Gray's Anatomy: The Anatomical Basis of Clinical Practice / Edition 39

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A universal landmark in medicine ever since Drs. Henry Gray and H.V. Carter published the first edition in 1858, Gray's Anatomy now celebrates its 150th anniversary! From state-of-the-art coverage of important new areas such as functional neuroimaging, embryogenesis, and biomechanics . . . through a comprehensively revamped, lavish full-color art program . . . as well as convenient access to the complete contents online, with downloadable illustrations, the new 40th Edition sets a new world standard for accuracy, clarity, and clinical relevance. It is THE place to turn when you want to be sure about the anatomical considerations that pertain to safe and effective practice. You'll find it an invaluable clinical resource, a pleasure to consult, and a reference that you'll be proud to have on your shelf.
  • Fastidious editing by an esteemed group of clinicians and anatomists, with support from hundreds of contributors and specialist reviewers worldwide, ensures the most detailed and dependable coverage of anatomy available anywhere, including in-depth information on normal variants.
  • A regional organization collects all relevant material on each body area together in one place, for easy clinical reference.
  • Meticulously enhanced and updated artwork throughout - with 2,000 images now in full color - provide a more consistent, coherent view of every anatomical detail, providing practitioners across all specialties with the best, most clinically helpful visual understanding available.
  • 200 completely new radiologic, CT, MR, and other imaging studies vividly capture anatomy as it is primarily seen by physicians.
  • Significantly expanded clinical discussions emphasize considerations that may affect medical care.
  • Online access via Expert Consult allows you to reference the book's complete contents from any computer, fully searchable, and download thousands of detailed anatomical illustrations.

Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

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Editorial Reviews

Doody's Review Service
Reviewer: Geoffrey D Guttmann, PhD (The Commonwealth Medical College)
Description: This comprehensive compendium of anatomical knowledge useful in clinical practice clearly shows many excellent clinical correlates to relevant anatomy. Like the previous edition, this edition uses a regional organization, but the book is now entirely in four colors and uses more diagnostic images to illustrate the clinical approach.
Purpose: This 40th edition definitively fulfills Henry Gray's initial aim "to describe the clinically relevant anatomy of the human body, particularly (but not exclusively) for the practicing surgeon" as stated by the editor-in-chief, Susan Standring. Features such as the use of full color and the addition of many more diagnostic images to support the application of anatomy to clinical practice makes this edition a fine completion of the editors' intentions initiated with the previous edition.
Audience: This is truly a long lasting reference well designed for clinicians, anatomists, or scientists with an abiding interest in anatomy, but it is also useful for any residents who would like to have a durable anatomical reference book. The editors are leading clinicians, anatomists, and scientists in their fields who have engaged an outstanding group of contributors to make this edition relevant for practicing clinicians.
Features: The opening sections cover cells, tissues and systems, embryogenesis, and neuroanatomy. The remaining sections describe the regional organization of the body starting with the head and neck and moving through the body to the lower limb. Within each section, where the pages have color-coded edges, chapters cover the development of the organ system relevant to the region. A significant number of subsections discuss clinical conditions, using radiological images and illustrations to further demonstrate these conditions. For example, one may look at chapter 22, on the basal ganglia, and review the subsection on "Pathophysiology of Basal Ganglia Disorders" to learn more about Parkinson's disease and see MRIs showing the placement of deep brain stimulating electrodes in the subthalamic or pedunculopontine nucleus. The 86-page index is both a boon and a bane. It is a help in navigating the book because it is extensive and complete, but it still needs some editing, as seen by the listing of sacrospinous twice under "ligament (named)" and the improper page number associated with the medial palpebral ligament.
Assessment: As an anatomist, I'd call this is a must-have book. As one with clinical experience, I'd buy this edition to keep as an up-to-date anatomical reference compendium. The 40th edition is complete and concise in covering all anatomy, and relevant to clinical practice without becoming unwieldy.
From the Publisher

"In short, the 40th edition of Gray's Anatomy is not only the most complete textbook of anatomy on the market but is possibly the most complete anatomical atlas available." -JAMA, May 6, 2009--Vol 301, No. 17, pp. 1829-1830.

