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R_Bibb_Medical_Modelling_The_Application_of_Adv.pdf

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4 <strong>Medical</strong> modelling<br />

savings that have been so successfully achieved in product design and<br />

engineering.<br />

This text aims to describe some <strong>of</strong> the product design technologies that<br />

have been successfully utilised in the fi eld <strong>of</strong> human reconstruction and<br />

rehabilitation and illustrate their application through case studies. As we<br />

will discover, there are many benefi ts to be found from applying modern<br />

technologies, yet they are not without their obstacles. <strong>The</strong> nature <strong>of</strong> the<br />

human form makes the transfer <strong>of</strong> techniques that are well suited to product<br />

design and engineering a particularly challenging yet ultimately rewarding<br />

fi eld <strong>of</strong> work.<br />

1.3 Basic anatomical terminology<br />

Whilst this book does not intend to be used as a guide to human anatomy,<br />

the descriptions <strong>of</strong> techniques, medical conditions and treatments require<br />

the use <strong>of</strong> accepted anatomical nomenclature. For those readers with<br />

medical training this nomenclature will be well known. However, for those<br />

from a technical, design or engineering background some basic terminology<br />

will prove useful. This section will introduce some basic terms that will<br />

enable the reader to proceed with the rest <strong>of</strong> the text, but further reading<br />

on the subject is recommended. <strong>The</strong>re are many excellent texts on anatomy<br />

and a selection <strong>of</strong> titles is provided in the bibliography. Attending a short<br />

course in human anatomy and physiology would be highly recommended<br />

to any engineer or designer wishing to specialise in clinical or medical<br />

applications, and many universities <strong>of</strong>fer such courses.<br />

When referring to human anatomy the relative positions <strong>of</strong> organs, limbs<br />

and features are only useful if the body is in a known pose. <strong>The</strong>refore it is<br />

standard practice to assume the body is in the ‘anatomical position’ when<br />

describing relative positions <strong>of</strong> anatomy. <strong>The</strong> anatomical position is with<br />

the body and limbs straight, feet together, head looking forwards, arms<br />

at the sides <strong>of</strong> the torso with the palms facing forward and fi ngers straight.<br />

<strong>The</strong> principal axis <strong>of</strong> the human is through the centre <strong>of</strong> the body running<br />

from head to feet; this is referred to as the long axis. This is shown in<br />

Fig. 1.1.<br />

Once the anatomical position is known, perpendicular planes can divide<br />

the body. <strong>The</strong> plane through the body perpendicular to the long axis is<br />

known as the axial plane. <strong>The</strong> planes perpendicular to this are known as<br />

the coronal and sagittal. Directions and distances are described as they<br />

relate to the centre <strong>of</strong> the body. Parts nearer to the body are known as<br />

proximal and those furthest from the body centre are distal. Parts that are<br />

nearer the midline <strong>of</strong> the body are known as medial and those further from<br />

it are described as lateral. <strong>The</strong>se terms are summarised in Table 1.2 and<br />

illustrated in Figs. 1.2 and 1.3.

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