Nomenclatura en Patologia
Nomenclatura en Patologia
Nomenclature in Palaeopathology
Keith Manchester. Alan Ogden. Rebecca Storm
Biological Anthropology Research Centre, Division of Archaeological Sciences, University of Bradford.
ADVISORY PANEL
Joel Blondiaux, Anthea Boylston, Megan Brickley, Jo Buckberry, Jane Buikstra, MaryAnn Hardy, Christopher Knüsel,
Niels Lynnerup, Simon Mays, Piers Mitchell, Charlotte Roberts, Sébastian Villotte
OBJECTIVES
To establish and define terms for descriptive use in osteological, radiological and palaeopathological recording and
in clinical interpretation in palaeopathology.
FORMAT
Structural format is based on Terminologia Anatomica 2nd Ed.1998.
CONTENT
General
Part 1
Dictionary format consisting of complete list of terms, alphabetically arranged, numerically classified, and defined.
Part 2
Terms defined and numerically assigned in Part 1 (pages 4-36) are classified and categorised numerically into their
most common and appropriate, but not exclusive, usage, as follows:
1. General terms
2. Systemic and functional anatomy and physiology.
3. Systematic anatomy, (general terms), bones
4. Systematic anatomy, (general terms), joints
5. Systematic anatomy, (general terms), muscles
6. Systematic anatomy, (general terms), cardiovascular
7. Systematic anatomy (general terms), lymphoid
8. Systematic anatomy, (general terms), neural
9. Pathological
10. Clinical
11. Radiological
12. Taphonomic
LANGUAGE
TEXTS CONSULTED
Terminologia Anatomica. 2nd Edition. 1998.
BARC MSc course Handbook
Jane Buikstra Taphonomy Glossary (pers comm)
D.B. Burr and M.R. Allen (Ed): Basic and Applied Bone Biology. 2015.
Gray’s Anatomy. 1954.
Donald J.Ortner: Identification of Pathological Conditions in Human Skeletal Remains. 2nd Edition.2003.
Charlotte Roberts: Human Remains in Archaeology: a Handbook. 2009.
R.S.C. Cotran, V. Kumar, S.L. Robins: Robins Pathologic Basis of Disease. 1989.
R.L. Souhami and J. Moxham: Textbook of Medicine. 4th Edition.2004.
John Raynes: Lecture notes on inflammation. 2015. London School of Hygiene and Tropical Medicine.
J.C.E. Underwood and S.S Cross (Ed): General and Systematic Pathology. Edition. 2009.
Oxford Concise Medical Dictionary 8th Ed.
Online Medical Terms, prefix and suffix.
Shorter Oxford English Dictionary.1978.
WebMD
PubMed.
GENERAL EXCLUSIONS
As the purpose of this publication is to define descriptive terms, specific systematic anatomical terms, diagnostic
terms and names applied to specific diseases are not included. For these, refer to the following texts:
Terminologia Anatomica.
Gray’s Anatomy.
International Nomenclature of Diseases.
International Classification of Diseases.
Resnick,D, and Niwayama,G. 1995. Diagnosis of bone and joint disorders
Prefix Suffix
10. Abortion: Naturally occurring spontaneous (i.e. non therapeutic) termination of a pregnancy before 24th week
of gestation. Cf. induced abortion.
12. Abrasion: Abnormal rubbing or scraping action that creates surface wear.
9. Abscess: A localised collection of pus and necrotic tissue, developing during an inflammatory reaction.
2. Absorption: The uptake of substances into or across tissues.
10. Acquired: An abnormality or characteristic developing after birth that is not due to heritable causes.
9. Adhesion: The pathological union, by connective tissue, of two or more bodily surfaces that are normally
separate and discrete.
12. Adipocere: Insoluble residue of fatty acids from fats in decomposing faunal (including human) remains.
2. Adsorption: The action of a body or tissue in attracting and holding foreign particles on its surface.
8. Afferent nerve: Nerve fibres that convey nerve impulses from sensory receptors to the spinal cord and brain.
2. Alimentary tract: The digestive tract running from the mouth to the anus.
4. Amphiarthrosis: A normal union of two bony surfaces separated by fibrocartilage or hyaline cartilage with limited
mobility.
10. Amputation: Accidental or intentional removal of part or whole limb, or other bodily external organ.
10. Anaemia: Reduction in the quantity of haemoglobin, the oxygen carrying component of blood.
10. Anaesthesia: Loss of sensation in a part or whole of the body, due to sensory nerve dysfunction caused by
disease or therapeutic procedure.
10. Analgesia: Reduced sensibility to pain, due to sensory nerve dysfunction caused by disease or therapeutic
procedure.
2. Anatomical position: The standard position of the body from which all directions and positions are derived:
standing erect body, feet together, arms to the sides, palms facing forwards, head and eyes facing
forward.
9. Angiogenesis: The formation of new blood vessels, as occurs in wound healing and in many neoplasms.
1. Anisotropy: Unequal physical properties of materials in which the distribution of the base material causes
differing strain levels depending on the direction from which a load is applied.
9. Ankylosis: Complete or partial fixation of a joint by osseous or fibrous union of the bones of a joint due to
disease, injury or surgical procedure.
2. Antagonist: A muscle in which the action of counteracts the action of another specified muscle.
2. Anteroinferior: Defining the front and lower part of the body, limb or organ.
2. Anterolateral: Defining the front and that part of the body, limb or organ that is away from the midline.
2. Anteromedial: Defining the front and that part of the body, limb or organ that is towards the midline.
2. Anterosuperior: Defining the front and upper part of the body, limb or organ.
10. Antibiotic: A substance produced by or derived from a microorganism that destroys or inhibits growth of other
microorganisms.
