• It distributes branches to the obturator externus, pectineus, adductors, and gracilis muscle, and anastomoses with the posterior branch and with the medial femoral circumflex artery. (wikipedia.org)
  • The blood supply to the femoral head and neck is enhanced by the artery of the ligamentum teres derived from the obturator artery. (wikipedia.org)
  • The artery in this course usually lies in contact with the external iliac vein, and on the lateral side of the femoral ring (Figure A on diagram). (wikipedia.org)
  • When the obturator artery travels along the lacunar ligament, it nearly encircles the femoral ring and can be lacerated during a femoral hernia repair. (wikipedia.org)
  • For traumatologists, intensivists, vascular surgeons, interventional radiologists, and cardiologists, the AIS and the pubic tubercle provide a relatively constant set of landmarks by which to gauge the course of the femoral artery or vein when central vascular access is required. (medscape.com)
  • The femoral artery should lie at the junction of the middle segment and the most medial segment. (medscape.com)
  • The femoral vein, in turn, should lie 1-2 cm medial to the artery. (medscape.com)
  • His right femoral artery was cannulated, and a microcatheter was advanced toward the internal carotid artery (ICA). (asahq.org)
  • The findings of this anatomic study were as follows: Descending genicular artery originated from the femoral artery in all of the cases. (unboundmedicine.com)
  • Due to variations of the arterial anatomy and limited number of anatomic studies of the saphenous flap, we studied the topography and anatomy of the saphenous artery for increasing reliability of the saphenous flap. (unboundmedicine.com)
  • Background: The profunda femoris artery (PFA) supplies important collateral branches to both the ipsilateral internal iliac artery and the distal superficial femoral artery (SFA). (lsuhsc.edu)
  • Methods: We dissected 155 fixed and nonfixed femoral artery systems from 88 cadavers. (lsuhsc.edu)
  • Vessel diameters, branch configurations, and relative distances between the inguinal ligament, PFA, lateral circumflex femoral artery (LCFA), and medial circumflex femoral artery (MCFA) were recorded. (lsuhsc.edu)
  • Results: The mean diameters of the common femoral artery, SFA, and PFA were 10.3 mm, 8.0 mm, and 6.9 mm in males and 8.9 mm, 6.9 mm, and 6.1 mm in females, respectively (P (lsuhsc.edu)
  • At the inguinal ligament, the femoral and deep (profunda) femoral veins join medial to the femoral artery to form the common femoral vein. (mhmedical.com)
  • Distance of the femoral and popliteal artery to specific bony landmarks in thigh and knee was measured. (jocms.org)
  • Olewnik Ł, Łabętowicz P, Podgórski M, Polguj M, Ruzik K, Topol M. Variations in terminal branches of the popliteal artery: cadaveric study. (jocms.org)
  • Safe zone for the superficial femoral artery demonstrated on computed tomography angiography. (jocms.org)
  • The SCIA and DCIA may have a common origin from the external iliac/superficial femoral artery. (microsurgeon.org)
  • The DCIA flap relies on inflow from the vessels originating near the junction of the external iliac artery and the femoral artery at the inguinal ligament. (microsurgeon.org)
  • The common femoral artery (CFA) is considered the most frequently used percutaneous arterial access site. (thoracickey.com)
  • Arterial sheath placement into the CFA, and not the deep or superficial femoral artery (SFA), has been shown to decrease access complications. (thoracickey.com)
  • The purpose of this chapter is to discuss the common complications caused by femoral artery access and their management. (thoracickey.com)
  • Caudal punctures usually result in more tendencies for sheath insertion below the bifurcation into the SFA or the profunda femoral artery. (thoracickey.com)
  • Right common femoral artery angiogram in an ipsilateral oblique view. (thoracickey.com)
  • The arteries are labeled as follows: (A) deep circumflex iliac artery, (B) inferior epigastric artery, (C) profunda femoris artery, and (D) superficial femoral artery. (thoracickey.com)
  • Despite agreement on the optimal location for artery puncture, there is a large variation in the landmarks utilized to identify the puncture site. (thoracickey.com)
  • Malpositioned femoral lines are very uncommon as long as the central venous catheter (CVC) is intravascular and not in the artery and therefore will not be the focus of this blog. (hospitalprocedures.org)