"I am not aware of any book currently in print in any language that contains as much anatomical information as the 40th edition. it should be in the library of anyone who has the need for a comprehensive anatomical reference book. It may seem costly, but, per pound, it really is a bargain. Many books on the market offer much, much less but cost much more."-JAMA, May 6, 2009--Vol 301, No. 17, pp. 1829-1830.

"One of the most valuable aspects of Gray's is the way it integrates structure at all levels, from the subcellular through the regional." -JAMA, May 6, 2009--Vol 301, No. 17, pp. 1829-1830.

"[Gray's Anatomy] is to medical textbooks what Webster's is to dictionaries." -American Medical News, Posted Jan. 12, 2009 at "Each section has been reorganized by an editor, expert in the field, assisted by a group of contributors, and scrutinized by a panel of international reviewers. Anatomists, embryologists, cell biologists, surgeons, radiologists and other clinicians have brought their extensive experience to update the text and artwork. Moreover, essential and recent references are given at the end of each chapter of the different sections. The result is a well-documented and clinically-oriented state-of-the-art volume...The presentation of the book is practical and attractive...To sum up, this new 150th anniversary edition of Gray’s Anatomy, which is the first one in full-colour, is quite simply a magnificent work." Surgical and Radiologic Anatomy, November 2008 "The all-important tradition of improvement with age is most emphatically maintained by the newest edition of Gray's Anatomy . . . New and important ground has been broken . . . The authors have increasingly taken on the task of accommodating the new uses to which anatomy is being put in clinical situations, such as minimally invasive surgery, endoscopy, arthroscopy, microsurgery, and the entire expanding field of imaging, including three-dimensional studies . . . Beautifully produced and medically invaluable." - Scientific American, review of the 39th edition Gray’s Anatomy has been around since 1858. In 2008, Elsevier can be proud of the first class presentation of this updated, fabulous book. It has been completely re-imagined with re-organised contents and 1800 images now in full-colour, in addition to more than 120 new imaging studies. For those who need a detailed anatomy reference, this book is the business and it’s the only one you’ll ever need. Unividas Review, January 2009

"This book has really excellent content. It’s the first point of call for a query, better than standard textbooks. Good authorage and editorial input is evident. A new edition of Gray’s always has to live up to its historical place in the medical world. The new edition updates content, is well presented, readable and accurate. This is supported by quality illustrations. A book for those wanting a reference source for anatomy which is reliable and current." BMA Book Awards 2009- judges comments

"The new edition of Gray’s Anatomy has been edited by a highly regarded group of clinicians and anatomists, with support from hundreds of contributors and specialist reviewers worldwide.The reader gets enhanced and updated artwork throughout the text’s 2,000 images that utilise full colour and provide a consistent, coherent view of every anatomical detail. It provides every practitioner with the best, most clinically helpful, visual understanding of the subject available.It was a pleasure to review this exceptional and unique textbook." Susan Sandring December 2009

"The year 2008 marked the 150th anniversary of the publication of Gray's Anatomy. It has been published continuously throughout this century and a half and has been the bible to which all medical students and doctors have turned for instruction and inlightenment." Journal of Bone and Joint Surgery, July 2009

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Product Details

  • ISBN-13: 9780443071683
  • Publisher: Elsevier Health Sciences
  • Publication date: 12/20/2004
  • Edition description: REV
  • Edition number: 39
  • Pages: 1600
  • Product dimensions: 9.25 (w) x 12.00 (h) x 3.00 (d)