2. Antibody: A specialised protein in the blood, synthesised in lymphoid tissue in response to a foreign invading
protein, or in abnormal response to normal body protein, and engaged in immunological reactions.
1. Antisymmetry: Occurs when asymmetry is present but varies in which side it predominantly occurs.
2. Apatite: An inorganic mineral composed of calcium and phosphate that is found in bones and teeth.
5. Aponeurosis: A sheet of fibrous tissue emanating from a muscle, with attachment to bone.
2. Apoptosis: A normal process of cell death occurring in the foetal development of bodily structures, and in
renewal of cells, tissues and organs.
2. Appendicular skeleton: Refers to the upper and lower limbs, including the hands and feet.
1. Apposition: A normal state of two or more bodily structures becoming in close contact.
1 Archaeology: a) The study of past human life and culture by the recovery and examination of material evidence,
such as human, plant and animal remains, artifacts, monuments and inscriptions.
b) The material evidence from archaeological sites.
1. Arcuate: Arching or bow-shaped.
4. Articular surface: The contacting surfaces of bony structures that participate in a joint.
10. Ataxia: An abnormality of gait and/or uncoordinated limb movements, due to dysfunction of the central
nervous system in the regulation of body posture and the strength and direction of limb movements.
9. Atresia: Embryological failure of formation of the lumen of a normally hollow viscus or duct.
10. Autopsy: Post-mortem dissection of the body, and ancillary investigations, to determine the cause of death.
8. Autonomic nerve: A part of the peripheral nervous system that is responsible for control of involuntary functions.
3. Axial skeleton: Refers to the skull, vertebral column, pelvic bones, scapulae, clavicles, sternum and ribs.
4. Ball and socket: A joint in which a partially spherical bone lies within a socket, allowing multidirectional
movement and rotation. Cf. spheroidal joint.
9. Ballistic traumatic lesions: Lesions caused by glancing or penetrating high velocity objects.
1. Bioachaeology: The study of any biological remains from archaeological sites, placed in their archaeological
context.
1. Biomechanics: The study of mechanical laws pertaining to the movement or structure of living organisms.
2. Bone: The dense mineralised connective tissue that forms the skeleton.
3. Bone marrow: Erythropoietic, fatty and connective tissue contained within the interior cavity of a bone.
3. Bone matrix: The intercellular substance of bone in which other structures are embedded.
3. Boss: Rounded prominence of the frontal or parietal bones in an infant or adult cranial vault.
1. Bowing: Curvature of a longitudinal bone caused by bone remodelling in response to axial force.
4. Bursa: A small sac of fibrous tissue lined with synovial tissue and filled with synovial fluid, occurring where bodily
structures move over one another, thereby reducing frictional damage to those structures.
10. Cachexia: Extreme wasting of the body, usually associated with advanced malignant disease.
1. Calcitonin: A hormone produced by the thyroid gland that lowers the levels of calcium and phosphate in the
blood.
9. Calculus: a) A dense mineral mass formed within bodily organs e.g. Renal, gall bladder, salivary glands.
b) Plaque mineralised with calcium phosphate.
9. Callus: New immature (woven) bone formed around the fractured ends of bone, part of the healing process.
6. Capillary: A unicellular-walled narrow blood vessel arising from arteriole and draining into venule.
10. Carcinogen: A substance or agent that may stimulate malignant change in tissue.
9. Caries: a) Decay and destruction of the mineralised structure of teeth. NB. Dental caries is a generic term and not
the name of a specific lesion i.e. a lesion is not “a caries” but is described as a carious lesion.
b) Decay and destruction of the surface of cortical bone e.g. Caries sicca in treponemal disease.
9. Caseation: Necrotic process in the centre of chronic inflammatory lesions in tuberculosis, producing an
amorphous mass of cheese-like consistency.
8. Cauda equina: The nerve roots from the lumbar, sacral, and coccygeal spinal nerves that emanate from the distal
end of the spinal cord and descend to exit through the corresponding vertebral foramina.
2. Caudal: Situated toward the distal or inferior end of the body in humans and toward the posterior/tail in animals.
9. Cellulitis: Diffuse acute inflammation of skin and subcutaneous tissue caused by pathogenic organisms.
2. Cementoblast: A cell between fibres on the surface of cementum that is active in formation of cementum.
3. Cementum: A layer of calcified tissue on the surface of a tooth root, giving attachment to the periodontal
ligament.
2. Cleft: A partial or complete division, either congenital or acquired, within a tissue or organ.
10. Clinical features: The subjective symptoms presented by a patient, and the objective physical signs
demonstrated by physical examination.
9. Cloaca: A pathological channel providing drainage through the bone cortex to the exterior of the bone.
9. Clot: Semisolid mass of coagulated constituents of blood occurring in extravascular accumulations of blood
(haematoma) in vivo, and within the cardiovascular system post-mortem. Cf. thrombus.
1. Coalesce: Two or more structures progressively joining together to form a single unit.
9. Comminuted fracture: A fracture in which the bone is broken into more than two pieces.
10. Communicable disease: An infectious disease spread through direct contact with an infected person.
3. Compact bone: The non-cancellous part of bone that consists of concentric lamellar osteons and interstitial
lamellae. Cf. Lamellar bone.
9. Compound fracture: A fracture that is complicated by open communication between the fractured bones and the
external skin surface.
9. Compression fracture: A fracture in which the cortical surfaces of the bone are compressed together with partial
or complete collapse of the internal structure of the bone.
10. Concussion: An injury to the brain, usually by violent blow or impact, and followed by temporary loss of
function.
