ATLAS giải phẫu người frank h netter 2013

Cac Ddng Mach va Tinh Mach Nong d Mat va Da DauXem them hinh 33,39,69,70,85,99 Cac nguon cap huyet a mat Mau den: tC/ dong mach canh trong thong qua dong mach matt Mau do: tC/ dong mac

ELSEVIER

KM.008365

SA U N DERS

FRANK H N E TTE R , MD.

Atlas

GIAI PHAU N Gif Of I

NgUdi djch: Co GS BS NGUYEN QUANG QUY^N

PGS - TS BS PHAM DANG Dl|U

In Ian thCrlll theo an ban Ian thCf V cua NXB Elsevier

co sCra chCta va bo sung

NHA XUAT BAN Y HOC - 2013

Edinburgh London New Delhi New York Oxford Philadelphia Singapore

St Louis Sydney Tokyo Toronto 2012

i

AtlasGiaiPhauNgUofi -Anbanlanthu’ V

(Atlas of Human Anatomy, 5th Edition)

By Frank H.Netter, MD

Copyright©2011 by Elsevier Inc All rights reserved.

Previous editions copyrighted 2006,2003,1997,1989.

Authorized translation from English language edition published by the proprietor.

Copyright © 2011 by Elsevier (Singapore) Pte Ltd and Dana & Fellow Co., Ltd All rights reserved.

Vietnamese language copyright © 2006,2011

This edition of Atlas of Human Anatomy by Frank H Netter, MD is published by arrangement with Elsevier Inc Cuon sach dugc xuat ban theo hop dong chuyen nhupng ban quyen giCra Cong tyTNHH Dana & Ban va Nha xuat ban Elsevier Singapore.

Sach da co ban quyen Moi hinh thdrc sao chep, ghi am, cat xen, djch thuat ca cuon sach hay mot phan deu b| nghiem cam Neu co nhu cau xin vui long lien he:

Elsevier's Health Rights Departementtai Singapore

DT: + 65- 6349 0200; Fax: + 65 - 6733 1817

Elsevier (Singapore) Pte Ltd.

3 Killiney Road, #08-01 Winsland House 1

si dieu tri va lieu lUOng sCrdung cho benh nhan, diia tren kinh nghiem va kien thurc cua bac si dieu tri doi vdi benh nhan.Tac gia va nha xuat ban khong chju trach bat cu1 mot trach nhiem nao cho ton that ve ngudi va cua phatsinhtir Ian xuat ban nay.

Nha xuat ban Y Hoc.

ISBN:

Singapore 978-981-2728-29-6

Dana & Fellow Co., Ltd (DnF)

385Tran Hung Dao Street, Cau Kho Ward, District 1, Ho Chi Minh City, Vietnam Tel :+84-8-38385686

Fax:+84-8-38385688

In tai Viet Nam-2013

A tla s of Hum an Anatom y Copyright © 2011 by Saunders, an imprint of Elsevier Inc.

Fifth Edition Publishing by arrangement with Saunders-Elsevier Inc

by FRANK H NETTER, MD Vietnamese language Copyright © 2006,2011

Atlas Giai P h iu Ngtfdi - FRANK H NETTER, MD (An ban Ian thCrV)

Nha xuat ban Y hoc va Cong ty TNHH DANA & BAN (DnF) giur ban quyen xuat ban va phat hanh an ban

tieng Viet tren toan the gicri theo hap dong chuyen giao ban quyen voi Nha xuat ban Elsevier (Singapore)

nam2011

Bat cif si/sao chep, trich dan nao khong duoc sudong y cua Nha xuat ban Y hoc va Cong tyTNHH DANA & BAN (DnF) deu la bat hop phap va vi pham luat xuat ban Viet Nam.

Luat ban quyen Quoc te va Cong uoc bao ho ban quyen so hCfu tritue Bern.

Cong ty TNHH DANA & BAN (DnF)

385Tran HungOao, Q.I.Tp.HCM DT: (84.8) 3838 5686 - Fax: (84.8) 3838 5688

Lori noi dau

/ \ t a p cua Jenifier K Brueckner, Stephen W Carmichiael,Thomas R Gest, Noelle A Granger, JohnT Hansen

va Anil H.Walji Chung toi da ra soat, sCra doi va cap nhat tdng phan mot cua cuon sach Trong cuon sach nay, nhCfng hinh anh X-quang, hinh chup cat Idp dien toan, mach do cat Idp dien toan va cong hudng tC/ di/oc bo sung, dieu do phan anh tarn quan trong cua hinh anh hoc chan doan doi vdi giai phau lam sang va y hoc

dupe sCr dung cung dupe them Thien tai the hien trong cac bde ve cua Netter la d cho Giai phau hoc difpc

phut tap va toi gian Chung toi co gang gid nhdng nguyen tac trong khi sang tac nhdng hinh mdi cho Ian

dupe nhieu sU giup do tu1 cac nha bien tap tu van cua cac Ian xuat ban trudc: Drs Sharon Colacino (Orberg) (Ian xuat ban thur I), Arthur F Dailey II (Ian xuat ban thur II) va John Hansen (Ian xuat ban thd III) - nhCfng ngudi

da cham chut nhCfng an ban trudc vdi ky nang tuyet vdi va tr'inh do chuyen nghiep cao - da giup cong viec cua chung toi de dang hon rat nhieu.

Vung Dau va Co la vung dac biet kho nam vCfng doi vdi sinh vien, bac si noi tru va can bo giang day khong chi do cac cau true day dac bo gon trong mot vung co the tuong doi nho ma con do sU phCfc tap trong sip xep khong gian ba chieu cua chung Cau cach ngon co: "Giai phau hoc ton tai d tren xuong mong nhieu hon d dudi no"the hien mot cach thurc bat bien doi vdi nhCfng ai muon mieu ta giai phau hoc cua vung nay bang

them vao trong phan nay Lan dau tien nhCfng bCfc ve nguyen ban dep mat dupe sang tac bdi Carlos Machado minh hoa nhCfng cau true co y nghia lam sang dac biet nhU: khdp moc - dot song cua cac dot song co, cac tinh mach dot song va cac tinh mach phufc tap cua mat da the hien su chinh xac giai phau nhung khong kem phan nghe thuat va sU hap dan thj giac la vo song Vung nay cung bao gom mot cach xuc tich he thong than kinh trung uong, ke ca cac day than kinh so va cac dudng dan truyen quan trong.Trong phan vung Lung, co mot trang hinh mdi minh hoa cach gay te ngoai mang cdng that lung cung nhU vj tri choc do tuy song that lung Than kinh tu chu thudng dupe xem nhU mot "khuc xuong kho nuot" doi vdi nhieu sinh vien Thi nay, nhCfng bCfc ve mdi tuyet vdi ve he than kinh tUchu cua bac si Machado co the la giai phap khac phuc cho khai niem kho khan nay.

