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Book Details
Abstract
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
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Inside front cover | ifc_2 | ||
| Functional Atlas of the Human Fascial System | i | ||
| Copyright page | iv | ||
| Table of Contents | v | ||
| Foreword by Andry Vleeming | vi | ||
| Preface | viii | ||
| Acknowledgements | x | ||
| 1 Connective Tissues | 1 | ||
| Composition of the Connective Tissues | 1 | ||
| Extracellular Matrix | 2 | ||
| Ground Substance | 2 | ||
| Proteoglycans | 2 | ||
| Hyaluronan | 3 | ||
| Link proteins | 3 | ||
| Fibres | 4 | ||
| Collagen fibres | 4 | ||
| Elastic fibres | 4 | ||
| Connective Tissue Cells | 5 | ||
| Fibroblasts | 6 | ||
| Adipocytes/FAT Cells | 7 | ||
| Multipotent Stromal Cells | 8 | ||
| Classification of Connective Tissue | 8 | ||
| Loose Connective Tissue | 8 | ||
| Adipose Tissue | 9 | ||
| White Adipose Tissue (WAT) | 10 | ||
| Brown Adipose Tissue (BAT) | 15 | ||
| Dense Connective Tissue | 15 | ||
| References | 19 | ||
| Bibliography | 19 | ||
| 2 Subcutaneous Tissue and Superficial Fascia | 21 | ||
| History | 21 | ||
| Current Evidence | 21 | ||
| Superficial Adipose Tissue | 24 | ||
| Superficial Fascia (Fascia Superficialis) | 26 | ||
| Deep Adipose Tissue | 29 | ||
| Transverse and Longitudinal Lines of Adhesions | 30 | ||
| Longitudinal Adhesions | 31 | ||
| Transverse Adhesions | 33 | ||
| Subcutaneous Vessels | 33 | ||
| Arteries | 33 | ||
| Veins | 38 | ||
| Lymphatic Vessels | 38 | ||
| Subcutaneous Nerves | 39 | ||
| Subcutaneous Bursa | 43 | ||
| Development of the Superficial Fascia | 43 | ||
| Mechanical Behaviour | 44 | ||
| Imaging of the Superficial Fascia | 46 | ||
| References | 48 | ||
| Bibliography | 49 | ||
| 3 Deep Fasciae | 51 | ||
| Introduction | 51 | ||
| Definition | 51 | ||
| Aponeurotic Fascia | 52 | ||
| Microscopic Anatomy of Aponeurotic Fasciae | 57 | ||
| Hyaluronan | 60 | ||
| Vascularization of the Aponeurotic Fasciae | 64 | ||
| Innervation of the Aponeurotic Fasciae | 64 | ||
| Myofascial Expansions | 67 | ||
| Fascial Reinforcements: Retinacula | 72 | ||
| Mechanical Behaviour | 82 | ||
| Nonlinear Mechanical Response | 82 | ||
| Tensile Strength to Multiaxial Loading | 84 | ||
| Anisotropy | 84 | ||
| Viscoelasticity | 84 | ||
| Multilayered Mechanical Response | 86 | ||
| Epimysial Fascia | 86 | ||
| Perimysium | 88 | ||
| Endomysium | 91 | ||
| Mechanical Behaviour | 91 | ||
| Muscular Force Transmission | 92 | ||
| Innervation of the Epimysial Fascia: Role of the Muscle Spindles | 92 | ||
| Imaging of the Deep Fasciae | 95 | ||
| References | 98 | ||
| Bibliography | 102 | ||
| 4 Fasciae of the Head and Neck | 103 | ||
| Introduction | 103 | ||
| Superficial Fasciae | 103 | ||
| Superficial Fascia of the Head: Galea Capitis (Galea Aponeurotica) | 105 | ||
| Superficial Temporal Fascia (Temporoparietal Fascia) | 112 | ||
| Superficial Musculo-Aponeurotic System of the Face | 112 | ||
| Superficial Fascia of the Neck: Platysma Muscle | 120 | ||
| Deep Fasciae of the Head | 122 | ||
| Deep Fascia of the Skull: Epicranial Fascia | 124 | ||
| Deep Fascia of the Orbit: Tenon’s Fascia (or Capsule) | 124 | ||