3. Condyle: A rounded protuberance at the ends of some bones forming a joint surface.
4. Condyloid joint: A joint in which an ovoid head of one participating bone moves in an elliptical cavity of another.
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1. Confluent: The progressive joining together of two or more discrete lesions or structures.
10. Congenital: A condition that is manifest at birth or if manifest postnatally, is considered to have been present at
birth and attributable to events in utero.
2. Connective tissue: The protein based tissue that supports, binds, or separates specialised tissues and organs.
9. Consolidation: A term applied to solidification of lung tissue by inflammatory exudate, and a feature of
pneumonia.
10. Contagious: An infective disease transmitted by direct contact with the pathogen.
9. Contracoup: An injury or fracture occurring in a part of a structure or body that is on the opposite side of that
structure or body to that struck by force.
2. Cortex: The outer part of a tissue or organ, immediately subjacent to the enveloping capsule or membrane.
2. Cortical bone: Layer of compact bone surrounding the medullary cancellous bone.
9. Cortical defect: A pathological or developmental disruption of the cortical surface or cortical matrix.
12. Cracked: A partial break of bone caused post-mortem by external action, desiccation or heat.
8. Cranial nerves: The 12 pairs of nerves that arise directly from the brain and leave the skull through separate
foramina.
3. Cranial ossicles: A bone developing within a cranial suture. Cf. Wormian bones.
9. Crater: A saucer-shaped circular pathological depression or erosion with raised margins, of the cortical surface of
bone.
1. Cruciate: Cross-shaped.
1. Crush: A compression caused by force applied to one or both sides of a tissue or organ.
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2. Cutaneous: Pertaining to the skin.
2. Cyst: A sac or closed cavity lined with epithelium, within a tissue or organ, and containing liquid or semi-solid
matter.
2. Cytokine: A small protein that is released from cells and that has a specific effect on the interactions between
cells, and is involved in inflammatory reactions.
9. Decalcified: Bone or tooth from which calcium salts have been removed.
9. Defect: A localised qualitative or quantitative deficiency of morphology or function of a tissue or organ. It may be
congenital or acquired.
9. Degeneration: The pathological deterioration and loss of function of cells of a tissue or organ.
9. Degradation: The diminution or loss of a specific tissue or organ with consequent dysfunction.
1. Demography: The study of populations on a national, regional, or local basis, in terms of age, sex, and relating
patterns of age at death and biological sex with other variables including disease and migration, but also
the wider archaeological context of the population.
3. Dentine: The main component of tooth structure, containing approximately 75% mineral salts.
9. Deposit: Extraneous mineral or organic substance laid down upon or within a tissue or organ during a
pathological process.
2. Dermis: The sensitive connective tissue layer of the skin subjacent to the epidermis.
9. Developmental condition: An abnormal state due to faulty development that is not congenital in origin.
9. Diapedesis: The migration of cells through capillary walls into tissue spaces, particularly during the inflammatory
process.
10. Diathesis: A higher than average tendency to develop allergies, rheumatic diseases or gout: not-inherited.
10. Differential diagnosis: The range of diseases of similar clinical or pathological presentation. Differential
diagnoses need to be considered if stating a definitive diagnosis.
9. Dilatation: The pathological expansion or enlargement of a hollow organ, cavity, or lumen of a duct or blood
vessel.
3. Diploë: The trabecular structure between the inner and outer tables of the skull.
1. Directional asymmetry: Asymmetry that occurs when development of one side of a bilateral structure is favoured
over the other.
2. Disarticulated: The separation through a joint, of component bones into discrete elements.
9. Discrete: A pathological lesion that is physically distinct and separate from other related lesions.
10. Disease: A disorder of structure or function of the body that produces specific symptoms and physical signs, and
that is not caused by physical injury.
9. Dislocation: The displacement from the normal juxtaposition of opposing bones comprising a joint, to a position
in which there is a complete absence of contact of articular surfaces.
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9. Disorder: An abnormal functioning of a part of an organism.
2. Distal: Pertaining to that part of a bodily structure that is furthest away from the centre of the body.
1. Distribution: The manner in which phenomena or pathological lesions are spread over an area.
2. Dorsiflexion: a) The upward movement of the foot rotating at the ankle joint.
b) The backward movement of the hand rotating at the wrist joint.
2. Dorsum: The upper or posterior surface of part of the body. e.g. Hand, foot.
2. Duct: A channel or tube within the body for the passage of secretions. e.g. Exocrine glands, gall bladder, liver.
9. Eburnation: Wearing down of articular cartilage, exposing subjacent bone that progressively becomes sclerotic,
dense, and polished.
10. Ecdemic: A disease not normally occurring within a population, but introduced from elsewhere.
2. Ectoderm: The outer layer of the three germ layers of the early embryo, giving rise to the nervous system, sense
organs, teeth, oral mucosa and epidermis.
8. Efferent nerve: Peripheral nerve conveying nerve impulses from the central nervous system to muscles and
glands.
10. Effusion: Presence of excess blood or tissue fluid in an organ, tissue, or body cavity.
12. Embalm: The treatment of a dead body with preservatives, to delay decomposition.
10. Embolus: An inclusion of fluid, gas, fat, thrombus, or extraneous cells (e.g. neoplastic cells) within a blood
vessel, transported to another point within the cardiovascular system.
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10. Embryo: Products of conception within the uterus up to the eighth week of gestation.
12. Encrust: An abnormal adherent hard accumulation of mineral salts or organic matter on to the surface of a
structure.
3. Endocranial: Within the cranium/ pertaining to the inner surface of the cranium.
2. Endocrine: Ductless glands producing hormones that are secreted into the blood stream.
2. Endoderm: The inner layer of the three germ layers of the early embryo, giving rise to the lining of the
gastrointestinal, urogenital, pulmonary tracts, liver, gall bladder and pancreas.
