The Secret Life Of Fascia

28/03/2026

“Superior shoulder suspensory complex. (a) Anteroposterior view of the bone–soft tissue ring and superior and inferior bone struts. (b) Lateral view of the bone–soft tissue ring. Injuries are classified according to single or double disruptions involving bones, ligaments and/or struts.”

- Professor M. A. Imam

Image: Authors

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26/03/2026

Chest X-Ray Anatomy / MEDIASTINAL ANATOMY: Analysis & Art by The Radiologist.

“Fused with images from a coronal CT showing anatomy of the heart, great vessels and ribs: UPDATED VERSION
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📝TAKE NOTE OF...⁣
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📝The left and brachiocephalic veins feed into the superior vena cava which runs into the right atrium - see the inferior cava heading from the right atrium into the liver ⁣
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📝The three branches of the aortic arch can be seen - the brachiocephalic trunk (which divides into the right common carotid artery and right subclavian artery), left common carotid artery and left subclavian artery. Variations in anatomy occur at the aortic arch for example a ‘bovine arch’ where the brachiocephalic trunk and left common carotid artery share a common origin.⁣
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📝The pulmonary trunk arises from the right ventricle (the most anterior cardiac chamber) and divides into the right and left main pulmonary arteries. The right pulmonary artery divides into the truncus anterior which supplies the right upper lobe and the interlobar artery which supplies the right middle lobe and lower lobe. The left main pulmonary artery is smaller and divides into the upper lobe branch and the interlobar artery which supplies the lingula and left lower lobe.⁣
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📝Note the shape of the left atrial appendage which helps shape the left sided cardiomediastinal contour along with the left ventricle, pulmonary trunk and aortic arch. The AP window is an important review area between the aortic arch and pulmonary trunk and should have a concave appearance - if this is lost consider a lymph node or mass.⁣
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📝The left atrium is seen posteriorly but the pulmonary veins which arise from this and lead to the hilum are not depicted here⁣.”

- The Radiologist

Image & Art: The Radiologist



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23/03/2026

Soccer Medicine Updates and New Innovations: “… showcasing best practices in athlete injury prevention and recovery,”

- Alan Evans

The program will include former and current soccer players and is designed for professional and lay audiences. Programming will explore evidence-based approaches to injury prevention, performance optimization and care for athletes of all levels from youth to adaptive and elite players.

Hosted by Cedars-Sinai and Select Medical, the conference is scheduled for Friday, May 22, 2026, at Dignity Health Sports Park in Carson, California.

Image by Getty

21/03/2026

Lumbar Segment Anatomy: Nerves & Stabilizers Decoded. Analysis by knowledge3dart

“This image highlights a lumbar motion segment, showing how spinal nerves (yellow) interact with deep stabilizing muscles (red) and surrounding bony structures. Each numbered structure represents a key component in movement, stability, and pain generation.

1–6: Lumbar Nerve Pathway (Yellow Structures)
These numbers represent the spinal nerve and its branches as they exit the intervertebral foramen.
The nerve root emerges from the spinal cord, forming the spinal nerve (1–2), which quickly divides into:
– Dorsal ramus (3–4) supplying deep back muscles and skin
– Ventral ramus (5–6) supplying the lower limb and anterior body

This region is highly sensitive because even slight compression (disc bulge, facet hypertrophy) can lead to radiating pain or tingling along the nerve distribution.

7: Multifidus Muscle
A key deep stabilizer of the spine, attaching segment-to-segment.
It provides fine control and prevents shear forces, especially during movement. Weakness here is strongly linked to chronic low back pain.

8–10: Facet Joint Region & Capsule
These structures form the posterior stabilizing system of the spine.
Facet joints guide motion and limit excessive rotation/extension.
Capsular irritation here can cause localized back pain and stiffness.

11: Lamina / Vertebral Arch Region
Part of the posterior bony ring, protecting the spinal cord and providing attachment for stabilizing muscles and ligaments.

⚙️ Biomechanical Insight

The lumbar spine is not just about discs—it is a neuro-muscular stability system.
The multifidus (7) stabilizes each segment, while the facet joints (8–10) guide motion, and the nerves (1–6) transmit signals.

When stability is lost (especially multifidus inhibition), even small loads can irritate nearby nerves → leading to pain.

👉 Spinal health = stability (muscles) + control (joints) + freedom (nerves)”

Image: Authors

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18/03/2026

The Body Keeps The Score: “In the past, “trauma” implied experiencing a psychological extreme that was the exception, rather than the norm. Psychiatrist and neuroscientist Bessel van der Kolk admits that he and his colleagues contributed to this misperception of trauma when, in the 1970s, they defined PTSD while working with Vietnam vets. Today, he says, they know trauma is sadly not unusual.

In this video lesson, van der Kolk explores the commonality of trauma and its effects. He discusses why trauma doesn’t mean there is something wrong that needs to be fixed — it means experiences and behaviors need to be understood.”

- Big Think

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Bessel van der Kolk explains that trauma, once seen as an exception, is now recognized as common, emphasizing the importance of understanding experiences and behaviors rather than viewing trauma as something that needs to be fixed.

17/03/2026

The Human Organ Atlas: “Human organs are intricate three-dimensional (3D) structures. Their hierarchical organization, from the extracellular matrix to cells to functional units to tissues to organs, underpins functional properties, allowing both coordination and specialization. Mapping the 3D morphology and spatial distribution of biological structures at these multiple scales can provide substantial healthcare and biological impacts including bounding what constitutes healthy and pathological variability of structures, linking between morphology and transcriptome, and providing data to explicitly simulate function from structure.”