| Deep Fascia of the Skull: Temporal Fascia | 125 | ||
| Deep Fascia of the Face: Parotideomasseteric Fascia | 127 | ||
| Deep Fascia of the Face: Pterygoid Fascia | 127 | ||
| Deep Fascia of the Face: Buccopharyngeal Fascia | 129 | ||
| Deep Fasciae of the Neck (Deep Cervical Fascia) | 130 | ||
| Deep Fascia of the Neck: Superficial Lamina (Investing Layer or Layer I) | 131 | ||
| Deep Fascia of the Neck: Middle Lamina (Layer II) | 131 | ||
| Deep Fascia of the Neck: Deep Lamina (Prevertebral Fascia or Layer III) | 134 | ||
| References | 138 | ||
| Bibliography | 139 | ||
| 5 Fasciae of the Thorax and Abdomen | 141 | ||
| Introduction | 141 | ||
| Superficial Fascia of the Thorax and Abdomen | 141 | ||
| Mammary Region | 152 | ||
| Deep Fascia | 157 | ||
| Pectoral Fascia | 157 | ||
| Clavipectoral Fascia | 160 | ||
| Intercostal and Endothoracic Fasciae | 167 | ||
| Deep Fasciae of the Abdomen | 167 | ||
| Fascia of the External Oblique Muscle | 167 | ||
| Fascia of the Internal Oblique Muscle | 170 | ||
| Fascia of the Transversus Abdominis Muscle | 171 | ||
| Rectus Sheath | 174 | ||
| Transversalis (or Preperitoneal Fascia) | 181 | ||
| References | 183 | ||
| Bibliography | 184 | ||
| 6 Fasciae of the Back | 185 | ||
| Introduction | 185 | ||
| Superficial Fascia | 185 | ||
| Deep Fasciae | 190 | ||
| Superficial Layer of the Deep Fascia of the Back | 193 | ||
| Intermediate Layer of the Deep Fascia of the Back | 193 | ||
| Serrati Fasciae | 193 | ||
| Deep Layer of the Deep Fascia of the Back | 199 | ||
| Thoracolumbar Fascia | 199 | ||
| Iliopsoas Fascia | 213 | ||
| Reference | 215 | ||
| Bibliography | 216 | ||
| 7 Fasciae of the Upper Limb | 217 | ||
| Superficial Fascia | 217 | ||
| Deep Fasciae | 228 | ||
| Deep Fasciae of the Shoulder | 228 | ||
| Deltoid Fascia | 234 | ||
| Axillary Fascia | 234 | ||
| Subscapular Fascia (Fascia Subscapularis) | 237 | ||
| Infraspinatus Fascia | 241 | ||
| Supraspinatus Fascia | 241 | ||
| Deep Fascia of the Arm: Brachial Fascia | 241 | ||
| Deep Fascia of the Forearm: Antebrachial Fascia | 262 | ||
| Deep Fasciae of the Palm: Palmar Fascial Complex | 271 | ||
| Dorsal Fasciae of the Hand | 282 | ||
| Deep Fasciae of the Fingers | 282 | ||
| References | 284 | ||
| Bibliography | 286 | ||
| 8 Fasciae of the Lower Limb | 289 | ||
| Superficial Fascia of the Lower Limb | 289 | ||
| Deep Fascia of the Lower Limb | 298 | ||
| Gluteal Fascia | 298 | ||
| Fascia of the Gluteus Medius Muscle | 312 | ||
| Piriformis Fascia | 312 | ||
| Obturator Fascia | 314 | ||
| Iliopectineal Fascia | 314 | ||
| Fascia Lata and the Iliotibial Tract | 315 | ||
| Crural Fascia | 335 | ||
| Fasciae of the Foot | 352 | ||
| Dorsal Fascia of the Foot | 356 | ||
| Fascia of the Interossei | 356 | ||
| Plantar Fascia | 360 | ||
| References | 364 | ||
| Bibliography | 365 | ||
| Index | 367 | ||
| A | 367 | ||
| B | 367 | ||
| C | 368 | ||
| D | 368 | ||
| E | 368 | ||
| F | 369 | ||
| G | 370 | ||
| H | 370 | ||
| I | 370 | ||
| J | 370 | ||
| K | 370 | ||
| L | 370 | ||
| M | 371 | ||
| N | 371 | ||
| O | 371 | ||
| P | 371 | ||
| Q | 372 | ||
| R | 372 | ||
| S | 372 | ||
| T | 373 | ||
| U | 374 | ||
| V | 374 | ||
| W | 374 | ||
| X | 374 | ||
| Z | 374 |