5. Endomysium: The connective tissue sheath that surrounds individual muscle fibres.
9. Endophytic: Pertaining to neoplastic cells invading inwards from the surface of a tissue or organ.
3. Enthesis: A tendinous or ligamentous attachment to a bone element, having its own blood and nerve supply.
9. Entheseal changes (formally termed musculoskeletal stress markers, MSM): bone formation or destruction at
muscle attachment sites, or entheses.
9. Environmental stress: Environmental conditions that are capable of interfering with optimal human functioning.
2. Enzyme: A protein that speeds up the rate of a biological reaction without itself being used up in the process.
2. Eosinophil: A type of white blood cell that becomes more abundant in the blood in certain parasitic infestations
and allergic reactions.
10. Epidemic: A sudden outbreak of an infectious disease in a population, which spreads rapidly and affects a large
proportion of the population.
3. Epiphyseal cartilage: Hyaline cartilage separating the epiphysis and diaphysis. It is involved in the longitudinal
growth of tubular bones. On ossification it determines the cessation of longitudinal growth in that bone.
3. Epiphysis: The growing end of a long bone, separated by cartilage from the diaphysis, but uniting with the
diaphysis on cessation of growth.
2. Epithelium: The layer of cells covering internal and external surfaces of the body.
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9. Erosion: The progressive localised loss of a living bone surface, due to physical or biochemical processes.
2. Erythropoiesis: The production of red blood cells within the bone marrow.
2. Exocrine glands: Glands that secrete chemicals either through a tube or a duct.
5. Extensor muscles: The muscles attached to the axial or appendicular skeleton that facilitate extension of a limb
or the vertebral column.
9. Exudate: Slow escape of liquid through vascular walls into tissue spaces.
2. Facet: a) Any small plane surface on a bone, usually an area marking an articulation with another bone.
b) A flat surface on a tooth.
2. Fibrocartilage: Dense cartilaginous tissue, the matrix of which consists of parallel bundles of collagen fibres.
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9. Fibrosis: The deposition of fibrous collagen within tissues.
4. Fibrous joint: A joint in which the union of participating bones is by continuous intervening fibrous tissue.
9. Fistula: A pathological connection between the lumen of two or more hollow viscera, or with the external skin
surface.
3. Flat bone: A sheet like bone with parallel cortices e.g. Scapula, ilium, calvarium.
2. Flexion: The movement at a synovial joint causing the component bones to approximate to each other along
their long axes.
1. Fluctuating asymmetry: Refers to small, random deviations from a prior expectation of symmetric development
in morphological traits.
10. Foetus: An unborn child between the eighth week of gestation and birth.
3. Foramen: A normal opening or hole in a bone that transmits blood vessels, lymphatic channels, and nerves.
12. Fossilized: The hard remnant of organic tissue that has been replaced post-mortem by mineral salts.
2. Frankfurt plane: A line approximating the base of the cranium, passing from the infraorbital ridge to the midline
of the occiput, intersecting the superior margin of the external auditory meatus.
2. Frontal plane: A plane that divides the body into front and back portions i.e. a vertical lengthwise plane running
from side to side of the body.
4. Fulcrum: The fixed point of a joint about which a moving bone articulates.
9. Fungating: A mass of malignant tissue that has infiltrated the surface of the body or organ and produced an
expanding growth.
9. Gallstone: A hard mass of bile pigments, calcium salts and cholesterol, which forms within the gall bladder.
9. Gangrene: The bulk death and necrosis of tissue due to vascular impairment, with or without infection.
2. Gene: The basic unit of genetic material that is carried at a specific place on a chromosome.
1. Genus: A system of classification consisting of several closely related and similar species of organisms.
4. Gomphosis: A synarthrosis in which a conical process fits into a socket e.g. Tooth in jawbone.
9. Granulation: A newly formed mass of multicellular connective tissue comprising fibroblasts, inflammatory cells,
and capillaries, found at the margin of ulcers and wounds, and a factor in the healing process.
9. Granuloma: A localised aggregate of epithelioid macrophages, giant cells, and lymphocytes. It is a component
tissue response in specific infectious diseases such as tuberculosis, leprosy, and treponemal disease, and
also in sarcoidosis, and Crohn’s disease. Granulomata are also formed around the apices of dead or
infected teeth and produce characteristic voids in the alveolar bone.
9. Greenstick fracture: An incomplete fracture of a bone in which part of the cortex remains intact.
2. Haemodynamic: Physiological factors determining the muscular control and function of blood vessels.
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2. Haemoglobin: A protein complex within red blood cells that is capable of carrying oxygen.
10. Haemorrhage: Extravasation of blood from ruptured blood vessels, either externally or into tissue.
3. Haversian canals: Small canals running longitudinally in cortical bone, surrounded by concentric lamellae
containing osteocytes, and interconnecting with radial Volkmann’s canals. Cf. Haversian system.
10. Healed: Damaged tissue in injury or disease that has resolved to normality or scarring through the processes of
inflammation and repair.
9. Herniation: A protrusion of an organ or tissue through an abnormal opening, and out of its site of origin.
4. Hinge-joint: A joint in which one convex part of bone fits into a concave part of another, allowing movement in
one plane only.
1. Homologous: Organs or anatomical parts that have the same basic structure, and evolutionary origin, but not
necessarily the same function or superficial structure. Cf. homogenous.
2. Hormone: A chemical substance that is secreted from an endocrine gland and transported by the blood stream
to influence the function of a bodily system.