Phan ngifc co mot so dieu chinh nho trong an ban nay ve thuat ngd va nhCfng hinh ve bo sung tinh te de phan anh chinh xac hon nhCfng dang giai phau thudng gap Vi du, suthe hien nhCfng dang he thong tinh mach don dupe thay doi de the hien nhCfng sir sap xep thudng gap nhat cua nhCfng tinh mach co nhieu bien doi nay Cac thiet do cat ngang vung nguc dcuoi phan nay thay vi d phan sau, nhan manh tarn quan trong cua kien thufc ve giai phau hoc mat cat trong viec ly giai cac hinh anh cat ngang trong cat Idp dien toan va cong hudngtu1.

trang hinh the hien cac dang thudng gap cua cac nhanh than dong mach tang da co trong lan xuat ban thd I dupe phuc hoi.

Lori noi dau

Gieii phau hoc cua chau hong la mot vung dac biet kho trong giang day va minh hoa vi cac cau true ben trong no nlm sau va duoc sip xep rat chat che Cac minh hoa cua Netter ve giai phau chau hong la vo cung noi bat vi su ro rang trong the hien va tam bao quat cua chung Chi mot so rat it cac hinh bi loai bo de cho phep them vao hinh minh hoa mac chau, hinh cat dOrng doc day chang rong va cac hinh anh hoc binh thudng (X-quang chau nam va niir, hinh chup tCfcung - voi trtfng) Cac hinh so sanh giai phau hoc cua chau hong nam

va nirduqc sap xep lai, cho phep so sanh doi chieu true tiep.

nay khong nhtfng chi minh hoa ro rang hon cac mach mau ma con the hien song dong moi lien he cua cac

cua thu thuat noi soi khdp va cac ufng dung cua ky thuat mdi nay vao khdp co tay.

Chung toi hy vong ban doc se thudng thufc an ban mdi nay va thay no Ipi ich cho viec hoc va cho nghe nghiepcuacacban.

JenifierK Brueckner, PhD Stephen W Carmichael, PhD, Dsc

Thomas R Gest, PhD Noelle A Granger, PhD John T Hansen, PhD Anil H.Walji,MD, PhD

Frank H Netter, MD

va tai Vien Han lam Thiet ke Quoc gia trudc khi vao trudng y thuoc Dai hoc New York, noi ma ong da nhan bang bac siy khoa nam 1931 Trong suot nhufng nam hoc y, nhufng phac thao trong vd ghi chu cua Netter da loi cuon suchu y cua can bo giang va cac bac si khac, cho phep ong tang them thu nhap blng cach minh hoa cac bai bao va sach giao khoa Ong tiep tuc ve minh hoa nhumot nghe tay trai sau khi xuat ban mot cuon thuc hanh ngoai khoa nam 1933, nhung cuoi cung ong quyet djnh tCr bo thuc hanh nghe y de danh tron thdi gian cong hien cho nghe thuat Sau khi phuc vu quan doi trong the chien thur II, Bac si Netter bat dau cuoc hop tac lau dai vdi Cong ty Dupe pham CIBA (bay gid la Novartis Pharmaceuticals) Su cong tac 45 nam nay tao nen sin pham la mot bo sUu tap do so cua my thuat y hoc rat quen thuoc vdi cac thay thuoc va nhufng nhan vien nganhytren toan the gidi.

He thong Hoc tap H'inh tuong (Icon Learning Systems) tap hop bo sUu tap cua Netter vao thang sau nam

2000 va tiep tuc cap nhat nhufng hoa pham nguyen ban cua Netter cung nhU bo sung nhufng hinh ve duoc dat hang td nhufng hoa si dupe huan luyen theo phong cach cua Netter Nam 2005, hang Elsevier mua lai bo sUu tap Netter va toan bo an pham cua Icon Learning systems Hien co hon 50 xuat ban pham ve nghe thuat cua Netter do Elsevier sd hCifu.

Nhufng tac pham cua Bac si Netter la mot trong nhufng khuon mau tuyet dep cho viec minh hoa trong giang day y khoa Bo SUu tap Minh hoa Y khoa gom 13 cuon cua Netter, bao gom phan Idn cua hon 20.000

dupe xuat ban Cuon Atlas Giai phau Ngudi cua Netter, duoc xuat ban lan dau tien nam 1989, gom nhCfng bufc

Atlas giai phau duoc lua chon hang dau doi vdi sinh vien y khoa va cac nghe nghiep lien quan nganh y tren khapthegidi.

Cac minh hoa cua Netter duoc danh gia cao khong chi vi chat lupng tham my ma quan trong hon la v) noi dung tri tue cua chung NhU Bac si Netter da viet nam 1949"Su sang sua de hieu cua chu the la muc tieu va muc dfch cua minh hoa Du cho chu the co duoc ve dep cach may, duoc mieu ta tinh te va chi tiet den the nao th'i no cung co rat it gia trj doi vdi mot bufc minh hoa y khoa neu no khong phuc vu duoc cho viec lam sang td mot khfa canh nao do cua y khoa" Viec hoach dinh, khai niem, quan diem, va cach tiep can cua Bac si Netter da tao nen cai dac thu cua cac bufc ve cua ong va cung lam cho chung co gia tri tri tue den the.

Frank H Netter, MD - Bac si va Hoa si, mat nam 1991.

Lori noi dau trong lan xuat ban dau tien

theo yeu cau" vdi y nghia la no da phat trien de dap ufng vdi nhCfng mong muon va doi hoi cua nghe y

Trong nhufng nam nay, toi da tao duqc gan 4.000 bCfc minh hoa, phan Ion danh cho Bo situ tap nhi/ng minh hoay hoc cua CIBA (nay la cua Netter) va choca bo Tieu luan lam sang NhCfng minh hoa nay lien quan den rat

nhieu chuyen nganh cua Y hoc nhUgiai phau hoc dai the, mo hoc, phoi hoc, sinh ly hoc, giai phau benh hoc, cac phuong tien chan doan, cac ky thuat dieu trj ngoai khoa va cac bieu hien lam sang cua rat nhieu benh.Tuy nhien, cung vdi thdi gian, ngay cang co them nhieu doi hoi cua cac thay thuoc va sinh vien yeu cau toi thuc hien mot cuon Atlas rieng ve giai phau hoc dai the Chinh vi vay, cuon Atlas nay dupe hinh thanh khong phai

do y nghT cua rieng toi, ma nhU phan Idn cac tac pham trudc do cua toi, la do dap Crng vdi nhCfng yeu cau cua nghey.