  • figure 1 ) into the right common femoral artery via cut down to expedite access. (bmj.com)
  • The popliteal artery is the direct continuation of the superficial femoral artery in the popliteal fossa as the vessel courses posteriorly behind the knee. (boneandspine.com)
  • Femoral artery, a continuation of the external iliac artery is the main artery of the lower limb. (boneandspine.com)
  • The superior muscular branches, two or three in number, arise from the upper part of the artery and are distributed to the lower parts of the adductor magnus and hamstring muscles, anastomosing with the terminal part of the profunda femoris, a branch of the femoral artery. (boneandspine.com)
  • The clinical importance of variations in the surgical anatomy of the superficial peroneal nerve in the mid-third of the lateral leg. (medscape.com)
  • However, the optimal definitive management of such fractures remains controversial and a challenging orthopaedic problem due to the complexity of anatomical relationship and a vulnerable blood supply to the femoral head, which could result in malunion, nonunion, or avascular necrosis 4 - 6 . (researchsquare.com)
  • The orthopaedic surgeon's goals of obtaining and maintaining anatomic reduction until bony union have been addressed by a number of surgical approaches and fixation constructs, including a sliding hip screw device, proximal femoral locking plates, cephalomedullary nails, and multiple cannulated parallel lag screws 7 - 9 . (researchsquare.com)
  • The lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), and hip-knee-ankle angle (HKA) were measured. (nih.gov)
  • [ 6 ] During surgical cases requiring more proximal exposure of the femoral vessels, this ligament can be divided to facilitate adequate vascular exposure. (medscape.com)
  • Common clinical practice is to combine a sciatic nerve with the femoral nerve block for surgical procedures distal to the proximal third of the thigh. (aneskey.com)
  • Proximal to the inguinal ligament, the common femoral vein becomes the external iliac vein. (mhmedical.com)
  • This structure originates just proximal and posterior to the lateral femoral epicondyle and attaches roughly 8.1 mm posterior to the anterior border of the fibular head. (jksrr.org)
  • Anatomic reduction and stable fixation contribute to satisfactory outcomes in the treatment of nonelderly displaced femoral neck fractures. (researchsquare.com)
  • Femoral neck fractures in healthy nonelderly individuals are relatively uncommon and are usually caused by high energy trauma 1 . (researchsquare.com)
  • 3 proposed that anatomic reduction and fixation, coupled with a medial buttress plate that resists shearing forces, may reduce the historically high complication rate of vertical femoral neck fractures. (researchsquare.com)
  • The retrospective study included 342 patients who underwent femoral neck fractures treated at our institution from April 2012 to February 2018. (researchsquare.com)
  • Background: During pivot-shift anterior cruciate ligament (ACL) injury, bone bruises or impaction fractures of the lateral femoral condyle (LFC-IF) may occur due to impaction between the posterior part of the lateral tibial plateau and anterocentral part of the LFC. (bvsalud.org)
  • Again, many easily missed subtle fractures occur here where femoral condyles can impact/overload tibial bone. (teamrads.com)
  • No symptomatic pulmonary embolization or femoral fractures were observed. (researchgate.net)
  • Because the equine pelvis is a complex anatomic structure, the diagnosis of pelvic fractures is often one of suspicion because of the extensive musculature coupled with size of the horse. (ivis.org)
  • Background: Nowadays, open anatomic reduction and internal fixation can be considered as a valuable treatment for displaced intra-articular fractures of the calcaneus. (hdac-inhibitors.com)
  • Anatomy of lateral femoral cutaneous nerve (LFCN). (medscape.com)
  • Sensory distribution of lateral femoral cutaneous nerve (LFCN). (medscape.com)
  • The lateral femoral cutaneous nerve (LFCN) divides into several branches innervating the lateral and anterior aspects of the thigh. (nysora.com)
  • The variable anatomy of the lateral femoral cutaneous nerve makes it challenging to perform an effective landmark-based block. (nysora.com)