- Claire L. Walsh et al. , The Human Organ Atlas. Sci. Adv. 12, eadz2240 (2026). DOI: 10.1126/sciadv.adz2240

Fig. 1. Overview of the HOA.
Reproduced under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/)]; and mapping of texture features such as white matter orientation in the brain.

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13/03/2026

The Suboccipital Triangle: Analysis by knowledge3dart

“The triangle is formed by three muscles: Re**us Capitis Posterior Major, Obliquus Capitis Superior, and Obliquus Capitis Inferior. These muscles lie beneath larger superficial muscles such as the splenius capitis and semispinalis capitis, which are often reflected or cut in anatomical illustrations to reveal the deeper structures.

Biomechanically, the suboccipital muscles control fine movements of the atlanto-occipital and atlanto-axial joints, which connect the skull to the first two cervical vertebrae (C1 – Atlas and C2 – Axis). These joints allow essential motions such as head extension, rotation, and subtle postural adjustments.

The Re**us Capitis Posterior Major primarily assists in extension and rotation of the head toward the same side. The Obliquus Capitis Superior contributes to head extension and lateral flexion, helping stabilize the skull on the atlas. Meanwhile, the Obliquus Capitis Inferior acts mainly to rotate the atlas around the axis, enabling precise head rotation.

One of the most fascinating biomechanical roles of these muscles is their proprioceptive function. The suboccipital muscles contain a high density of muscle spindles, which provide the brain with constant feedback about head position and movement. This sensory information helps coordinate eye movement, balance, and postural alignment.

These muscles are also closely associated with the vertebral artery and the suboccipital nerve, which pass through the suboccipital triangle. Because of this anatomical relationship, dysfunction or tightness in this region may contribute to cervicogenic headaches, neck stiffness, and postural strain, particularly in individuals with prolonged forward head posture.

From a biomechanical perspective, the suboccipital region acts as a fine-tuning system for head and neck control. While larger cervical muscles generate powerful movements, these smaller muscles provide precision, stability, and neuromuscular coordination.”

Image: Authors

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12/03/2026

Patellar Biomechanics: “The patella serves as a lever between the quadriceps tendon (M1) and the patellar tendon (M2), with the femoral condyles acting as the fulcrum. This setup increases the moment arm of the extensor mechanism, enhancing efficiency and generating the patellofemoral joint reaction force (PFJRF).”

- Professor M. A. Imam

(Adapted from Dejour and Saggin, 2018)

Image: Authors

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09/03/2026

Women’s Health: “The science of women’s health is at a crossroads. For decades, it has been limited by an underrepresentation of women in clinical trials and research, resulting in diagnostic blind spots, treatment gaps, and inequities in health outcomes. However, a growing wave of research is addressing these disparities. This work not only advances knowledge of the unique biological and social dimensions of women’s health but also facilitates broad discoveries in biology and innovations in human medicine.⁠
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A special issue of last year highlighted some of the most exciting areas of discovery in women’s health science. The group of articles also explored psychological, systemic, and policy issues that shape women’s well-being. ⁠
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Advancing women’s health is integral to advancing science itself. By prioritizing women’s unique physiological and psychological experiences, the frontiers of knowledge are expanded in ways that benefit everyone.⁠”

- Science

Credit: Susanna Gentili/agoodson.com

Science Advances

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05/03/2026

Dynamic MRI of Fluid and Solute Transportation across the Arachnoid Barrier in the Human Meninges

“Figure 1: Study overview. (A) Diagram of the meninges, which consist of three layers: the outer layer (dura mater), the middle layer (arachnoid mater), and the inner layer (pia mater). The dura mater surrounding the brain can be further divided into two sublayers: the periosteal dura mater and the meningeal dura mater. The subarachnoid space (SAS) in the arachnoid mater is filled with cerebrospinal fluid (CSF) and is separated from the dura mater by the arachnoid barrier. Blood vessels in the dura mater lack tight junctions and are permeable to blood-borne solutes (yellow circles). These solutes may enter the dura, circumvent the arachnoid barrier through openings near the sagittal sinus (red box) and the recently characterized arachnoid cuff exit (ACE) points around bridging veins (green box), and gain access to the CSF in the SAS and subsequently the brain parenchyma. The pial membrane separates the arachnoid mater and the pia mater. Scattered stomata (microscopic intercellular openings) are found on the pial membrane, which make it permeable to most solutes in the SAS. The subpial space inside the pial membrane is continuous with the perivascular space around penetrating arterioles in the parenchyma. Blood vessels in the pia mater also have tight junctions. Therefore, fluid and solute transportation processes across the arachnoid barrier can have essential effects on waste clearance and immune surveillance, and impairment of these processes is associated with multiple brain diseases.”

- Yinghao Li, PhD, et al.

Image: Authors

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28/02/2026

Influence of Rolfing Structural Integration on Lower Limb Mobility, Respiratory Thorax Mobility, and Trunk Symmetry: A Retrospective Cohort Study:

“Of particular interest is the observed increase in thoracic expansion during maximalinspiration. This may indicate both local improvements in the pliability of intercostaland costovertebral structures, and broader changes in postural tone and rib mobility.”

- Robert Schleip, Helen James, Katja Bartsch, Eric Jacobsen, David Lesondak, Marilyn E. Miller and Andreas Brandl

Image: Authors

Journal of Clinical Medicine

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