Dieu do bao gom viec phai ra soat lai tat ca nhCfng minh hoa ma toi da lam trong nhieu nam trudc, lua chon nhCfng hinh thfch hop vdi giai phau hoc dai the, phan loai chung va sap xep chung theo he thong va theo vung, dieu chinh chung cho thfch hop vdi kfch thudc va bo cuc cua trang sach, va sap xep chung theo mot trinh tu hop ly Giai phau co the duong nhien khong thay doi, nhung hieu biet cua chung ta ve giai phau hoc vay nghia lam sang cua ndthUcsUthayd6i,cCing nhudanh phap va thuat ngCf giai phau cung thay doi Vi vay, can phai cap nhat nhieu hinh ve cu va ngay ca sCfa mot so hinh de lam chung thich hop vdi pham vi khong ngCfng md rong cua thuc hanh ngoai khoa va y hoc.Them vao do, toi nhan ra rang co nhieu thieu sot trong viec mieu ta kien thufc y hoc nhu viec hinh tuong hoa trong cac minh hoa ma toi da lam trudc day, va su can thiet phai thuc hien mot so nhCfng hinh ve mdi trong cuon sach nay.

De tao dupe mot cuon Atlas nhuthe nay, dieu quan trong la phai dat dupe mot suhoa hop tai tinh giCfa su phufc tap va sUdon gian Neu cac hinh qua phCfc tap, chung se kho hoc va de lan Ion; Nhung neu qua don gian, chung se khong du va tham chi' co the gay nham lan Vi vay, toi co gang hien thuc hoa theo mot cach trung dung ma khong co qua nhieu nhufng chi tiet vun vat gay nham lan.Toi hy vong cac sinh vien, cac nhan vien y

te va cac nghe nghiep lien quan se cam thay cac minh hoa nay de hieu, de truyen dat va hCfu fch.

d mot diem nao do, nha xuat ban va toi deu nghT rang that tot neu co duoc mot Idi gidi thieu dupe viet bdi mot nha giai phau kiet xuat va ICfng danh Nhung chung toi rat kho chon dupe ngudi nhuthe Chung toi thuc suda nghT den nhCfng ngudi nhUVesalius, Leonardo da Vinci, William Hunter va Henry Gray, nhung ngudi ma that khong may khong con de lam viec nay, nhung toi van tu hoi khong biet ho se binh luan the nao ve cuon Atlas nay.

Frank H Netter, MD

(1906- 1991)

Lori cua djch gia ban tieng Viet (Lan I -1994)

minh hoa, giup cho cac sinh vien va cac bac si thuan tien trong viec hoc tap va tham khao, trong khi khong phai luc nao cung co nhCrng phuong tien trong tay nhu xuong, xac, mo h'inh hoac cac phuong tien khac Vi vay, khong phai chi sinh vien va cac bac si ma ban than toi td lau van mo Udc co mot cuon Atlas giai phau hoc in mau va co chu thfch day du.Tiec thay trong hoan canh Viet Nam, chung ta con chua co dieu kien

de thuc hien Ngay ca tren the gidi, nhufng cuon "Atlas giai phau hoc" hinh anh mau dep va day du cung khong

co nhieu, co the dem tren dau ngon tay.Trong so cua quy hiem ay, tap "Atlas gidi phiu ngi/di"cua Frank H

Netter theo y chung toi la cua quy hang dau.

Xuat than la mot hoa si chuyen ve cac tac pham ve y hoc, tac gia da trd thanh mot thay thuoc, mot nha giao, mot nghe sT bac thay chuyen sang tac cac h'inh anh ve y hoc, dac biet la ve giai phau hoc Cho tcfi nhCfng nam cuoi thap ky tam muoi, khi da budc vao tuoi "ngoai bat thap"van con tiep tuc sang tac cac tranh ve mdi

ve he thong coxuong (phan II va III) cho bo sUu tap hinh anh giai phau hoc cua hang CIBA Qua that trong ITnh vUc lam viec va sang tao, ong cung la bac thay.

Nhutrong Idi noi dau cua tac gia, cuon sach nay la cong trinh cua ca mot cuoc ddi 50 nam sang tao khong ngdng, vo cung vat va, cut nhoc, nhung cung vo cung vinh quang va bo fch.

Cuon sach da tap hop 547 trang hinh vdi nhieu hinh ve mau rat chfnh xac, nhu that ve cac chi tiet giai phau Tac gia da sap xep cac tranh ve theo tCrng vung rat thfch hop cho viec hoc tap tren xac cung nhu vdi chuong trinh hoc giai phau cua sinh vien Y d Viet Nam ma chung toi da trinh bay trong cuon"Bai giang giai phau hoc"do nha xuat ban Y hoc tai ban lan thuf tu (1994) Cac danh td cung duoc tac gia suf dung theo ban danh phap giai phau quoc te Nomina Anatomica (N.A) Do do, ban doc va sinh vien rat de doi chieu vdi cuon

"Bai giang giai phau hoc"cua chung toi.

Phan chi dan tra cufu bang tieng Anh d cuon sach cung duoc d jch sang tieng Viet co doi chieu sang tieng Anh Oe ban doc co biet tieng Anh co the tra cufu dupe, chung toi cho in them ca phan tra cufu Anh-Viet sau phan tra cufu Viet-Anh Hai phan nay co the coi nhutuong duong vdi mot cuon tudien giai phau hoc Anh-Viet

va Viet-Anh theo danh phap N.A.

Mac du cuon sach kha hoan hao, song nhu chung ta thudng noi "tam sao that ban", huong ho la "dich co khi phan dich", do do chac chan ban dich con nhieu thieu sot Mong ban doc gop y de chung toi sifa chCfa cho nhufng lan tai ban sau.

Xin cam on tac gia da cho ra ddi mot cuon sach hay va cam on nha xuat ban Y hoc da vui long chuyen cai hay do tdi ban doc Viet Nam.

Tp.HCM, ngay 26 thang 09 nam 7 994

Co CS BS NGUYEN QUANG QUYEN

Lfri cua djch gia ban tieng Viet (Tai ban lan III - An pham lan V - 2013)

nhanh chong quen thuoc va trd thanh mot trong nhCfng cuon Atlas giai phau duoc lua chon hang dau cua cac can bo giang, cac thay thuoc va sinh vien y khoa d Viet Nam vdi so lupng hang ngan ban in dupe tai bcindenlanthurV.