9. Howship’s lacunae: The microscopic patterns in a bone surface caused by osteoclastic resorption.
2. Hyaline cartilage: A semi-elastic amorphous tissue with a matrix of chondroitin sulphate in which collagen fibrils
are embedded, covering the articular surfaces in synovial joints.
2. Hydroxyapatite: A mineral related to apatite that is the main inorganic constituent of bone and tooth enamel.
2. Hyperaemia: Increased blood flow within arterioles and capillaries associated with arteriolar dilation.
9. Hyperplasia: Enlargement of an organ or tissue due to an increase in the number of component cells.
9. Hypertrophy: Enlargement of an organ or tissue due to an increase in the size of component cells.
10. Iatrogenic: A condition or disease that results from and is caused by treatment for the same or another
condition or disease.
2. Immunity: A body defence mechanism, characterised by specificity and memory and mediated by circulating
antibodies and white blood cells.
1. Immunology: The study of the structure and function of the immune system.
9. Impacted: An organ, tissue, or substance that is firmly embedded within another tissue or lumen e.g. Impacted
molar tooth, impacted fracture, impacted faeces.
9. Impingement: An abnormal anatomical relationship between two structures, leading to pressure of one upon the
other e.g. Subacromial impingement of the humerus.
10. Incidence: The number of new cases of a disease or disorders occurring in a specific population within a
specified time scale.
10. Incubation period: The asymptomatic interval between onset of infection and presentation of clinical symptoms
and/or physical signs.
10. Induced abortion: The removal (therapeutic or non-therapeutic) of an embryo or foetus before the 24th week of
gestation. Cf. Abortion/miscarriage.
9. Infection: Invasion of tissue by pathogenic microorganisms and associated with inflammatory reaction.
9. Infectious: Pertaining to pathogenic microorganisms that are capable of transmission to other individuals. Cf.
infective.
2. Inferoanterior: Defining the lower and front part of the body, limb or organ.
2. Inferolateral: Defining the lower and that part of the body, limb or organ that is away from the midline.
2. Inferomedial: Defining the lower and part or the body, limb or organ that is towards the midline.
2. Inferoposterior: Defining the lower and posterior part of the body, limb or organ.
9. Inflammation: A localised protective response elicited by injury or destruction of tissues that serves to destroy,
dilute or wall-off both the injurious agent or the injured tissue and return the host to homeostasis.
3. Insertion: The point of attachment of a muscle to a bone that is relatively mobile about a joint during muscular
contraction.
9. Involucrum: An enveloping sheath of new bone forming around dead bone, as in osteomyelitis.
3. Irregular bones: Irregularly shaped bones with spongy interior and surrounding compact bone.
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9. Ischaemia: An inadequate supply of oxygenated blood to an organ or tissue.
4. Joint capsule: The fibrous tissue enveloping a joint and attached to the juxta-articular zone of the bones
comprising the joint.
9. Kyphosis: A pathological anteroposterior curvature of the spine (vertebral column of the skeleton), concave
anteriorly.
4. Labrum: A lip-like fibrous, cartilaginous, or osseous structure around the margins of a socket joint e.g.
Acetabulum.
3. Lamellae: Parallel layers of connective tissue (e.g. concentric lamellae) in Haversian systems in bone.
10. Latent: Hidden, inactive. A period between the onset, or during the course of a disease, when symptoms and
physical signs of the disease are not apparent.
2. Lateral: Pertaining to the side of a structure that lies furthest from the midline of the body.
2. Lateral rotation: Movement around the long axis of a joint, away from the midline.
8. Leptomeninges: Arachnoid mater and pia mater. Cerebrospinal fluid circulates between these two membranes.
2. Linea: A line.
9. Livor mortis: Discolouration of the skin due to pooling of the blood in the dependent parts of the body following
death.
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2. Lobe: A well-defined portion of an organ that is a curved or rounded projection or division, typically consisting of
two or more parts, divided by fissures.
2. Lobulated: The components of a tissue or organ that are divided into individual lobes by a membrane.
9. Luxation: The disarticulation of bones comprising a joint from their normal anatomical relationship. May be
partial (subluxation) or complete (dislocation).
7. Lymph: A clear proteinaceous fluidthat bathes the tissues, flows in the lymphatic vessels and is a component of
the inflammatory process.
7. Lymph node: A normal swelling in a specialised tissue for the collection and redistribution of lymph, and for the
production of lymphocytes.
7. Lymphatic system: A network of lymphatic vessels and nodes that carry lymph from the bodily tissues centrally,
towards the heart.
9. Malignant neoplasm: A neoplasm that is invasive into adjacent tissues and spreads via the vascular and lymphatic
systems, and through body cavities, to distant tissues as metastases.
9. Malunion: The joining together of two or more fractured bones in an abnormal anatomical relationship.
2. Matrix: The total structural components of an organ in which specialised elements are contained.
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2. Meatus: A passage, channel or canal, opening externally.
2. Medial: Pertains to the margin of a structure that lies nearest to the midline of the body.
2. Medial rotation: Movement around the long axis of a joint towards the midline of the body.
2. Median plane: Denotes the plane of the body that divides it into right and left sides.
2. Medulla: The inner part of an organ or tissue that is anatomically distinguishable from the outer part (cortex)
surrounding it.
3. Medullary cavity: The inner cavity of bone that contains marrow but not trabecular bone.
2. Membrane: a) A thin layer of tissue surrounding the whole or part of an organ, or tissue lining a cavity, or
separating adjacent structures.
b) The lipoprotein cell wall.
8. Meninges: The three connective tissue layers—dura mater, arachnoid mater, pia mater—that line the
intracranial cavity and the spinal canal, and invest the central nervous system. Cerebrospinal fluid
circulates between the arachnoid and pia mater.
