{"id":4256,"date":"2019-12-07T22:18:51","date_gmt":"2019-12-07T19:18:51","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=4256"},"modified":"2020-06-06T14:51:29","modified_gmt":"2020-06-06T11:51:29","slug":"servikal-vertebrae-anatomisinin-anatomi-atlaslarinda-islenme-farkliliklari-karsilastirmali-degerlendirme","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/servikal-vertebrae-anatomisinin-anatomi-atlaslarinda-islenme-farkliliklari-karsilastirmali-degerlendirme\/","title":{"rendered":"Servikal Vertebrae Anatomisinin Anatomi Atlaslar\u0131nda \u0130\u015flenme Farkl\u0131l\u0131klar\u0131: Kar\u015f\u0131la\u015ft\u0131rmal\u0131 De\u011ferlendirme"},"content":{"rendered":"\n<p>T\u0131p Fak\u00fcltesinde anatomi derslerinin ba\u015flamas\u0131yla hayat\u0131m\u0131za giren, arkada\u015f ortamlar\u0131nda ve forum sayfalar\u0131nda saatlerce tart\u0131\u015f\u0131lan, zor bir sorudan bahsedece\u011fiz bug\u00fcn sizlere.<\/p>\n\n\n\n<p><strong>Hangi anatomi atlas\u0131 daha iyi?<\/strong><\/p>\n\n\n\n<p>Muhtemelen bu yaz\u0131y\u0131 okuyan \u00e7o\u011fu ki\u015finin kulaktan duyma bilgilere dayansa da bir cevab\u0131 vard\u0131r. \u0130lgin\u00e7 olan \u015fu ki t\u00fcm t\u0131p fak\u00fcltesi \u00f6\u011frencilerinin akl\u0131n\u0131 kurcalayan bu soruya cevap bulmak i\u00e7in daha \u00f6nce hi\u00e7 ara\u015ft\u0131rma yap\u0131lmam\u0131\u015f. Biz de, &#8220;Bu konuda \u00e7al\u0131\u015fma yapmak, t\u0131p fak\u00fcltesi \u00f6\u011frencilerine d\u00fc\u015fer.&#8221; diyerek bir ba\u015flang\u0131\u00e7 yapt\u0131k ve Sobotta, Netter ve Prometheus anatomi atlaslar\u0131n\u0131n servikal vertebralar konusunu i\u015fleyi\u015f \u015fekillerini ve i\u00e7erik farkl\u0131l\u0131klar\u0131n\u0131 saptad\u0131\u011f\u0131m\u0131z bir \u00e7al\u0131\u015fma ger\u00e7ekle\u015ftirdik.<\/p>\n\n\n\n<table class=\"wp-block-table is-style-stripes\"><tbody><tr><td>Netter&nbsp;<\/td><td>Prometheus<\/td><td>Sobotta<\/td><\/tr><tr><td>Omurga\n  genel g\u00f6r\u00fcn\u00fcm&nbsp;<\/td><td>Yok<\/td><td>Var<\/td><td>Var<\/td><\/tr><tr><td>Genel Vertebra yap\u0131s\u0131ndan\n  bahsetme<\/td><td>Yok<\/td><td>Var<\/td><td>Yok<\/td><\/tr><tr><td>\u0130ncelenen\n  Vertebralar<\/td><td>C1,C2,C3,C4,C7<\/td><td>C1,C2,C4,C7<\/td><td>C1,C2,C5,C7<\/td><\/tr><tr><td>Vertebralar\u0131n incelenen eksen\n  say\u0131s\u0131<\/td><td>C1=3,C2=2,C3=1,C4=2,C7=2<\/td><td>C1=3,C2=3,C4=3,C73<\/td><td>C1=3,C2=3,C5=1,C7=1<\/td><\/tr><tr><td>Renk\n  kullan\u0131m\u0131<\/td><td>Tek renk<\/td><td>Tek renk<\/td><td>\u00c7ift renk<\/td><\/tr><tr><td>Baz\u0131 \u00f6nemli yap\u0131lar\u0131n koyu yaz\u0131\n  ile belirtilmesi<\/td><td>Yok<\/td><td>Yok<\/td><td>Var*<\/td><\/tr><\/tbody><\/table>\n\n\n\n<p>\u00c7Prometheus, Sobotta ve Netter anatomi atlaslar\u0131n\u0131n servikal omurga yap\u0131s\u0131n\u0131 i\u015fleyi\u015fi hakk\u0131ndaki genel farkl\u0131l\u0131klara gelin hep birlikte bakal\u0131m.