Bin djch trudc day cua Co GS Nguyen Quang Quyen, ma toi dupe may man tham gia, dUa tren cuon Atlas

of Human Anatomy cua Netter xuat ban lan thuf hai nam 1991, khong chi co chat lupng va nghiem tuc trong djch thuat ma con dupe bo sung ban chi muc tra cufu Anh-Viet va Viet - Anh, giup ban doc de dang doi chieu thuat ngCf vdi cac tai lieu nude ngoai va tang tien ve tu1 vung chuyen mon.

Thdi gian thiCthach va hieu qua cua cuon sach nay da chufng minh nhan djnh het sufc chinh xac cua Giao

SU Nguyen Quang Quyen "Day la mot cuon Atlas giai phau tuyet dieu, vi/a ratkhaiquatvi/a hamchifa sue tich nhufng chi tiet giai phau nen rat co gia trj sU pham"khi ong lua chon djch thuat cuon Atlas nay trong rat nhieu cuon atlas giai phau co sin tren thi trudng.

Khi cam cuon Atlas of Human Anatomy cua Netter xuat ban lan thuf tu nam 2006 cua Nha Xuat ban Saunders - Elservier trong tay, toi khong khoi boi hoi vi ca tac gia va dich gia deu da di xa, tuy vay, nhCfng dong gop cua ho van con hien hCfu va vo cung gia trj Toi rat cam on Nha Xuat Ban Y hoc da tin tudng de nghj toi thuc hien djch thuat trong lan xuat ban nay nhu mot sufnoi tiep va ke tuc cua cac an ban trudc.

Cuon sach nay co nhieu thay doi so vdi xuat ban pham lan thur 2 vdi 45 trang hinh dupe sifa doi de the hien

su lien quan giai phau chinh xac hon, 290 trang h'inh dupe chu thich lai va co them 17 trang hoan toan mdi (dupe thuc hien bdi Bac si Carlos Machado, mot nha minh hoa theo phong each cua Netter) Nhufng thay doi nay ngoai viec cap nhat thuat nguftheo danh phap mdi, con bo sung nhieu trang giai phau be mat, giai phau djnh khu va h'inh anh chan doan nhuCT scan, MRI, the hien khuynh hudng tang cudng su ufng dung thuc te cua Giai phau hoc Chung toi se giCir nguyen nhufng trang djch khong co sif thay doi cua Giao su Nguyen Quang Quyen.

Cho phep toi dupe cao loi den quy doc gia ve nhufng sai sot do loi bien tap trong an ban dau tien nam

2007 Chung toi da phat hien ngay, va trong lan xuat ban mdi nhat nam 2009 den nay chung toi da kjp thdi sifa chufa true tiep tren ban in sach Chung toi da no luc ra soat lai, dong thdi cap nhat tat ca nhCfng thong tin mdi va co nhieu sifa doi trong lan tai ban nay Dac biet, djch gia da co gang hoan chinh he thong chi muc doi chieu thuat nguf Anh - Viet va Viet - Anh vdi hon 135 trang so vdi cac lan xuat ban nam 2007 va 2008 Hy vong

vdi nhufng cai tien nay, cuon "Atlas giai phau ngUdi" se hufu ich hon va dap ufng tot hon vdi tam thjnh tinh

PGS - TS BS PHAM DANG DIEU

Chu nhiem Bo mon Giai phau Truong Dai hoc Y khoa Pham Ngoc Thach

Lori nha xuat ban

quan, muon co mot bo hinh anh giai phau hoc in mau dep va chu thfch day du Nha xuat ban chung toi

da tham khao y kien cua cac nha chuyen mon va dac biet la cua nha giai phau hoc - Co GS BS Nguyen Quang Quyen va PGS -TS BS Pham Dang Dieu de chon ra mot cuon hay nhat Va sau mot thdi gian khong lau, chung

toi da tim dupe cuon nay trong so nhieu cuon "Atlas Giai Phau Ngudi" cua cac tac gia nude ngoai.

Ve cuon sach va tac gia cuon sach, bac si Frank H Netter, mot bac si kiem hoa si noi tieng cua Hoa Ky, chung toi xin nhudng Idi lai cho dich gia gidi thieu cung ban doc.

Dich gia cuon sach nay la Co GS BS Nguyen Quang Quyen va PGS -TS BS Pham Dang Dieu.

Co GS BS Nguyen Quang Quyen nguyen la Chu nhiem bo mon Giai Phau hoc cua hai trUdng Dai Hoc Y DupcTp Ho Chf Minh, vaTrung tam Dao tao va Boi dudng Can bo Y teTp Ho Chi' Minh; Chu tjch hoi Hinh thai hoc Viet Nam, da budc vao nghe giai phau tCr 35 nam qua, tac gia cua hon mot tram bai nghien ctfu, hang chuc cuon sach giao khoa va chuyen khao ve giai phau va hinh thai hoc - dac biet la cuon tu dien giai phau hoc theo danh phap quoc te (Nomina anatomica) bang 4 thCf tieng: La-tin, Anh, Phap, Viet Ong la ngudi dau tien da dua danh phap quoc te ve giai phau mot cach he thong thay cho cac danh phap cu van dung 6 Viet Nam Ban danh phap quoc te nay cung dupe tac gia F.H Netter sCrdung chu yeu trong cuon sach nay.

PGS -TS BS Pham Dang Dieu la ngudi hoc trd va phu ta than can cua Co GS BS Nguyen Quang Quyen Ong hien la Chu nhiem bo mon Giai Phau hocTrung tam Dao tao va Boi dudng Can boY teTp Ho Chi Minh.

Vdi mot tac gia va djch gia nhu vay, chung ta co the tin tudng vao gia trj cua cuon sach va sir dung tot trong cong tac thuc te giang day, dieu trj va nghiencuTu khoa hoc hang ngay.

Chung toi tran trong gidi thieu cuon sach nay vdi ban doc.

NHA XUAT BAN Y HOC

Lori cam an

(Pham & Associated) So 08Tran Hung Dao - Ha Noi, da giup do toi co co hoi dupe xuat ban mot an pham

noi tieng the gidi ve chuyen nganh giai phau cua tac gia Frank H Netter, MD tai Viet Nam Xin gdi Idi cam on

dac biet den Luat su Pham Vu Khanh Toan - Giam doc Van Phong luat PHAM VA LIEN DANH - Ngudi ma toi

het sure ngudng mo Xin cam on Luat su Pham Anh Tuan - van Phong Luat Pham va Lien Danh tai Ha Noi, Luat

su Nguyen Thanh Long - van Phong Luat PHAM VA LllN DANH tai TP.HCM, nhCfng ngudi da giup dd toi rat

nhieu dedua an pham nay den tay doc gia Viet Nam.