4. Meniscus: A fibrocartilaginous structure lying between the articulating surfaces within a synovial joint.
2. Mesoderm: The middle germ layer of the embryo that gives rise to cartilage, bone, muscle, blood, kidneys,
gonads, and connective tissue.
2. Metabolism: The totality of physical and biochemical processes within the body necessary for the maintenance
of life.
3. Metaphysis: The growing zone of a bone, lying between the epiphysis and the diaphysis.
9. Metaplasia: A change of morphological characteristics from one mature cell type to another: it may be a stage in
the development of malignant neoplasia.
9. Metastasis: A secondary malignant lesion spread from the site or origin of a primary malignant neoplasm to
another bodily organ or tissue. The mode of spread is via the lymphatic system, the blood circulatory
system, or within bodily cavities. The term does not apply to direct spread of the primary lesion into
adjacent tissue.
1. Microstructure: The structure of a tissue that is not visible to the naked eye.
2. Midsagittal plane: A vertical plane along the midline of the body dividing the body into right and left halves.
9. Mixed dentition: Both deciduous and permanent teeth are present in the dental arcade.
8. Mixed nerve: A peripheral nerve that has two or more components of sensory, motor, or autonomic modalities.
2. Modelling: A biological process of synergistic osteoclastic and osteoblastic activity resulting in morphological
modification of a tissue, organ, or structure.
10. Mortality rate: The incidence of death in a population in a given period of time.
8. Motor nerve: Peripheral nerve fibres conveying impulses from the central nervous system to receptors, to
stimulate muscle contraction.
2. Mucosa: The membrane covering canals and cavities that open on the outside of the body, such as
gastrointestinal and respiratory tract. Cf. mucous membrane.
9. Multicentric: A disease in which there is more than one centre of primary origin. Applies particularly to malignant
neoplastic disease in which there are multiple centres of oncogenesis, either synchronous or sequential.
9. Multifocal: A disease or condition with multiple sites of similar pathological lesions throughout the body.
12. Mummification: The process of converting dead soft tissue into a desiccated hard tissue.
5. Muscle insertion (mobile end): The attachment of a muscle to a bone that is primarily involved in movement
about a joint.
5. Muscle origin (fixed end): The attachment of a muscle to a bone that is relatively immobile in joint function.
2. Mutation: An alteration in the base sequence of DNA, resulting in the synthesis of an abnormal protein that is
often a stage in carcinogenesis.
2. Nasopharynx: The area of the upper throat that lies behind the nose.
1. Natural (innate) immunity: Immunity that naturally exists and does not require prior sensitisation to an antigen.
9. Neoplasm: A pathological and uncoordinated growth of tissue, the growth persisting after cessation of the
pathological cause that initiated the process. Cf. neoplasia.
8. Nerve fibre: A long fine process extending from the body of a nerve cell (neuron), and transmitting nerve
impulses.
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8. Neural: Pertaining to the nervous system.
2. Neutrophil: A mature white blood cell with three to five lobed nuclei.
9. Nodular: Abnormal morphology of tissue in which there is an aggregation of cells into an irregularly shaped mass.
3. Nutrient canal: The channel within bone tissue that transmits blood vessels.
3. Nutrient foramen: The orifice in the cortical bone surface at the point of entrance or exit of nutrient blood
vessels.
1. Oblique: Neither parallel nor perpendicular to the long axis of a body or limb.
1. Occult: An abnormality that is present but not observable to the naked eye.
3. Odontoblast: Cells forming the outer surface of dental pulp that produces the dentine of a tooth.
9. Oncogenesis: The progression of cytological, genetic, and cellular changes that culminate in the formation of a
malignant neoplasm.
5. Opponens muscles: Muscles in the hand that facilitate bringing together the digits.
10. Opportunistic microorganism: Usually a harmless commensal but causing disease in an individual with impaired
immunity.
2. Opposition: The position of the thumb when it is flexed towards the palmar surfaces of the digits.
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2. Oral: Pertaining to the mouth.
2. Oropharynx: The area of the throat that lies behind the mouth and tongue.
2. Os: Bone.
2. Ossification centre: Specific area within the developing skeletal tissues at which bone formation commences.
2. Osteoblast: Specialised cell arising from embryonic mesoderm, which is responsible for bone formation.
2. Osteon: The basic structural unit of compact bone, comprising Haversian canals and circumferential lamellae.
9. Osteophyte: A pathological projection of new bone usually at the margins of synovial joints and intervertebral
discs.
1. Palaeontology: The study of fossil faunal (including human) and floral remains.
1. Paleopathology: The scientific study of ancient faunal (including humans) and floral diseases manifest in the
corporeal remains of organisms in past populations.
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10. Palliative: Controlling symptoms without curing the disease.
10. Paraesthesia: A change in perceived sensation within the distribution of one or more sensory nerves, commonly
caused by peripheral sensory neuropathy.
10. Paralysis: A complete loss of muscle power in one or more muscles, commonly caused by peripheral motor
nerve or central nervous system dysfunction.
1. Parasite: An organism that lives on or in, and is dependent for survival on, another living organism.
10. Paresis: A partial loss of muscle power in one or more muscles commonly caused by motor nerve dysfunction.
2. Parietal: a) Refers to a membrane that lines the outer wall of a normal body cavity e.g. Peritoneum, pleura.
b) Two lateral plate bones of the cranium.
9. Pathognomonic: Pathological features characteristic of (but not exclusive to) a specific disease.
9. Penetration: The disruption of the surface of a structure or organ by a foreign body or pathological lesion.
9. Perforation: The creation of a channel or hole connecting opposing surfaces of an organ or structure.
10. Peri-mortem: The period of time immediately before and after death.
5. Perimysium: The connective tissue sheath that envelops each bundle of muscle fibres.
10. Perinatal: The period of time around childbirth, usually from the 28th week of gestation to the 4th postnatal
week.