<\/p>\n\n\n\n<p>Bir atlasta servikal vertebralar ayr\u0131 ayr\u0131 ele al\u0131nmadan \u00f6nce genel omurga g\u00f6r\u00fcn\u00fcm\u00fcnden bahsedilmesi konuyu daha iyi kavramam\u0131z\u0131 sa\u011flayabilir. Sobotta ve Netter&#8217;de bu durumu g\u00f6z \u00f6n\u00fcne alm\u0131\u015f olacak ki iki atlasta da genel g\u00f6r\u00fcn\u00fcmden bahsedildi\u011fini g\u00f6r\u00fcyoruz.<\/p>\n\n\n\n<p>Vertebralar\u0131 inceleme \u015fekillerine bakt\u0131\u011f\u0131m\u0131zda Prometheus&#8217;un C1,C2,C3,C4,C7 vertebralar\u0131n\u0131; Sobotta&#8217;n\u0131n C1,C2,C4,C7 vertebralar\u0131n\u0131 ve Netter&#8217;in C1,C2,C5,C7 vertebralar\u0131n\u0131 inceledi\u011fini g\u00f6r\u00fcyoruz. Bu vertebralar\u0131n incelenen eksen say\u0131s\u0131 ise; Prometheus&#8217;da C1=3,C2=2,C3=1,C4=2,C7=2, Sobotta&#8217;da C1=3,C2=3,C4=3,C7=3, Netter&#8217;de  <br>C1=3,C2=3,C5=1,C7=1 \u015feklinde tespit edilmi\u015ftir.<\/p>\n\n\n\n<p>Biraz da atlaslara \u00f6zel durumlardan bahsedelim. Prometheus&#8217;da incelenen vertebralar\u0131n farkl\u0131 eksenlerden g\u00f6r\u00fcnt\u00fcs\u00fc sayfalara ak\u0131lda daha kolay canlanmas\u0131 i\u00e7in art arda s\u0131ralanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p>Buna ek olarak sadece Sobotta&#8217;ya da \u00f6zel olan bir durum var. Sobotta&#8217;da a\u015fa\u011f\u0131daki tabloda yer alan yap\u0131lar koyu renk punto ile yaz\u0131lm\u0131\u015f. Bu durumun \u00f6\u011frencinin dikkatini \u00f6nemli yap\u0131lara \u00e7ekme a\u00e7\u0131s\u0131ndan faydas\u0131 oldu\u011funu s\u00f6yleyebiliriz. <\/p>\n\n\n\n<table class=\"wp-block-table is-style-regular\"><tbody><tr><td>Arcus anterior atlantis<\/td><td>Dens Axis<\/td><\/tr><tr><td>Sulcus\n  Arteria vertebralis<\/td><td>Fovea Dentis<\/td><\/tr><tr><td>Arcus posterior atlantis<\/td><td>Proc. Articularis superior<\/td><\/tr><tr><td>Corpus\n  vertebra<\/td><td>Proc. Transversus<\/td><\/tr><tr><td>Facies articularis anterior<\/td><td>Facies articularis posterior<\/td><\/tr><tr><td>Arcus\n  vertebra<\/td><td>Foramen Vertebra&nbsp;<\/td><\/tr><tr><td>Proc. Spinosus<\/td><td>Sulcus nervi spinalis<\/td><\/tr><tr><td>Uncus\n  corparis<\/td><td>Foramen transversarium<\/td><\/tr><tr><td>Foramen transversarium<\/td><td>Tuberculum anterius-posterius<\/td><\/tr><\/tbody><\/table>\n\n\n\n<p> <\/p>\n\n\n\n<p>Ger\u00e7ekle\u015ftirdi\u011fimiz \u00e7al\u0131\u015fmada servikal vertebralara ait 31 yap\u0131n\u0131n hangi atlasta ka\u00e7 tane bulundu\u011fu ve ne \u015fekilde ifade edildi\u011fi, ikinci isimlere ne kadar yer verildi\u011fi gibi durumlar\u0131 tek tek inceleyerek \u00e7e\u015fitli tablolar olu\u015fturduk. Birka\u00e7 g\u00fcn i\u00e7erisinde kaynak\u00e7a b\u00f6l\u00fcm\u00fcne ekleyece\u011fim dosyadan \u00e7al\u0131\u015fman\u0131n tamam\u0131na ula\u015fabileceksiniz ama \u015fimdilik sizleri de \u00e7ok yormadan dikkat \u00e7ekici birka\u00e7 bulgudan bahsetmekle yetinece\u011fim.