Toi xin gCri Idi cam on dac biet den Co GS.TS Nguyen Quang Quyen va PGS-TS BS Pham Dang Dieu,

xin cam on Dupe si Hoang Trong Quang - Giam doc NXB Y hoc Ha Noi - Nhung ngudi da dong gop cong sire vao viec bien soan va dich thuat cuon sach nay ra phien ban tieng Viet.

Xin cam on gia d'inh toi, dac biet la cha toi, ong Nguyen Thiet Hung - Nguyen Giam doc Chi Nhanh NXB

KHKT tai Tp.HCM Ong da bo ra rat nhieu cong sure va tam huyet cung vdi hai dich gia tieng Viet vao viec bien tap va kiem tra cac trang h'inh, mang den cho ban doc dViet Nam mot cuon sach co gia trj ve noi dung.

Toi xin cam on nhCfng thanh vien trong Ban bien tap, dac biet la PGS -TS.BS Pham Dang Dieu, va tap the anh em lam viec tai phong thiet ke Cong ty TNHH DANA & BAN da co gang va giup dd toi rat nhieu de hoan thanh tac pham nay.

Toi cung xin cam on NXB Elsevier (Singapore) da tao dieu kien va giup dd toi rat nhieu de dua ra an

pham Tieng Viet trong lan xuat ban thurV nay den tay doc gia Viet Nam.

Nguyen Hoang Quynh

Tp.HCM - Thong 8 nam 2013

6 Mat va Cac Thanh Phan Ben Trong 81-91

Phan 2 LiTngvaTuyG ai

Phan 4 Bung

Noi Tang (Cac Co Quan Phu) 277-282

C h iu Hong v& Day Chau

TCfCung, Am Dao va Cac Cau True Nang Do 352-355 Day Chau va Co Quan Sinh Due Ngoai: NCr 356-359 Day Chau va Co Quan Sinh Due Ngoai: Nam 360-367 Cac Cau True Tuong Lfng cua Co Quan Sinh Due 368-369 Tinh Hoan, Mao Tinh va 6ng Dan Tinh 370

Giai Phau Thiet Do

Cac Hinh Then Chot cho Cac Thiet Do

Tai lieu tham khao

Chi muc

532

2 Cac than kinh bi cua dau va co

3 Cac dong mach va tinh mach nong cua mat va da dau

Cac XtfOng va Day Chang

Cac hinh 4-23

4 Xuong so: Nhin trudc

5 Xuong so: Phim chup X-quang trudc sau

6 Xuong so: Nhin ben

7 Xuong so: Phim chup X-quang ben

8 Xuong so: Thiet do dUng doc giifa

9 Vom so

10 Nen so: Nhin dudi

11 Nen so: Nhin tren

12 Cac lo va ong cua nen so: Nhin dadi

13 Cac lo va ong cua nen so: Nhin tren

14 Xuong so cua tre so sinh

15 Khung xuong cua dau va co

16 Ho chan budm: Nhin sau

17 Xuong ham dudi

18 Khdp thai duong - ham dudi

19 Cac dot song co: Dot dpi va dot true

20 Cac dot song co (tiep theo)

Atlas Giai Phau Ngifcri

1 DAU VA CO

21 Cac dot song co: Cac khdp moc - dot song

22 Cac day ch&ng so - co ngoai

23 Cac day ch&ng so - co trong

Mat ndng

Cac hinh 24-25

24 Cac nhanh than kinh mat va tuyen mang tai

25 Cac co bieu hien net mat: Nhin ben

Co

26 Cac co cua co: Nhin ben

27 Cac co cua co: Nhin trade

28 Cac co dudi mong va tren mong

29 Cac co bac thang va cac co trudc cot song

30 Cac tinh mach nong va than kinh bi cua co

31 Cac than kinh va mach mau cua co

32 Cac than kinh va mach mau cua co (tiep theo)

33 Cac dong mach canh

34 Cac Idp mac cua co

Vung mui

Cac hinh 35-50

36 Thanh ngoai cua o mui

37 Thanh ngoai cua o mui (tiep theo)

38 Thanh trong cua o mui (vach mui)

39 Dong mach ham (tren)

40 Cac dong mach cua o mui: Vach mui lat len

41 Cac than kinh cua o mui: Vach mui lat len

42 Cac than kinh cua o mui (tiep theo)

43 Chi phoi ti/chu cua o mui

44 Cac than kinh mat (V1) va ham tren (V2)

45 Than kinh ham dudi (V3)

46 Djnh hudng than kinh va mach mau cua nen so

47 Mui va xoang ham tren: Thiet do ngang

48 Cac xoang canh mui

49 Cac xoang canh mui (tiep theo)

50 Cac xoang canh mui: NhUng thay doi theo tuoi

54 Cac co tham gia dong tac nhai

55 Cac co tham gia dong tac nhai (tiep theo)

57 Rang (tiep theo)

59 LUdi (tiep theo)

60 LUdi va cac tuyen nude bot: Cac thiet do

61 Cac tuyen nude bot

62 Chi phoi than kinh hudng tam cua o mieng va hau

Hau

Cac hinh 63-73

63 Hau: Thiet do dUng doc giUa

65 Cac co cua hau: Thiet do dUng doc

66 Hau: Md ra nhin tU sau

67 Cac co cua hau: Md mot phan nhin tU sau

68 Cac co cua hau: Nhin ben

69 Cac dong mach cua cac vung mieng va hau

70 Cac tinh mach cua cac vung mieng va hau

71 Cac than kinh cua cac vung mieng va hau

72 Cac mach va hach bach huyet cua dau va co

73 Cac mach va hach bach huyet cua hau va ludi

Tuyen giap va thanh quan

Cac hinh 74-80

74 Tuyen giap: Nhin trudc

75 Tuyen giap va hau: Nhin sau

76 Cac tuyen can giap

77 Cac sun cua thanh quan

78 Cac co noi tai cua thanh quan

79 Hoat dong cua cac co noi tai cua thanh quan

80 Cac than kinh cua thanh quan

Atlas Giai Phau NgUdi

oAu vA c 6

112 Tieu nao

114 Nao that bon va tieu nao

Cac than kinh so va co

(tiep theo)

