Surface Anatomy and Landmarks

Clinical Anatomy

Surface anatomy involves identifying internal structures from external landmarks. This knowledge is essential for physical examination, injections, blood draws, and surgical procedures.

Key landmarks include: the sternal angle (angle of Louis) at the T4-T5 level marking the tracheal bifurcation; the jugular notch; the clavicle; the coracoid process; the anterior superior iliac spine (ASIS); the greater trochanter; and the medial and lateral malleoli.

The midclavicular line, midaxillary line, and scapular line are vertical reference lines used to describe locations on the thorax. McBurney's point (one-third from ASIS to umbilicus) localizes the appendix.

Pulse points include the radial artery at the wrist, carotid artery in the neck, femoral artery at the mid-inguinal point, and the dorsalis pedis on the foot.