Femoral Triangle and Arteries Located in The Pelvis and The Thigh

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Femoral Triangle

and Arteries Located in the


Pelvis and the Thigh
Arteries Located in the Pelvis
• Internal Iliac
• External iliac
• Anterior division of
the internal iliac
• Posterior division
of the internal iliac
• Superior gluteal
• Inferior gluteal
• Obturator
Femoral Triangle
An anatomical region of
the upper medial thigh
that has the following
boundaries:
– Inguinal ligament
– Sartorius
– Adductor longus
Inguinal Ligament
Attachment sites:
•Pubic tubercle
•Anterior superior iliac
spine
Contents of the Femoral
Triangle
from lateral to medial
are (NAVEL):
• Femoral nerve
• Femoral artery
• Femoral vein
• Empty space
• Lymphatics
Floor of the Femoral Triangle
Created from:
• Iliopsoas muscle
• Pectineus muscle

* Note the femoral sheath *


Femoral Artery
• Chief artery of the
lower limb
• Continues as the
external iliac artery
when it enters the
femoral triangle
• Located in the femoral
triangle, medial to the
femoral nerve
Femoral Artery
• Enters femoral triangle
deep to inguinal ligament
• Exits at the apex of the
femoral triangle to enter
the adductor canal
• Exits the adductor hiatus
and becomes the
popliteal artery
L4

Sacroiliac
joint
Inguinal ligament
Branch of the Femoral Artery
Profunda femoris or deep
femoral artery of the thigh
– Chief artery of the thigh
– Arises in the femoral
triangle
– Gives off:
• Four perforating arteries
• Medial circumflex artery
• Lateral circumflex artery
Profunda Femoris

• Arises on lateral side of


femoral artery, 3-5 cm below
inguinal ligament
• Passes on surface of
pectineus & adductor brevis
• Passes posteriorly, lying
behind femoral artery & vein
on medial side of femur,
passing behind tendon of
adductor longus
• Courses to lie directly on
adductor magnus
Other Arteries that Arise in the
Femoral Triangle
From the profunda
femoris:
1.Medial femoral
circumflex artery
2.Lateral femoral
circumflex artery

The medial & lateral circumflex


arteries occasionally can
branch off from the femoral
artery
Femoral Circumflex Arteries
• Arise at the level of
the base of the
femoral triangle
• Branches from the
profunda femoris
artery
• Supplies the thigh &
proximal femur
Lateral Circumflex
• AKA external circumflex
• Passes laterally deep to the
sartorius & rectus femoris
• Divides into three
branches:
– Ascending (to the tensor
fascia lata muscle &
anterolateral head of femur)
– Transverse (to >
Trochanter and neck of
femur)
– Descending (to lateral
knee)
• Supplies the muscles on the
lateral side & quadriceps
Medial Circumflex Artery
• AKA internal circumflex
• Divides into two branches:
– Ascending (posterolateral
head & neck of femur)
– Descending (quadratus
Femoris muscle)
• Arises close to the origin of the
lateral circumflex
• Passes posteriorly and deep
into the floor of the femoral
triangle between the pectineus
& iliopsoas muscles
• Supplies most of the blood to
the head & neck of the femur,
hip joint & upper back of thigh
Medial & Lateral Circumflex Arteries
3
Angiogram
of the branches 2
1
of the Profunda Femoris
of the thigh

1. lateral circumflex
4
2. medial circumflex
3 4
3. femoral artery

4. four perforating branches


Perforating Arteries of the Thigh
• Arise from the profunda
femoris artery
• Three or four pairs of
arteries
• Wrap around the
posterior aspect of the
thigh
• Supplies the adductors &
hamstrings (posterior
thigh muscles)
Branching Directly from the
Femoral Artery
1 Femoral artery
4 Medial femoral
circumflex (passes
posteriorly)
5 Lateral femoral *
circumflex (passes
laterally)
6a-c Perforating Branches

* Profunda Femoris

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