117 Cac than kinh so (phan bo van dong va c3m giac)

So do

118 Than kinh khudu giac (I): So do

119 Than kinh thj giac (II) dudng th| giac: So do

120 Cac than kinh van nhan (III), rong roc (IV), va van nhan ngoai (VI): So do

121 Than kinh sinh ba (V): So do

122 Than kinh mat (VII): So do

123 Than kinh tien dinh oc tai (VIII): So do

124 Than kinh thiet hau (IX): So do

125 Than kinh lang thang (X): So do

126 Than kinh phu (XI): So do

127 Than kinh ha thiet (XII): So do

128 Dam roi co: So do

129 Cac than kinh tii chu 6 co

130 Cac than kinh tu1 chu 6 dau

131 Hach mi: So do

132 Hach chan budm khau cai va hach di/6i ham:

So do

133 Hach tai: So do

1 34 Cac dudng v| giac: So do

6 mcit va cac thanh phan ben trong

C ic hinh 81-91

81 Ml' melt

82 Bo may le

83 Mac o mSt va nhan cau

84 Cac co ngoai lai cua mcit

85 Cac dong mach va tinh mach cua o mSt va mi m3t

86 Cac than kinh cua o mSt

87 Nhancau

88 Tien phong va hau phong cua m^t

89 Thau kinh va cac cau true nang dd

90 Cac dong mach va tinh mach noi tai cua mcit

91 SU cap huyet cua mat

Tai

Cdc hinh 92-98

92 Dudng nhan cam am thanh

93 Tai ngoai va hom nhi

94 Horn nhi

95 Me nhi xuong va me nhi mang

96 Me nhi xuong

97 Dinh hudng cac me nhi trong so

98 Voi nhi (hau nhi, Eustach)

Cac mang nao va nao

C4c hinh 99-114

99 Cac mang nao va cac tinh mach tuy xuong so

100 Cac dong mach mang nao

101 Cac mang nao va cac tinh mach nao nong

102 Cac xoang tinh mach mang cUng

103 Cac xoang tinh mach mang cUng (tiep theo)

104 Nao: Nhin ben

105 Nao: Nhin trong

106 Nao: Nhin dudi

107 Cac nao that

108 Suluu thong cua djch nao tuy

109 Nhan (hach) nen

no Doi thj

i n Hai ma va vom nao

Mach mau nao

Cac hinh 135-146

■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ I

135 Cac dong mach cua nao va cac mang nao

136 Cac dong mach cua nao: So do

137 Cac dong mach cua nao: Nhin dudi

138 Vong dong mach nao (Willis)

139 Cac dong mach cua nao: Nhin tU phia tran va thiet do

140 Cac dong mach cua nao: Nhin ngoai va trong

141 Cac dong mach cua ho so sau

Atlas Giai Phau NgUdi

DAU VA C6

142 Cac tinh mach cua ho so sau

143 Cac tinh mach sau cua nao

144 Cac tinh mach dudi noi tuy cua nao

145 Vung ha doi va tuyen yen

146 Cac dong mach va tinh mach cua vung ha doi va tuyen yen

C&t Idp tifng vung

Ccic hinh 147-148

147 Hinh cinh hoc so nao (MRV va MRA)

148 Hinh cinh hoc so nao (MRI)

Atlas Giai Phau NgUcri

Goc ham (xUdng ham dudi)

Bung di/di co vai mong Loi cam

1 Cac Than Kinh Bi cua Dau va Co

Xem thdm hinh 31,35,44,45,121,159

Tfif nhinh mit cua

thin kinh sinh ba (VI)

Thin kinh tr£n o mat

Thin kinh tr£n rdng rpc

Nhinh mi cua than kinh l£

Thin kinh di/6i rdng tqc

Nhanh mui ngoai cua

thin kinh sang trade

TCf nhanh him tren cua

thin kinh sinh ba (V2)

Thin kinh dudi o mat

Than kinh go mi - mat

Thin kinh gd m3 - thai duong

Tfir nhanh ham di/di cua

thin kinh sinh ba (V3)

Thin kinh dim Than kinh ma Thin kinh tai - th£i dtfong

Nhanh tai cua

than kinh lang thang (X)

Cac nhanh tiir dim rifi d

Than kinh chim nhd (C2)

Than kinh tai I6n (C2,3)

Than kinh co ngang (C2,3)

Cac thin kinh tr§n ddn (C3,4)

Cac nhanh trong cua cic nhanh h/ng than kinh gai song co

Thin kinh cham Idn (C2)

Thin kinh chim thuf ba (C3) Thur tU tif tr§n xuong <kldi

cac than kinh c 6

thuf 4,5,6,7 va 8

Than kinh

sinh ba (V)

Than kinh mat (V1)

Than kinh ham tren (V2)

Thin kinh ham di/di (V3)

Cac nhanh lung cua than kinh gai song co

Nhanh tai cua than kinh lang thang t6i lo tai ngoai

va mot vung nho a mat sau

trong loa tai

Cac nhinh tur dim

roi co

Cac Ddng Mach va Tinh Mach Nong d Mat va Da Dau

Xem them hinh 33,39,69,70,85,99

Cac nguon cap huyet a mat

Mau den: tC/ dong mach canh trong (thong qua dong mach matt Mau do: tC/ dong mach canh ngoai ^

Dpng mach

va tinh mach

tren rong roc

Tinh mach mui tran

Tinh mach sau ham Tinh mach mat

Cac nhanh cua dong mach va tinh mach thai di/ong nong

Dpng mach go ma - o mat

Dong mach

va tinh mach mat ngang Dpng mach

tinh mach goc

Tinh mach lien lac chum va nhanh mang nao cua dong mach cham (dong mach mang nao sau) Dong mach va tinh mach cham (cat) Dong mach va tinh mach tai sau Tinh mach canh ngoai (citt

Tinh mach canh trong Dong mach canh trong Dong mach canh ngoai

Dong mach canh chung Dong mach va tinh mach lifdi

Tinh mach mat sau

(tif dam roi

chan bi/dm)

Dong mach va

tinh mach mat

( Da va mo ducfi da

Da dau < Can tren so (can galea)