Table of Contents

Contributors and reviewers


Bibliography of selected titles

An historical introduction to Gray's Anatomy Ruth Richardson

Anatomical nomenclature


Section Editor: Caroline Wigley

With specialist contributions by Michael A Adams (chapter 5), Sue M Black (5), Patricia Dolan (5), William C Earnshaw (1), Paul A Felts (3), Andrew JT George (4), Jonathan C Kentish (6), W Niall A Kirkpatrick (7), Mary-Clare C Miller (7), Jagdeep Nanchahal (7), Terence A Partridge (5), Jeremy PT Ward (6)

Reviewers: Robert F Brooks (chapter 2), E Birgitte Lane (7), Roger J Morris (1)

New images supplied by Peter A Helliwell (chapters 2–7), Joe Mathew (2–7) Bart Wagner (1–7)
1 Basic structure and function of cells
2 Integrating cells into tissues
3 Nervous system
4 Blood, lymphoid tissues and haemopoiesis
5 Functional anatomy of the musculoskeletal system
6 Smooth muscle and the cardiovascular and lymphatic systems
7 Skin and its appendages


Section Editor: Patricia Collins

With specialist contributions by Peter R Braude (chapters 8, 11), Eric Jauniaux (9)

8 Preimplantation development
9 Implantation and placentation
10 Cell populations at gastrulation
11 Embryonic induction and cell division
12 Cell populations at the start of organogenesis
13 Early embryonic circulation
14 Pre- and postnatal development


Section Editor: Alan R Crossman

Embryology, Growth and Development Editor: Patricia Collins

With specialist contributions by Anthony Graham (chapter 24), Paul D Griffiths (17), Alan Jackson (16), Andres Lozano (21), Zoltan Molnár (24), David Neary (18–20, 23), Ronan O’Rahilly (24)
Reviewers: Tipu Aziz (chapter 22), Roy Weller (16)

15 Overview of the nervous system
16 Ventricular system and subarachnoid space
17 Vascular supply of the brain
18 Spinal cord: internal organization
19 Brain stem
20 Cerebellum
21 Diencephalon
22 Basal ganglia
23 Cerebral hemisphere
24 Development of the nervous system

Section 4 – HEAD AND NECK

Section Editor: Susan Standring

Embryology, Growth and Development Editor: Patricia Collins

Microstructure Editor: Caroline Wigley

With specialist contributions by Sue M Black (chapter 26), Ronald H Douglas (39, 40), Justin A Durham (30), David Furness (37), Michael Gleeson (36), Carole M Hackney (37), Bruce Jafek (32), Aadil A Khann (28), John G Lawrenson (39, 40), Stephen McHanwell (33, 34), Michael Monteiro (25, 28, 29), Gillian M Morriss-Kay (35), Ronan O’Rahilly (35), Hannes Petersen (38), Donald J Reid (30), Patricia Reynolds (31), Paul D Robinson (31), Jane Sowden (41), Ming Zhang (28), and including a number of figures based on an extensive ophthalmological collection by the late Gordon Ruskell (39,40)
Reviewers: Mike Gleeson (chapters 27, 37, 38), Nick Jones (32), Jaideep Pandit (28)

25 Head and neck: overview and surface anatomy

Head and neck

26 External skull
27 Intracranial region
28 Neck
29 Face and scalp

Upper aerodigestive tract

30 Oral cavity
31 Infratemporal and pterygopalatine fossae and temporomandibular joint
32 Nose, nasal cavity and paranasal sinuses
33 Pharynx
34 Larynx
35 Development of the head and neck

Special senses

36 External and middle ear
37 Inner ear
38 Development of the ear
39 The orbit and accessory visual apparatus
40 The eye
41 Development of the eye

Section 5 – THE BACK

Section Editor: Richard LM Newell

Embryology, Growth and Development Editor: Patricia Collins

With specialist contributions by Nikolai Bogduk (chapters 42, 43), Bodo EA Christ (44)