  • Cross-sectional anatomy of the lateral femoral cutaneous nerve (LFCN). (nysora.com)
  • Transducer position to accomplish a lateral femoral cutaneous nerve (LFCN) block. (nysora.com)
  • (A) Ultrasound anatomy of the lateral femoral cutaneous nerve (LCFN). (nysora.com)
  • Carai A, Fenu G, Sechi E, Crotti FM, Montella A. Anatomical variability of the lateral femoral cutaneous nerve: findings from a surgical series. (medscape.com)
  • The aim of this study was to evaluate the variations in lower limb anatomy of a patient population scheduled for TKA, and to assess the use of a restricted KA TKA protocol and compare the resulting anatomic modifications with the standard MA technique. (nih.gov)
  • This scoping review aimed to investigate the literature on the anatomy of the psoas valley, an anterior depression on the acetabular rim, and propose a unified definition of the anatomical structure, describe its dimensions, anatomical variations and clinical implications. (biomedcentral.com)
  • The anatomy and the anatomical variations of the psoas valley need to be well-appreciated by surgeons involved in the management of young adults with hip pathology and also joint replacement surgeons to ensure appropriate seating of the acetabular component. (biomedcentral.com)
  • Thus, this scoping review was conducted to systematically investigate the literature on the anatomy of the psoas valley and propose a unified definition of the anatomical structure, describe its dimensions, anatomical variations and clinical implications to eventually help manage our patients better. (biomedcentral.com)
  • Increasing interest has emerged in the literature regarding the anatomy of ACL tunnel insertion, where large cohorts of studies have investigated the femoral ACL placement and neglected the tibial footprint of the ACL as a whole [7,8]. (peertechzpublications.org)
  • Consequently, the hypothesis has emerged that differences in joint mechanics, driven by normal variability in joint anatomy and biological predisposition, underlie much of the variation in risk of knee OA onset and progression. (biomedcentral.com)
  • Even when the vessel is camouflaged by tissue in an obese patient or when there is no palpable femoral pulse in an underresuscitated trauma patient, the femoral vein may be successfully located in 90% of cases with this technique. (medscape.com)
  • The great saphenous vein then enters the fossa ovalis in the groin to empty into the deep femoral vein. (mhmedical.com)
  • At the knee, these paired high-capacitance veins merge to form the popliteal vein, which continues proximally as the femoral vein. (mhmedical.com)
  • The vein to the DCIA empties into the saphenous vein or a tributary, and then flows into the femoral vein. (microsurgeon.org)
  • Central venous catheter malpositioning can be caused by congenital anatomic variants, difficult body habitus, acquired vein stenosis, poor operator technique or bad luck. (hospitalprocedures.org)
  • Historically, IVC filters were placed surgically, but as designs changed, they could be introduced through a thin tube or catheter via percutaneous access to the venous system which can be obtained either through the femoral vein (the large vein in the groin), the internal jugular vein (the large vein in the neck. (wikidoc.org)
  • Surgical and anatomical landmarks for the perineal branch of the posterior femoral cutaneous nerve: implications in perineal pain syndromes. (medscape.com)
  • It is anterior to bone in the femoral canal and as it travels below becomes anteromedial first and then medial at adductor hiatus and then travels posterior to the bone. (boneandspine.com)
  • In terms of anatomical variation, 4 different configurations of the anterior acetabular rim have been identified and it was found that the curved type was the most frequent while the straight type may be nonexistent. (biomedcentral.com)
  • The scoping review aimed to answer the following primary question: "What is known about the anatomical variations of the psoas valley? (biomedcentral.com)
  • Magill H, Rudran B, Cullen C, Jain N (2020) Anatomical variations in the tibial insertion of the Anterior Cruciate Ligament: An MRI study. (peertechzpublications.org)
  • Hence, the purpose of the study is to reliably characterise the anatomic centrum of the ACL footprint in order to aid surgeons to perform anatomical ACL reconstruction. (peertechzpublications.org)