9. Periodontal disease: Disease and/or destruction of the supporting structures of the teeth. Exposure of tooth
roots may be due to this or the non-pathological process of compensatory eruption.
2. Periosteal new bone: New bone formed between the periosteum and the cortical surface of bone, by osteoblast
activation in the germinative layer of periosteum. Sequentially, this bone, initially distinct from the cortex,
becomes integral with the cortical surface.
9. Periosteal reaction: The observable changes of the cortical surface caused by activation of osteoblasts in the
germinative layer of periosteum, and osteoclasts in the cortical surface.
3. Periosteum: An osteologically active layer of vascular connective tissue enveloping the bones except at the
surfaces of joints.
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9. Periostitis: Inflammation of the periosteum, leading to periosteal reaction and periosteal new bone formation.
Periostitis, per se, does not induce changes that are manifest on dry bone.
2. Peritoneum: The membrane that lines the abdominal cavity. Parietal peritoneum lines the wall of the cavity.
Visceral peritoneum invests some intra-abdominal structures.
1. Permeative: Spreading.
10. Physical sign: A manifestation of disease detectable by observation, palpation, percussion, or auscultation in the
living individual.
1. Physiology: The study of the function of the bodily organs and systems.
9. Pitting: The pathological osteoclast-mediated formation of resorbed hemispherical indentations of varying size
within the surface of bone.
9. Plaque: A thin flat layer of tissue applied to and progressively integral with, the surface of a structure or organ.
2. Pleura: The membrane lining the chest cavity. Parietal pleura lines the external walls of the cavity. Visceral pleura
envelops the lungs.
3. Pneumatized bone: Bone structures that contain air-filled cavities e.g. Paranasal sinuses.
12. Polished: A bone surface that is smooth from repeated fine abrasion eg. eburnation of a joint.
9. Porous: The state of bone tissue caused by perforating pathological lesions. Cf. porosity.
2. Posterolateral: Defining the rear and that part of the body, limb or organ that is away from the midline.
2. Posteromedial: Defining the rear and that part of the body, limb or organ that is towards the midline.
2. Posterosuperior: Defining the rear and upper part of the body, limb or organ.
10. Prevalence: The total number of cases of a disease present at a specific time in a community.
2. Prime mover: A muscle that principally initiates the movement of skeletal elements.
2. Primordial: Cells or tissues that are formed in the earliest stages of embryonic development.
1. Prosthesis: An artificial device that is attached to the body as an aid to appearance or function.
2. Proximal: The part of an organ or structure that lies nearest to the mid line of the body.
1. Pseudopathology: Morphological features in an organ or structure that resemble changes in disease, but for
which there is no pathological cause.
9. Pus: Necrotic tissue and cells formed within and part of an infective inflammatory focus.
9. Pyogenic: Microorganisms that are capable of inducing inflammatory change in which pus is formed.
11. Radiolucent: An area having the property of allowing X-rays to pass through it. It usually appears darker on a
radiograph.
11. Radiopaque: An area having the property of absorbing X-rays and appearing whiter on a radiograph.
9. Recurrence: A redevelopment of a pathological change in tissue after cessation or inactivity of the initial disease.
2. Red blood cell: Haemoglobin-containing cells that carry oxygen to the tissues.
3. Red bone marrow: Bone marrow in which the stroma of the reticular network are filled with erythropoetic tissue
that produces red blood cells.
9. Regeneration: The formation of new cells identical to those lost in a disease process.
2. Remodelling: The process of morphological transformation of bone by the combined action of osteoclasts and
osteoblasts.
9. Repair: The restoration of damaged or diseased tissue through growth of new cells.
2. Resistance: The capacity of the body, through innate or acquired immunity, to combat pathogenetic forces.
1. Retraction: To withdraw.
1. Rheumatology: The study of diseases involving joints, tendons, muscles, ligaments and associated structures.
9. Rigor mortis: Chemical changes in muscles after death causing the limbs of a corpse to stiffen.
2. Sagittal plane: A dorsoventral plane extending down the long axis of the body dividing it into right and left halves.
4. Schindylesis: A synarthrosis in which a crest of one bone fits into a groove in another.
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2. Sciatic: Pertaining to the hip/sciatic nerve or vein.
9. Secondary: A pathological change in the body that is the sequel to, and due to, an initial disease process in
another anatomical area or physiological system.
2. Secretion: The production of a biological active fluid by a specific gland, and its discharge into the vascular
system or into a lumen of a viscus.
2. Segmentation: The process of formation or division of a tissue or structure into distinct morphological units.
8. Sensory nerve: Peripheral nerve fibres transmitting impulses from sensory receptors to the central nervous
system.
10. Septicaemia: Widespread infection of bodily tissues due to dissemination of pathogenic organisms in the blood
stream from a primary infective focus.
9. Sequestrum: Dead bone resulting from the process of chronic inflammation in osteomyelitis, remaining within
the internal structure of the bone of which it was part.
2. Serous membrane: A layer of mesothelium and connective tissue that lines certain cavities of the body e.g.
Peritoneum, pleura, pericardium. The membrane consists of two portions: visceral, covering organs, and
parietal, lining the cavity walls.
1. Serrated: Saw-like.
9. Sharp force lesions: Lesions caused by an object with sharp edge or point.
2. Shear: A force caused by an opposite but parallel sliding motion of planes within a bone.
3. Short bones: Bones within the skeleton that have limited movement and which, in association with adjacent
short bones, provide strength and compactness. e.g. carpals and tarsals..
