Fun Fact: External Rotation

Anatomy def: External rotation is the act of rotating outwardly.

Outlander Def: Both shoulders pulled backward, Geilles languidly gazes to the left.… “Do ye favor my splendid finger painting, wee laddie? Och! Noooo! She scares the bejesus out of Young Ian.

Learn about external rotation in Anatomy Lesson #19, To Arms, Too Arms, Two Arms! 

Moving shoulder joints towards the spine (as in standing at attention) with palms facing forward and thumbs pointing outward is external rotation. (Moving shoulder joints toward the chest with palms facing backward and thumbs pointing toward the thighs is internal rotation.)

Try this: Stand before a mirror with arms at the sides. To execute external rotation of the shoulder joint: Turn palms forward with thumbs pointing outward.

Geillis’ shoulder joints are externally rotated even with hands on her hips, but they will rotate even further with arms at her sides and palms forward.

Wee Fun Fact: Our shoulder joints are the most moveable joints of the human body.

Read about Geillis seduction of Ian in Voyager book, wherein Ian describes her foul behavior in detail. This excerpt is suitable for work – other parts are not. Read the books! <G>

““I didna want to answer her, but I couldna seem to help myself. I felt verra warm, like I was fevered, and I couldna seem to move easy. But I answered all her questions, and her just sitting there, pleasant as might be, watching me close wi’ those big green eyes.’

…“She laughed then, and looked at me careful, and said as how I might not be such a loss, after all. If I was no good for what she had in mind, perhaps I might have other uses.’ ”

See The Witch’s bad behavior in Starz ep 312, The Bakra. Tsk. Tsk. No verra dignified, Mrs. Abernathy!

The deeply grateful,

Outlander Anatomist

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Photo Credit: Sony/Starz

Fun Fact: Carpal Bone

Anatomy def: Carpals are eight small bones forming the wrist.

Outlander def: Rocking aboard the Artemis, Claire checks her soaring temperature with the back of wrist. Oh, the lass is on fire! … psst … so is Jamie! He, he!

Learn about carpal bones in Anatomy Lesson #22 Jamie’s Hand – Symbol of Sacrifice. If time is short for a full lesson, consider watching my quickie hand lesson, courtesy of Outlander After the Show. This lesson streamed June 1, 2015, just after the airing of ep 116, Wentworth Prison. The  lesson begins at 16:42 in the following video. Thanks to hosts Keetin, Jen and Ryan for inviting me to discuss the hand’s splendid engineering!

Eight oddly-shaped carpal bones are arranged in two rows to form the wrist. The near row abuts forearm bones and the far row articulates with metacarpal bones. Carpal bones are named for their shapes:

  • scaphoid (boat)
  • lunate (crescent-shaped)
  • triquetrum (three-cornered)
  • pisiform (pea)
  • trapezium (table)
  • trapezoid (quadrilateral)
  • capitate (head-shaped)
  • hamate (hook-shaped)

Carpal bones are arranged in a shallow arch traversed by 9 tendons and a nerve. Small repetitive movements or fluid retention can create pressure on the nerve (median) as it passes through the arch causing tingling and numbness, symptoms associated with carpal tunnel syndrome.

Read about  carpal bones in Outlander book, wherein Claire amuses herself by likening streets and lanes of Cranesmuir to bones of forearm and hand. That Claire – always the doc.  That Diana – always the scientist. We love them!

In fact, I had amused myself on the ride to the smithy by imagining an aerial view of the village as a representation of a skeletal forearm and hand; the High Street was the radius, along which lay the shops and businesses and the residences of the more well-to-do. St. Margaret’s Lane was the ulna, a narrower street running parallel with the High, tenanted by smithy, tannery, and the less genteel artisans and businesses. The village square (which, like all village squares I had ever seen, was not square at all, but roughly oblong) formed the carpals and metacarpals of the hand, while the several lanes of cottages made up the phalangeal joints of the fingers.

See Claire’s wrist in action as she self-diagnoses in Starz Episode 311, Uncharted! Continue watching the episode to see what Jamie does to douse her fever. Wink, wink!

The deeply grateful,

Outlander Anatomist

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Photo credit: Sony/Starz

Fun Fact: Linea Semilunaris

Anatomy Def: Lineae semilunares (pl.) are a pair of curved tendinous lines of the anterior abdominal wall; one on the left and one on the right, each traces the outer margin of its respective rectus abdominis muscle. 

Outlander Def: Jamie’s right belly line is taut, taut, taut as he gazes upon his beloved (red arrows in image) – it’s been a verra looooong time since I’ve seen ye, Sassenach!!! <G>

Learn about linea semilunaris in Anatomy Lesson 16, Jamie’s Belly or Scottish Six-Pack!

Linea semilunaris is a line where flat tendons of three abdominal muscles (external oblique, internal oblique and transversus abdominis) of one side meet the tendinous sheath enveloping the rectus abdominis muscle of the same side. Wow, what a mouth full!  Understand these lines are strong and fibrous.

Also, lineae semilunares are curve. Why? Because each line runs from 9th rib to pubic tubercle (attachment site). Because our 9th ribs are further apart and our pubic tubercles are closer together, each line assumes a curved shape, hence the name meaning “curved or half-moon.” Early anatomists were very poetic folk!

Although we all have a pair of linea semilunaris, the skin grooves overlying these lines are generally visible only in the fit and lean.  Jamie meets this criteria, and voilà, we see the excellent skin groove overlying his right linea semilunaris! He has a left one, too. Got it? Super-duper!

Fun Fact: Linea semilunaris has yet a third name, the spigelian line. Why? Well,  a hernia may develop among the fibrous layers of linea semilunaris and since this hernia was first described in the 1600s by Brussels anatomist- surgeon Adriaan van den Spiegel, the award goes to Spiegel!

Fortunately, spegelian hernias are small and rare, but also dangerous. If bowel works its way between the tight , fibrous layers of linea semilunaris, it may strangulate (lose its blood supply), creating a medical emergency! Interestingly, for unknown reasons, most spigelian hernias occur on the right side between the 4th and 7th decades of life. Yikes!

Read about Jamie’s belly in Voyager book. After 20 years apart, he and Claire hole up in an Edinburgh brothel.  Herself shares Claire’s astute assessment of her beloved:

We fell quiet again, but could not take our eyes away from each other. I looked him over carefully in the strengthening light, comparing memory to reality. A narrow blade of early sun knifed through the shutters’ crack, lighting a lock of hair like polished bronze, gilding the curve of his shoulder, the smooth flat slope of his belly. He seemed slightly larger than I had remembered, and one hell of a lot more immediate.

There was a momentary pause, and then I said, “Do you mean to tell me what you are, or shall I go on running down the disreputable possibilities until I come close?” “Oh, aye?” he said, entertained by this suggestion. “What’s your best guess?” I looked him over carefully. He lay at ease amid the tumbled sheets, one arm behind his head, grinning at me. “Well, I’d bet my shift you’re not a printer,” I said. The grin widened. “Why not?” I poked him rudely in the ribs. “You’re much too fit. Most men in their forties have begun to go soft round the middle, and you haven’t a spare ounce on you.”

See Jamie’s fit belly in Starz, episode 306, A. Malcolm. Nope, NOT a spare ounce. No the belly of a printer!!!

The deeply grateful,

Outlander Anatomist

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Photo credits: Sony/Starz