<\/p>\n\n\n\n<p>(\u00c7al\u0131\u015fmam\u0131z\u0131 olu\u015ftururken Atlaslar\u0131n servikal vertebra konusunu i\u015fledikleri<strong> sayfa aral\u0131klar\u0131<\/strong> incelenmi\u015ftir. Tabloda yer alan bilgiler bu b\u00f6l\u00fcmleri kapsamaktad\u0131r.)<\/p>\n\n\n\n<ul><li><strong>B\u00fct\u00fcn Atlaslarda E\u015fit say\u0131da bulunan yap\u0131lar;<\/strong><\/li><li>Arcus Anterior Atlantis<\/li><\/ul>\n\n\n\n<p>Ve evet <strong>sadece<\/strong> <strong>1 yap\u0131ya b\u00fct\u00fcn atlaslarda e\u015fit say\u0131da rastl\u0131yoruz<\/strong>.  Yani \u00f6\u011frencilik hayat\u0131m\u0131z boyunca her \u015feyi ile ezberledi\u011fimiz belki do\u011frulu\u011fundan hi\u00e7 \u015f\u00fcphe duymad\u0131\u011f\u0131m\u0131z, k\u00fct\u00fcphanelerimizin en de\u011ferli kitaplar\u0131 olan anatomi atlaslar\u0131m\u0131z\u0131n aras\u0131nda bu denli farkl\u0131l\u0131klar ve \u00e7e\u015fitlilik bulunuyor.<\/p>\n\n\n\n<ul><li><strong>Sadece 1 atlasta bulunan yap\u0131lar<\/strong><\/li><li>Foramen \u0130ntervertebrale yap\u0131s\u0131na sadece Netter\u2019de yer verilmi\u015ftir.<\/li><li>\u0130ncisura Vertebralis Superior yap\u0131s\u0131na sadece Prometheus\u2019da yer verilmi\u015ftir.<\/li><li>Tuberculum Caroticum yap\u0131s\u0131na sadece Netter\u2019de yer verilmi\u015ftir.<\/li><li>Apex Dentis yap\u0131s\u0131na sadece Sobotta\u2019da yer verilmi\u015ftir. <\/li><\/ul>\n\n\n\n<p>Buradaki yap\u0131lara, incelenen atlaslar\u0131n sadece birinde yer verilmi\u015ftir. ( Yer verilme durumu inceledi\u011fimiz sayfa aral\u0131klar\u0131n\u0131 (Servikal vertebra konusu) kapsamaktad\u0131r.)<\/p>\n\n\n\n<ul><li><strong>\u00dc\u00e7 Atlasta\u00a0 farkl\u0131 say\u0131larda yer verilen (hepsinde bulunan) yap\u0131lar. <\/strong><\/li><li>Corpus Vertebra<\/li><li>Processus Spinosus<\/li><li>Processus Transversus<\/li><li>Processus Articularis Superior; Zygapophysis Superior<\/li><li>Facies Articularis Superior<\/li><li>Facies articularis \u0130nferior<\/li><li>Uncus Corporis; Processus Uncinatus<\/li><li>Foramen Transversarium<\/li><li>Tuberculum Anterius<\/li><li>Tuberculum Posterius<\/li><li>Dens Axis<\/li><li>Facies Articularis Anterior<\/li><\/ul>\n\n\n\n<p>Burada listelenen yap\u0131lar her atlasta bulunmas\u0131na ra\u011fmen  de\u011finilme miktar\u0131 ve bahsedildi\u011fi yerler farkl\u0131l\u0131k g\u00f6stermektedir.<\/p>\n\n\n\n<ul><li><strong>Hi\u00e7bir Atlasta Bahsedilmeyenler<\/strong><\/li><li>Facies \u0130ntervertebralis<\/li><li>Epiphysis Anularis<\/li><li>\u0130ncisura Vertebralis \u0130nferior<\/li><li>Canalis Vertebralis<\/li><li><\/li><\/ul>\n\n\n\n<p>Kaynak\u00e7a olarak kulland\u0131\u011f\u0131m\u0131z ve tablolar\u0131n olu\u015fturulmas\u0131nda yararland\u0131\u011f\u0131m\u0131z <strong>Feneis&#8217;in Sistematik Resimli Anatomi S\u00f6zl\u00fc\u011f\u00fc<\/strong>nde yer almas\u0131na ra\u011fmen hi\u00e7bir atlasta de\u011finilmemi\u015f olan yap\u0131lar yukar\u0131da s\u0131ralanm\u0131\u015ft\u0131r. <\/p>\n\n\n\n<ul><li><strong>Sadece 1 atlas\u0131n yer vermedi\u011fi yap\u0131lar<\/strong><\/li><li>Arcus Vertebrae yap\u0131s\u0131na sadece Netter\u2019de yer verilmemi\u015ftir.