineum
Development of the Urogenital System:
Development of the Urogenital System
General Organization and Surface Anatomy of the Lower Limb • Pelvic Girdle, Gluteal Region and Hip Joint • Thigh • Knee • Leg • Foot and Ankle • Development of the Pelvic Girdle and Lower Limb
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