2.4 Directional and Movement Terms

Directional terms are essential for describing the locations of different body structures. General terms such as up and down, side-to-side, and front and back would not give a clear understanding of the intended location. For instance, a dog comes in with a wound on its leg. How might the history be taken so that everyone in the clinic could find the exact location. The directional terms that are used in veterinary medicine refer to animals as quadruped; the equivalent for a human standing erect would be biped.


atDove. (2017, January 26). Directional terms in veterinary medicine [Video]. YouTube. https://www.youtube.com/watch?v=nKYmpzmiwzI&t=25s


Directional Terms

Directional terms are used much like referring to a map drawn on the body. Using these terms allows medical personnel to find a specific location on the body .

  • Cranial: Towards the head (cranium)
  • Caudal: Towards the tail
  • Distal: Farther from or away from the body or the source (referring to a limb or extremity)
  • Dorsal: Towards the back
  • Lateral: Farther from the midline or median plane or towards the side of the body
  • Medial: Closer to the midline or median plane or towards the middle
  • Proximal: Nearer or closer to the body or source (referring to a limb or extremity)
  • Palmar: Caudal surface of the forelimb
  • Plantar: Caudal surface of the hindlimb
  • Rostral: Within the head towards the nose or muzzle
  • Ventral: Towards the belly
  • Superficial: Towards the surface of the body
  • Deep: Towards the core of the body or appendage
Dog with directional terms
Figure 2.8. Directional terms
dog with medial and lateral terms
Figure 2.9. Medial and lateral

Key Concept

Directional terms can be remembered in terms of paired opposites:

  1. Dorsal/ventral
  2. Medial/lateral
  3. Cranial/caudal
  4. Superficial/deep
  5. Proximal/distal
  6. Palmar/dorsal
  7. Plantar/dorsal

 

Clarification of Direction

When describing a precise location, clarification of the direction would occur. For example, in surgery, a biopsy could be taken from the superior aspect of the liver, indicating that it was taken from the top or higher portion of the liver.

  • Anterior describes the front or the direction towards the front of the body; for example, a mass found on the anterior portion of the liver.
  • Posterior describes the back or the direction towards the back of the body; for example, a mass found on the posterior portion of the liver.
  • Superior describes a position above or higher than another part of the body; for example, a mass found on the superior portion of the liver.
  • Inferior describes a position below or lower than another part of the body; for example, a mass found on the inferior portion of the liver.

Anatomical Positions

When an animal is in the clinic for examination, they may need to move into different positions to be examined or during procedures and treatments. One example is when an X-ray is required and multiple views have to be obtained.

  • Recumbent: Lying down
  • Ventral recumbency: Lying on the belly
  • Sternal recumbency (also known as prone): Lying on the sternum (breastbone)

Key Concept

Ventral and sternal recumbency may be used interchangeably; for example, when an animal lies down , it is lying on both the belly and sternum.

  • Dorsal recumbency (also known as supine): Lying on the backbone
  • Lateral recumbency: Lying on the side
  • Left lateral recumbency: Lying on the left side
  • Right lateral recumbency: Lying on the right side

Example

As shown in Figure 2.10, a sedated cat is placed in sternal recumbency for a minor procedure.

a cat in sternal recumbency
Figure 2.10. A cat lying on its belly (sternal/ventral recumbency)
 

Clinical Insight

Most general practices are equipped to take radiographs. Radiograph positioning is named according to the direction from which the beam enters the body to the where it exits the body. A common position for patients is lying on their back in dorsal recumbency. This is called ventrodorsal, or (V/D), because the beam enters the body from the ventral aspect and exits on the dorsal aspect. Another common position is right lateral recumbency. As shown in Figure 2, the top image is in right lateral recumbency, and the bottom image is in V/D.

xray of dog in right lateral and VD
Figure 2.11. X-ray of a dog in right lateral and V/D positions

 

 

Movement Terms

Adduction: Movement towards the midline (median plane)

Abduction: Movement away from the midline (median plane)

Flexion: Closure of a joint or reduction of the angle of a joint

Extension: Straightening of a joint or increasing the angle of a joint

 

Photograph of cat stretching
Figure 2.12. A cat showing extension of the forelimbs and flexion of the thoracic spine.

 

Table 2.1. Directional and Movement Terms
WORD PART/COMBINING FORM MEANING  EXAMPLES USED IN VETERINARY MEDICINE 
ab- away abduction
ad- towards adduction
anter/o front anterior
dist/o far distal
dors/o back of body dorsal
flex/o bend flexion
later/o side lateral
medi/o middle medial
poster/o toward the tail posterior

 

Exercises

 

Attribution 

Unless otherwise indicated, material on this page has been adapted from the following resource:

Sturdy, L., & Erickson, S. (2022). The language of medical terminology. Open Education Alberta. https://pressbooks.openeducationalberta.ca/medicalterminology/, licensed under CC BY-NC-SA 4.0

 

Image Credits
(images are listed in order of appearance)

Directional Archie by Kelly Robertson, NorQuest College. Used with permission.

Medial lateral Ozzie by Kelly Robertson, NorQuest College. Used with permission.

Cat sleeping by katya-guseva0, Pixabay licence

X-ray of a dog in right lateral and V/D positions by Kelly Robertson, NorQuest College. Used with permission.

Cat stretch and yawn by jonathansautter, Pixabay licence

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Introduction to Veterinary Terminology Copyright © by Kelly Robertson, RVT and Dr. Matéa David-Steel, DVM is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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