<\/li><li>Lamina Arcus Vertebra yap\u0131s\u0131na sadece Netter\u2019de yer verilmemi\u015ftir.<\/li><li>Fovea Dentis yap\u0131s\u0131na sadece Netter\u2019de yer verilmemi\u015ftir.<\/li><\/ul>\n\n\n\n<p>&#8220;Hangi anatomi atlas\u0131 daha iyi?&#8221; sorusuna cevap bulabilmek i\u00e7in yap\u0131lmas\u0131 gereken \u015fey bu \u00e7al\u0131\u015fman\u0131n t\u00fcm konulara uygulanmas\u0131 olurdu. Belki yo\u011fun u\u011fra\u015flar sonucu yap\u0131labilir ama yine de hangisinin \u00f6\u011frenci i\u00e7in en iyi oldu\u011funa karar verebilmemizi sa\u011flayacak net \u00e7izgiler \u00e7izebilece\u011fini pek sanm\u0131yorum. <\/p>\n\n\n\n<p>Teorik e\u011fitimimiz s\u00fcresince \u00e7o\u011fumuzun \u00e7\u0131lg\u0131nca ezberledi\u011fi, en k\u0131ymetlimiz muamelesi yapt\u0131\u011f\u0131 atlaslar\u0131m\u0131z\u0131n bar\u0131nd\u0131rd\u0131\u011f\u0131 farkl\u0131l\u0131klar, her bir detay\u0131 e\u015fsiz insan anatomisini<strong> tek kitaba indirgenemeyece\u011finin<\/strong> en iyi kan\u0131tlar\u0131ndan olsa gerek.<\/p>\n\n\n\n<p> Bu durum<strong> t\u0131bb\u0131n, insan anatomisinin \u00e7e\u015fitlili\u011fini ve benzersizli\u011fini <\/strong>bizlere tekrar hat\u0131rlatarak t\u0131p e\u011fitimi s\u00fcrecinde pratik odakl\u0131 \u00f6\u011frenmenin \u00f6neminin de alt\u0131n\u0131 \u00e7iziyor.<\/p>\n\n\n\n<p><strong>KAYNAK\u00c7A<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u0131p Fak\u00fcltesinde anatomi derslerinin ba\u015flamas\u0131yla hayat\u0131m\u0131za giren, arkada\u015f ortamlar\u0131nda ve forum sayfalar\u0131nda saatlerce tart\u0131\u015f\u0131lan, zor bir sorudan bahsedece\u011fiz bug\u00fcn sizlere.<\/p>\n","protected":false},"author":197,"featured_media":4286,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[567,568,569,570],"acf":[],"views":2134,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/4256"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/197"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=4256"}],"version-history":[{"count":18,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/4256\/revisions"}],"predecessor-version":[{"id":5866,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/4256\/revisions\/5866"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/4286"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=4256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=4256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=4256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}