Anatomy

anatomy text book

Anatomy is an essential basic science for surgeons. Most of our work in this area is done in Western's Department of Anatomy and Cell Biology. In the past we used dissection, nerve conduction studies and ultrasound examination of diaphragm movement to describe right hemidiaphragm paralysis that occurs due to crushing of the phrenic nerve from the IVC clamp that is required for liver transplantation.

Recent projects: collaborator Professor Marjorie Johnson

  1. Textbooks always show a robust bypass system of arteries at the knee which should allow blood get to the lower leg if the main artery (femoral artery) is injured. We showed that this is incorrect. We researched the history of the error and traced it back to famous dissections made 200 years ago of diseased vessels. We found a 1910 illustration in Gray's Anatomy has been erroneously copied since then, popularizing the mistake. Absence of the genicular arterial anastomosis as generally depicted in textbooks. Ann R Coll Surg Engl. 2013 Sep;95(6):405-9.

  2. We first described a clinical sign of retroperitoneal bile leakage which we called Icterus marginatus. We traced the history of descriptions of clinical signs involving discolouration of areas of the skin of the trunk and then used dissections correlated the margins of discolouration with the attachments of the membanous layer of the superficial fascia.Scarpa's fascia and clinical signs: the role of the membranous superficial fascia in the eponymous clinical signs of retroperitoneal catastrophe. Ann R Coll Surg Engl. 2013 Oct;95(7):519-22.