  • Primary piriformis syndrome has an anatomical cause, with variations such as a split piriformis muscle, split sciatic nerve, or an anomalous sciatic nerve path. (bestbulksmsonline.com)
  • [ 3 ] and marks the transition between the external iliac and femoral vessels. (medscape.com)
  • The sciatic nerve generally exits the pelvis below the belly of the muscle, however many congenital variations may exist. (bestbulksmsonline.com)
  • One of the more common causes of knee pain is a problem in the way the patella tracks within the femoral groove as the knee moves. (purposedphysicaltherapy.com)
  • 6 - 9 A number of diagnostic or therapeutic procedures on the knee and thigh can be performed by combining obturator nerve block with block of the sciatic, lateral cutaneous nerve and femoral nerves. (aneskey.com)
  • Short knee radiographs are insufficient for estimating coronal alignment after TKA, particularly in knees with femoral bowing. (biomedcentral.com)
  • Osteochondritis dissecans is a disorder of bone most often seen in the medial femoral condyle, or the medial aspect of the femur in the knee joint. (drdavidgeier.com)
  • In terms of knee injuries in young athletes, a variation of an anterior cruciate ligament injury is common as well. (drdavidgeier.com)
  • Bone resections were compared using a standard MA and a restricted KA aiming for independent tibial and femoral cuts of maximum ±5° deviation from the coronal mechanical axis and a resulting overall coronal HKA within ±3° of neutral. (nih.gov)
  • Anatomic regions of long bone. (medscape.com)
  • Proposed design utilizes fusion of feature maps extracted from multimodal images to abate sensitivity to variations caused by imaging artifacts and low intensity bone boundaries. (easychair.org)
  • This study aimed to compare the femoral and popliteal arteries pathway in varus and valgus- aligned lower limbs. (jocms.org)
  • [ 7 , 8 ] However, failure to stay below the inguinal ligament during attempted percutaneous cannulation of the femoral vessels can lead to serious and even lethal consequences in both adult and pediatric patients (see the image below and Observance of the inguinal ligament in percutaneous femoral vessel cannulation). (medscape.com)
  • The femoral vessels in the inguinal crease are palpated and identified. (microsurgeon.org)
  • 4 In 1973, Winnie introduced the concept of the "3-in-1 block," an anterior approach to the lumbar plexus using a simple paravascular inguinal injection to anesthetize the femoral, lateral cutaneous nerve of the thigh and obturator nerves. (aneskey.com)
  • Prompt diagnosis, anatomic reduction and stable internal fixation may contribute the satisfactory outcomes 1 - 3 . (researchsquare.com)
  • Iliac and femoral angiography may be indicated before interventions to treat peripheral arterial disease. (msdmanuals.com)
  • Most femoral hernias are repaired through a small (1/2 to 3/4 inch) incision in the groin area, rather than through the abdomen, so if a laceration were to occur, bleeding may not be immediately recognized and result in significant blood loss into the peritoneal cavity. (wikipedia.org)
  • STANDING AP (more common in Arthritis or Ortho Clinic than EMed) allows measurement of anatomic axis (6-8 degrees valgus femoral shaft:tibial shaft = normal). (teamrads.com)
  • However, a lack of clear anatomic landmarks, the block complexity, and inconsistent results were the reasons why this block had been used infrequently. (aneskey.com)
  • In such patients, the femoral pulse may be appreciated just below the inguinal crease. (medscape.com)
  • the focus of this article is on anatomic considerations relevant to the clinical diagnosis and care of patients, with particular emphasis on procedural and urgent medicine. (medscape.com)
  • As many as 30% of LFCNs may be derived partially or entirely from adjacent genitofemoral or femoral nerves. (medscape.com)
  • For a better understanding of the clinical significance of the inguinal canal and the adjacent femoral sheath, this region may be conceptually broken down into osseous, myotendinous, neurovascular, lymphatic, and genitourinary/spermatic cord components. (medscape.com)
  • Seventy-seven female and 78 male femoral exposures were performed. (lsuhsc.edu)
  • The purpose of this study was to compare the effectiveness of multiple cannulated screws combined with medial buttress plate or not for the treatment of unstable femoral neck fracture. (researchsquare.com)