42 The back
43 Spinal cord and spinal nerves: gross anatomy
44 Development of the back


Section Editor: David Johnson

Embryology, Growth and Development Editor: Patricia Collins

With specialist contributions by David M Evans (chapter 50), Cheryll Tickle (51, 52), Graham Tytherleigh-Strong (46–49)

45 Pectoral girdle and upper limb: overview and surface anatomy
46 Pectoral girdle, shoulder region and axilla
47 Upper arm
48 Elbow
49 Forearm
50 Wrist and hand
51 Development of the limbs
52 Development of the pectoral girdle and upper limb

Section 7 – THORAX

Section Editor: Michael Gatzoulis

Embryology, Growth and Development Editor: Patricia Collins

Microstructure Editor: Caroline Wigley (see QUERIES below)?

With specialist contributions by Andrew Bush (chapter 59), Robert Anderson (59), Gerald PH Gui (54), Antoon FM Moorman (59), Simon Padley (55–57), Pallav L Shah (55, 57, 58), Jonathan Spratt (55),
Reviewers John Granton (chapter 57), Peter Goldstraw (55, 57), Siew Yen Ho (59), Mark Johnson (54), Andrew G Nicholson (59), Koichiro Niwa (56), John Pepper (56), Michael I Polkey (58), Darryl Shore (56), Eleftherios Tsiridis (54), Anselm Uebing (53), Hideki Uemura (53), Gary D Webb (56)

53 Thorax: overview and surface anatomy
54 Chest wall and breast

Heart and mediastinum

55 Mediastinum
56 Heart and great vessels

Lungs and diaphragm

57 Pleura, lungs, trachea and bronchi
58 Diaphragm and phrenic nerve
59 Development of the thorax


Section Editors: Neil R Borley (chapters 60–73)
Jeremiah C Healy (chapters 74–78)

Embryology, Growth and Development Editor: Patricia Collins

Microstructure Editor: Caroline Wigley
With specialist contributions by Jonathan L Brown (65, 66, 67), Declan JP Cahill (chapter 75), Aashish Chandra (74, 75), Alfred Cutner (77), Catriona Davies (74–77), Alex Freeman (76), Jonathan M Glass (74), David JA Goldsmith (74), John Hutson (78), Sukhbinder Minhas (76), Louise A Moore (62, 65–67, 70, 72), Timothy AJ Mould (77), Pranav P Pandya (77), Raj Prasad (68)
Reviewers: Giles Toogood (chapter 68)

60 Abdomen and pelvis: overview and surface anatomy
61 Anterior abdominal wall
62 Posterior abdominal wall and retroperitoneum
63 True pelvis, pelvic floor and perineum
64 Peritoneum and peritoneal cavity

Gastrointestinal tract

65 Abdominal oesophagus and stomach
66 Small intestine
67 Large intestine

Abdominal viscera

68 Liver
69 Gallbladder and biliary tree
70 Pancreas
71 Spleen
72 Suprarenal (adrenal) gland

Development of the peritoneal cavity, gastrointestinal tract and its adnexae

73 Development of the peritoneal cavity, gastrointestinal tract and its adnexae

Urogenital system

74 Kidney and ureter
75 Bladder, prostate and urethra
76 Male reproductive system
77 Female reproductive system
78 Development of the urogenital system


Section Editor: Vishy Mahadevan

Embryology, Growth and Development Editor: Patricia Collins

With specialist contributions by Andrew Amis (chapters 81, 82), Anthony Bull (81, 82), Chinmay M Gupte (81, 82) Niri S Niranjan (79, 80, 83, 84)
Reviewers: Andrew Amis (chapter 84), Anthony Bull (84), Chinmay M Gupte (84), Cheryll Tickle (85)

79 Pelvis girdle and lower limb: overview and surface anatomy
80 Pelvic girdle, gluteal region and thigh
81 Hip
82 Knee
83 Leg
84 Ankle and foot
85 Development of the pelvic girdle and lower limb


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