( (di/pc cat de lo so) Dong mach va tinh mach

thai di/Ong nong

So: Nhin Tru’dfc

XUdng tran

U tren goc mui

Khuyet (lo) tren o mat

Mat o mat

XUdng mui XUdng If Xiidng go ma

Mdm tran

Mat o m lt Mom thai difdng

Mom huyet rang

Gai mui tri/dc

Dudng khdp vanh

Xi/dng dinh XUdng budm

nho Idn

Xuong thai duung XUdng sang

Manh o m lt

M in h thang dufng Xo3n mui giCTa

XoSn mui dudi

Xtfdng la mia XUdng ham dudi

Canh Than

Lo cam

Cu cam

U cam

a9

0 mat phai: nhin tn/dc ben

Mat o mat cua Xtfdng tran Mat o mat cua canh nho xtfdng btfdm

Khe o mat tren Ong (lo) thj giac Mat o mat cua canh Idn xtfdng btfdm

Mat o mat cua xtfdng go ma Khe o mat dtfdi Ranh dtfdi o mat

Ld sang sau

va trade Manh o mat cua xUdng sang Xtfdng le

Ho tui le Mom o mat cua xtfdng khau cai Mat o m it cua xtfdng ham tren

So: Phim X Quang So Trtfdc Sau

Xem th£m hinh 4

Cac xoang ham tren

Canh nh6 xtfdng btfdm Mao ga

Canh Idn xtfdng btfdm

Cac Khong bao (xoang)sang

Nganh xtfdng ham dtfdi

C ac xoang tran

1 So: Nhin Ben

Xuong budm

Canh Ion

Xtfdng tran

Khuyet lo tren o mat

U tren goc mui

Cu khdp Ranh dong mach thai duong giGa Mao tren chum

Lo tai ngoai Mom chum Dudng khdp lam-da

Xuong cham Xuong dudng khau

U cham ngoai Diem thop sau ben

(diem saoi

Xuong ham dudi

Dau (chomi mom loi cau Khuyet

Mom vet Canh Dudng chech Than

Lo cam

Lo budm - khau cai

Xuong budm

Canh Idn Mao dudi thai duong Manh ngoai cua mom chan budm Moc cua manh trong mom chan budm

Xuong thai duong

Lo tai ngoai

Ho ham dudi

Cu khdp Mom tram

"Tren be mat mom chum tao nen gidi han ^au

Khe o mat dtfdi

Ho dudi thai duong duoc boc 16

bing cach lay di cung go ma —

va xuong ham dudi*

Khe chan btfdm ham

Mat dtfdi thai dtfdng cua xtfdng ham tren

So: Phim X Quang So Ben

Xem th£m hinh 6

Xoang tran

Duong khdp vanh Canh Idn

xuong bi/dm Xoang bi/dm

Ho yen (yen budm) Di/dng Khdp Lam-da Xoang ham

Loi cau

xUOng ham di/di

Cac khong bao chC Mom vet

xUdng ham dudi Mom khau cai xUcfng ham tren

Cung trade dot doi (dot song C l )

Rang dot true (dot song C2)

1 So: Thiet Do Dting Doc Giufa

Than Manh trong va

M inh thang dUng

(vach mui xuong)

Xuong mui

XUOng xoan mui dudi

XUOng ham tren

Gai mui trUdc

Mat mui

Ong rang cda

Mom khau cai

Manh sang Xoan mui tren Xoan mui giCfa

XUOng le XUOng xoan mui dudi

Xuong ham tren

Mat mui Mom khau cai Mom huyet rang

Phan da

Lo tai trong Ranh xoang da tren

Lo ngoai cua cong tien dinh Ranh xoang xich-ma

Dudng khdp lam-da

Xuong cham

Ranh xoang ngang

u cham ngoai

Lo tinh mach canh

Ranh xoang da dudi

Thanh mui ben vdi vach mui di/dc loai bo

Xuong khau cai

Vom so

Nhin tren

Ranh cua xoang doc tren

Cac ranh cua nhanh mach mang nao giQa Ranh cua xoang doc tren

1 Nen So: Nhin DUofi

(L6

XUdng ham tren

Ho rang cufa Mdm khau cai Di/cfng khdp khau cai gitia

Mdm go ma

XUdng go ma XUdng tran XUdng budm

Lo bau due L6 gai Gai

XUdng thai dUdng

Mdm go ma

Cu khdp

Ho ham dudi Mdm tram Khe da nhi Ong dong mach cin h Tieu quin nhi

Lo tai ngoai Tieu quin chum Mdm chum

Lo tram chGm Phan da Ranh chum cua co nhi than Ranh dong mach cham

Ho tinh mach cin h tinh mach c in h cf sau trong ho)

Ld chum Xuong dinh

XUdng cham

Ong ha thiet Loi cau cham Ong va ho Idi cau

Phan nen

Cu hau

Lo Idn Dudng gay dudi Mao cham ngoai Dudng gay tren

U cham ngoai

Lo mui sau

XUdng la mia

Canh Ranh cho voi nhi (hau nhi, Eustachi

Lo rach

Di/dng khdp khau cai ngang

XUdng khau cai

M inh ngang

Lo khau cai Idn Mdm thap

Lo khau cai be Gai mui sau

Cac XU dng Nen So: Nh'in Tren

XUdng tran

Ranh cua xoang dpc tren

Mao tran Ranh cua mach mang nao trtfdc

Lo tit Mat tren cua phan o mat

C in h Idn Ranh cua mach mang nao gitfa

(cac nhanh tren)

Than

Cau vai Ranh giao thoa

! Cu yen

Ho tuyen yen Li/ng yen M6m yen sau Ranh dong mach cin h trong

Mat doc

XUdng thai du’dng

Phan trai Phan da Ranh than kinh da be Ranh than kinh da Idn

Loi cung Lom hach sinh ba Ranh xoang da tren Ranh xoang xfch-ma

XUdng dinh

Ranh mach mang nao gitfa (nhanh dinh) Goc chum

XUdng cham

Mat doc Ranh xoang da dudi

Phan nen Ranh mach mang nao sau

Loi cau Ranh xoang ngang Ranh xoang cham Mao cham trong

U cham trong Ranh xoang doc tren

1 Cac Lo va 6ng cua Nen So: Nhin Dudi

Than kinh mui - khau cai Mach mau bi/dm - khau cai Than kinh va mach mau khau cai Idn Than kinh va mach mau khau cai be

Than kinh da Idn Than kinh da be Than kinh ham dudi (V3) Dong mach mang nao phu Cac mach mau mang nao gitia Nhanh mang nao cua than kinh ham difdi (V3)

Dong mach cin h trong Dam roi cin h (than kinh ttf chu) ThCfng nhi cua than kinh mat (VII) Nhanh than kinh nhi cua than kinh thiet hau (IX)

Nhanh loa tai cua than kinh lang thang (X)

Than kinh mat (VII)

Than kinh thiet hau (IX) Than kinh lang thang (X)