2. Sinus: a) A tract leading from a focus of infection to the skin surface or into a hollow organ,
b) A wide channel containing blood e.g. Intracranial sinuses,
c) An air-filled cavity within a bone e.g. Paranasal sinuses. Cf antrum.
8. Spinal nerves: The 31 pairs of nerves that leave the spinal cord and are distributed to the body. Each has an
anterior (motor) root and a posterior (sensory) root.
9. Spiral fracture: Relates to a fracture of a long bone that is both longitudinal and circumferential.
10. Stillbirth: A dead foetus born after the twenty-fourth week of gestation.
1. Stimulus: An agent or phenomenon that provokes a response or activity in tissues and cells.
1. Stria: A band of tissue that differs in elevation, texture, or colour from adjacent tissue.
5. Striated muscle: Muscles that are under voluntary nervous system control.
9. Striation: Parallel linear grooving of bone surface usually by remodelling of the cortical bone in a pathological
process.
9. Subluxation: A partial dislocation of a joint, in which there remains some contact between articular surfaces.
2. Superoanterior: Defining the upper and front part of the body, limb or organ.
2. Superolateral: Defining the upper and that part of the body, limb or organ that is away from the midline.
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2. Superomedial: Defining the upper and that part of the body, limb or organ that is towards the midline.
2. Superoposterior: Defining the upper and rear part of the body, limb or organ.
2. Supination: The action of turning the hand to have the palm facing upwards.
10. Symptom: The subjective physical and psychological manifestations of disease that are perceived and presented
by an afflicted individual.
8. Synapse: The junction of two neurons, across which nerve impulses pass.
4. Synarthrosis: An immovable joint in which the participating bones are united by fibrous tissue.
4. Synchondrosis: A slightly movable joint in which the participating bones are united by hyaline cartilage.
4. Syndesmosis: An immovable joint in which the participating bones are united by connective tissue.
10. Syndrome: A combination of symptoms and physical signs that together are indicative of a specific disease.
1. Synergism: Two or more biologically active chemicals or cells that in combination produce effects that are
greater than the sum of the effects of each acting separately.
4. Synovial joint: A freely movable joint surrounded by a fibrous capsule and lined with synovial membrane, with
articular surfaces covered with hyaline cartilage. Cf. Diarthrosis
2. Synovial sheath: A sac, identical in structure with synovial membrane, which surrounds specific tendons.
4. Synovium/synovial membrane: The membrane lining the capsule of a movable joint, which secretes a lubricating
synovial fluid.
2. Table: One of the two layers of compact bone that make up the internal and external walls of the cranium.
5. Tendon: The inelastic, but flexible, cord consisting of parallel bundles of collagen fibres that attach muscles to
bone.
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1. Tensile force: Cf. tension.
1. Tension: A force applied to a tissue or organ that may cause it to stretch or rupture. Cf. tensile force.
9. Thrombosis: The intravascular in vivo coagulation of blood to form a solid mass (thrombus).
9. Torus: Bony projections from the midline of the palate, internal surface of the mandible, external auditory canal.
10. Toxin: A substance having harmful effects, produced by a living organism, usually bacterium, and capable of
causing signs and symptoms of varying severity.
3. Trabecular bone: Marrow-filled and vascular tissue containing filaments of bone (trabeculae), having a lattice-like
network of bony pillars within the medullary cavity. Cf. spongy bone, cancellous bone.
1. Translucent: Permitting light to pass through but diffusing it, thus interfering with the clear visibility of objects
behind.
9. Trauma: Injury.
10. Trephination: The surgical cutting of a hole in the skull using a saw or drill (trephine).
10. Vaccine: A microbial preparation of killed or modified microorganisms that can stimulate an immune response
within the body.
9. Valgus: A deformity of a limb in which the distal element is deviated away from the midline of the body.
9. Varus: A deformity of a limb in which the distal element is deviated towards the midline of the body.
6. Venule: A minute blood vessel draining blood from capillaries. Many venules unite to form a vein.
3. Volkmann canals: Radially running channels between Haversian canals in lamellar bone.
12. Weathered: A change in bone brought about by post-mortem exposure to the atmosphere.
2. White blood cells: Nucleated cellular components of blood that are involved in immune and inflammatory
responses.
3. Woven bone: Immature newly formed bone characterised by a disorganised porous lattice-like arrangement of
collagen fibres and cells with no specific orientation.
3. Yellow bone marrow: Bone marrow in which the stroma of the reticular network are primarily filled with fat.
1. Zooarchaeology: The study of faunal (excluding human) remains from archaeological sites.
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PART 2
1. GENERAL TERMS.
Torsion Undulating
Translucent Union
40
2. SYSTEMIC AND FUNCTIONAL ANATOMY AND PHYSIOLOGY
Posterior Somatic
Posterolateral Splanchnic
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Artery Vascular
45
Lymph node
9. PATHOLOGICAL (Continued)
9. PATHOLOGICAL (Continued)
Pyogenesis Splinter
Pyogenic Stenosis
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10. CLINICAL
Puerperium Syndrome
Quadriplegia Toxaemia
11. RADIOLOGICAL
Radiodensity Radiopaque
Radiolucent
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12. TAPHONOMIC
Abrasion Wear
Adipocere Weathered
Bleach Worn
Bore
Butchering
Charred
Chewed
Corroded
Cracked
Cremation
Decay
Decomposition
Desiccate
Diagenesis
Discoloured
Embalm
Encrust
Etch
Excoriation
Flake
Fossilized
Gnaw
Mummification
Polished
Putrefaction
Scored
Scraped
Scratch
Stain
Warp