  • 69 nonelderly patients with Garden type III-IV femoral neck fracture were retrospectively analyzed. (researchsquare.com)
  • In the MCS group, there were one avascular necrosis, five postoperative nonunion, five implant failure, and two femoral neck shortening. (researchsquare.com)
  • The inclusion criteria were: (1) age between 18 to 65 years, (2) femoral neck fracture, Garden type III-IV, (3) fixation should be conducted less than 10 days from injury, (4) American Academy of Anesthesiology class 1 or 2, (5) no other fracture in the lower limb, (6) a minimum of 2 years follow-up. (researchsquare.com)
  • Cadaver dissections have demonstrated that anatomic variations are also found in the origin of the LFCN. (medscape.com)
  • When filter design allows placement through the jugular or femoral veins, the filter is specially packaged to ensure that it is deployed in the correct orientation. (medscape.com)
  • Our objective was to describe the most common PFA anatomic variants and present a classification system based on its branching patterns. (lsuhsc.edu)
  • Older studies have reported femoral access site complication rates ranging from 2% to 17% in patients undergoing diagnostic and interventional procedures. (thoracickey.com)
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
  • Conclusions: The anatomic orientation of the PFA and its branches is highly variable. (lsuhsc.edu)
  • If the tuberosity remains in anatomic position or is only minimally displaced, immobilization is usually appropriate to get the fracture to heal. (drdavidgeier.com)
  • Key anatomic structures within and around the hip and groin area include several bursae, which are fluid-filled sacs that function to cushion the joint area. (musculoskeletalkey.com)
  • A thorough physical examination, including inspection of the groin for any signs of infection, scars from previous surgeries, and palpation of the femoral pulse, will minimize surprises on the day of the procedure and will decrease the risk of complications. (thoracickey.com)
  • METHODS: From 2008-2014, 30 consecutive patients (34 hips) with symptomatic ESHS cases refractory to conservative treatment underwent endoscopic stepwise "fan-like" release, gradually addressing all known reasons of ESHS: from the isolated ITB, through the fascial part of the GMC until a partial release of gluteus maximus femoral attachment occurred. (bvsalud.org)
  • Look for concave defects in femoral articular surface which can herald osteochondral trauma, acute or chronic. (teamrads.com)
  • [ 5 ] When femoral central vascular access is desired, the inguinal ligament may serve as an important landmark in adequately perfused nonobese patients. (medscape.com)
  • Review of prior cross-sectional imaging or a venogram of the IVC is essential before deploying the filter to assess for potential anatomic variations, thrombi within the IVC, or areas of stenosis, as well as to estimate the diameter of the IVC. (wikidoc.org)
  • This study was designed to ascertain the contents of some heavy metals and then their variations if any in drinking water in different localities of district East of Karachi, Pakistan. (who.int)
  • A more recent study has shown femoral access complications of 1.8% for diagnostic and 4% for interventional procedures. (thoracickey.com)
  • The present study assessed the diurnal variation in salivary cortisol in captive African elephants during routine management (baseline) and in relation to a potential stressor (translocation) to evaluate to what extent acute stress may affect. (awionline.org)
  • LEAG: study conception, de datos PubMed y Cochrane, se incluyeron artículos originales, estudios aleatorizados y de revisión, en español y en inglés, manuscript design, publicados entre 2017-2021. (bvsalud.org)
  • Medical intensivists, cardiologists, general physicians, and pediatricians also require a working understanding of the femoral sheath and inguinal canal. (medscape.com)
  • A malpositioned central line is any central venous catheter where the tip is located anywhere other than the superior vena cava (SVC) for internal jugular lines or subclavian lines or a location other than the inferior vena cava (IVC) in femoral lines. (hospitalprocedures.org)
  • have suggest that anatomic ACL graft placement may lead to improved long-term outcomes and reduced risk of osteoarthritic changes [Murawski]. (peertechzpublications.org)