R i gai cua than kinh phu (XI) Tinh mach cin h trong Xoang da dudi Tinh mach lien lac chum Dong mach mang nao sau Than kinh ha thiet (XII)

Hanh nao Cac dong mach dot song va dam roi tinh mach

Re gai than kinh phu (XI)

- Ong cin h - Khe da - nhi -Tieu q u in nhi T ie u quin chum -Lo tram chum

Ho tinh mach cin h

- Ho’ rang cufa

- Lo khau cai Idn - Lo khau cai be -Lo rich

Cac Lo va Ong cua Nen So: Nhin Tren

Lo tit - Tinh mach lien lac vdi xoang doc tren

Khe m u i -I \ Dong mach, tinh mach

Lo sang tri/dc - I I va than kinh sang trU<ic

Cac lo cua manh sang - Cac bo than kinh khdu giac

Lo sang sau - Dong mach, tinh mach

va than kinh sang sau

Than kinh van nhan llll) Than kinh rong roc (IV) / Cac nhanh le, tran, mui mi

Khe o mat tre n -(

) cua than kinh mat (Vi)

I Than kinh van nhan ngoai (VO

V Tinh mach mat tren

Lo tron - Than kinh ham tren (V j )

( Than kinh ham di/di (VO

Lo bau due - < Dong mach mang nao phu

( Than kinh da be (doi khi co)

r _ 1 Dong mach va tinh mach mang nao gitfa

0 Sai | Nhanh mang nao cua than kinh ham difdi

Lo lien lac bi/dm (cua Vesalius) - - (khi co khi khong)

Lo rach

X j - u ’ u S Dong mach canh trong Ong dong mach c a n h - j r- - , h| n kmh c > h trong

Lo c h o - Than kinh da be

Lo c h o - Than kinh da Idn

( Than kinh mat (VII)

Lo ong tai tro n g - Than kinh tien dinh o'c tai (VIII)

( Dong mach me dao

Lo ngoai cong tien d i n h - 6rig noi bach huyet L6 chum (khi co khi khong) - TTnh mach lien lac

(va doi khi co nhanh cua dong mach cham Xoang da dudi

Than kinh thiet hau (IX)

Lo tinh m a c h c a n h < T h i n jjinh l a n g ^ a n g , , Xl

Xoang xich-ma Dong mach mang nao sau

Ong Idi cau (khi cd khi khong) - j Tinh mach lien lac va nhanh mang nao

I cua dong mach hau len Ong (than kinh) ha t h ie t - Than kinh ha thiet (XII)

( Hanh nao

Cac mang nao Cac dong mach dot song ] Cac nhanh mang nao cua

I Jong mach dot song

' Re gai cua cac than kinh phu

SoTreSd Sinh

Nhin ben

XUOng tran

Phan trai Khuyet (lo) tren o mat

XUdngsang

Lo sang trade

M inh o m it

XUdng If XUOng mui XUOng ham tren

Lo dadi o’ mat

(thieu lo tai ngoai xuong) Cufa so bau due

(tien dinh) CUa so tron (oc tai) Mom tram

Ho ham Mom go ma

Khung XUdng cua Oau va Co

XUdng sUdn thU nhat

XUdng thai dUdng

XUdng budm

Ho thai dudng Cung go ma

Mdm loi cau xUdng ham dudi

Khuyet ham Mdm vet xUdng ham dudi

M inh chan budm ngoai (dudng )

m inh chan budm trong (dudng )

giUa chan budm - ham (dudng )

( SUng Idn

Sun n ip Sun giap Sun nhan Khf quan

1 Ho Chan Btfdrm: Nhin Sau

Nhin sau

Mat

Nhin ben dudi

U cham ngoai (diem inion Mao cham ngoai Dudng gay dudi

Lo Idn Khe o mat dudi

Mdm chum

Mdm tram

Ho hinh canh

Cung go ma ngang cua xUdng khau cai

Vanh tai dudi

Cu ham Mdm khau cai xUdng ham

Ho rang cufa

Dudng gay tren Vach mui Khoang hinh pheu Mo mui sau)

Lo chum Dudng cham chum Loi cau cham Manh chan budm ngoai Manh chan budm trong

Ho thuyen Mdm thap cua xUdng vom mieng Moc chan budm

Mdm huyet rang cua xUdng ham

C/farfack-Mdm huyet rang xUdng'ham

Lo budm - khau cai hjo chan budm - khau cai mui sau

fjlanh ben Manh trong V Cua mdm chan

Mom khdp xUdng khau cai

-Xifotog Ham Dtfdi

Mom loi cau Mdm vet Ranh ham - mong Di/dng cheo

Ho dudi ham Dudng ham - mong

Ho dudi ludi Vach gian huyet rang

Phan huyet rang (mao)

Lo c3m Loi cam

Cu cam Day cua xUdng ham dudi

Nganh

Mdm vet- Chdm-

Mdm loi cau LUOi

Lo ham dudi Ranh ham - mong

1 Khdp Thai Dtftfng - Ham Dtfori

Day chang bi/dm - ham dudi (bongi Mom tram

Day chang tram - ham dudi

Ham md rong

'Dong tac ban le

va trUdt phoi hop'

Bao khdp Dong mach mang nao gitfa Than kinh tai - thai di/ong

Dong mach ham Than kinh huyet rang di/di

Than kinh li/di Day chang budm - ham dudi Day chang tram - ham dudi

Ho ham dudi

Dong mach va DTa khdp

Cu khdp

than kinh ham mong

Bao khdp

Cac Dot Song Co: Dot Ddi va Dot True

Xem them hinh 15 ,1 5 0

Cu trUdc Cung trade \ / Dien khdp vdi rang Mdm neang /Khoi ben

Cung sau

Mat khdp tren cua

khoi ben de tiep khdp

vdi loi cau cham

Cu sau Ranh cho dong mach dot song

Dien khdp trudc / (khdp vdi cung trade

^ / dot dpi)

M / Cuong Dien khdp tren 1 1 /

khdp vdi dot dpi / Phan gian khdp

Dien khdp dudi khdp vdi C3

Than Mdm ngang

Dot doi (C1): nhin tren Dot true (C2): Nhin trirtfc

Phan

Dien khdp tren khdp vdi loi cau cham

vdi rang

Mdm khdp dudi7 ^ Mdm gai

Dot true (C2): nhin sau - tren

Dien khdp sau (khdp vdi day chang

ngang dot dpi)

Cac dot song co tren khdp nhau: nhin tu1 sau - tren

Mdm ngang

Ld ngang

Dien khdp dudi

cua khoi ben khdp

vdi dot true