Adductor canal

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Adductor canal
Gray550.png
The femoral artery. (Canal not labeled, but region visible at center right.)
Adductor canal.png
Cross-section through the middle of the thigh (the right thigh if seen from below)
Details
Identifiers
Latin canalis adductorius
TA98 A04.7.03.006
TA2 2611
FMA 58781
Anatomical terminology

The adductor canal (also known as the subsartorial canal or Hunter's canal) is an aponeurotic tunnel in the middle third of the thigh giving passage to parts of the femoral artery, vein, and nerve. It extends from the apex of the femoral triangle to the adductor hiatus.

Contents

Structure

The adductor canal extends from the apex of the femoral triangle to the adductor hiatus. It is an intermuscular cleft situated on the medial aspect of the middle third of the anterior compartment of the thigh, and has the following boundaries:

It is covered by a strong aponeurosis which extends from the vastus medialis, across the femoral vessels to the adductor longus and magnus. Lying on the aponeurosis is the sartorius (tailor's) muscle.

Contents

The canal contains the subsartorial artery (distal segment of the femoral artery), subsartorial vein (distal segment of the femoral vein), and branches of the femoral nerve (specifically, the saphenous nerve, and the nerve to the vastus medialis). [1] [2] [3] The femoral artery with its vein and the saphenous nerve enter this canal through the superior foramen. Then, the saphenous nerve and artery and vein of genus descendens exit through the anterior foramen, piercing the vastoadductor intermuscular septum. Finally, the femoral artery and vein exit via the inferior foramen (usually called the hiatus) through the inferior space between the oblique and medial heads of adductor magnus. [4]

Clinical significance

The saphenous nerve may be compressed in the adductor canal. [5] The adductor canal may be accessed for a saphenous nerve block, often used to treat pain caused by this compression. [5]

History

The eponym "Hunter's canal" is named for John Hunter. [6] [7]

Additional images

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula.

<span class="mw-page-title-main">Thigh</span> The part of the body between the pelvis and the knee; upper leg

In anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb.

<span class="mw-page-title-main">Sartorius muscle</span> Longest muscle in the human body

The sartorius muscle is the longest muscle in the human body. It is a long, thin, superficial muscle that runs down the length of the thigh in the anterior compartment.

<span class="mw-page-title-main">Femoral artery</span> Large artery in the thigh

The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.

<span class="mw-page-title-main">Femoral triangle</span> Anatomical region of the thigh

The femoral triangle is an anatomical region of the upper third of the thigh. It is a subfascial space which appears as a triangular depression below the inguinal ligament when the thigh is flexed, abducted and laterally rotated.

<span class="mw-page-title-main">Pectineus muscle</span> Adductor of the thigh

The pectineus muscle is a flat, quadrangular muscle, situated at the anterior (front) part of the upper and medial (inner) aspect of the thigh. The pectineus muscle is the most anterior adductor of the hip. The muscle's primary action is hip flexion; it also produces adduction and internal rotation of the hip.

<span class="mw-page-title-main">Adductor longus muscle</span> Skeletal muscle located in the thigh

In the human body, the adductor longus is a skeletal muscle located in the thigh. One of the adductor muscles of the hip, its main function is to adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall of the femoral triangle.

<span class="mw-page-title-main">Adductor magnus muscle</span> Muscle in the thigh

The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.

<span class="mw-page-title-main">Gracilis muscle</span> Most superficial muscle on the medial side of the thigh

The gracilis muscle is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below.

The linea aspera is a ridge of roughened surface on the posterior surface of the shaft of the femur. It is the site of attachments of muscles and the intermuscular septum.

<span class="mw-page-title-main">Femoral nerve</span> Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus.

<span class="mw-page-title-main">Lumbar plexus</span> Web of nerves in the lower spine

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

<span class="mw-page-title-main">Descending genicular artery</span>

The descending genicular artery arises from the femoral artery just before its passage through the adductor hiatus.

The saphenous nerve is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve. The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial leg.

<span class="mw-page-title-main">Adductor hiatus</span> Gap between the adductor magnus muscle and the femur

In human anatomy, the adductor hiatus also known as hiatus magnus is a hiatus (gap) between the adductor magnus muscle and the femur that allows the passage of the femoral vessels from the anterior thigh to the posterior thigh and then the popliteal fossa. It is the termination of the adductor canal and lies about 8–13.5 cm (3.1–5.3 in) superior to the adductor tubercle.

<span class="mw-page-title-main">Anterior compartment of thigh</span> Muscles which extend the knee and flex the hip

The anterior compartment of thigh contains muscles which extend the knee and flex the hip.

<span class="mw-page-title-main">Anterior cutaneous branches of the femoral nerve</span> Aspect of human anatomy

The anterior cutaneous branches of the femoral nerve consist of the following nerves: intermediate cutaneous nerve and medial cutaneous nerve.

The cutaneous branch of the obturator nerve is an occasional continuation of the communicating branch to the femoral medial cutaneous branches and saphenous branches of the femoral to the thigh and leg. When present it emerges from beneath the distal/inferior border of the adductor longus muscle and descends along the posterior margin of the sartorius muscle to the medial side of the knee where it pierces the deep fascia and communicates with the saphenous nerve. When present, it provides sensory innervation to the skin of proximal/superior half of the medial side of the leg.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

The subsartorial plexus is a plexus of nerves that is located under the sartorius muscle.

References

PD-icon.svgThis article incorporates text in the public domain from page 627 of the 20th edition of Gray's Anatomy (1918)

  1. Amarnath C and Hemant Patel (2023). Comprehensive Textbook of Clinical Radiology - Volume III: Chest and Cardiovascular system. Elsevier Health Sciences. ISBN   9788131263617. Page 1072
  2. Sauerland, Eberhardt K.; Patrick W. Tank; Tank, Patrick W. (2005). Grant's dissector . Hagerstown, MD: Lippincott Williams & Wilkins. p.  128. ISBN   0-7817-5484-4.
  3. Sambrook, Philip (2010-01-01), Sambrook, Philip; Schrieber, Leslie; Taylor, Thomas; Ellis, Andrew M. (eds.), "Bone Structure and Function in Normal and Disease States", The Musculoskeletal System (Second Edition), Churchill Livingstone, pp. 61–76, doi:10.1016/b978-0-7020-3377-3.00005-6, ISBN   978-0-7020-3377-3 , retrieved 2021-02-18
  4. А.В. Николаев. (2007). Топографическая анатомия и оперативная хирургия. Москва: ГЭОТАР-Медиа (GEOTAR-Media). pp. 174–176. ISBN   978-5-9704-1207-7.
  5. 1 2 Zhang, Yi (2011-01-01), Lennard, Ted A.; Walkowski, Stevan; Singla, Aneesh K.; Vivian, David G. (eds.), "27 - Lower Extremity: Saphenous Nerve Block", Pain Procedures in Clinical Practice (Third Edition), Saint Louis: Hanley & Belfus, pp. 267–270, doi:10.1016/b978-1-4160-3779-8.10027-2, ISBN   978-1-4160-3779-8 , retrieved 2021-02-18
  6. synd/105 at Who Named It?
  7. "CHAPTER 15: THE THIGH AND KNEE". Archived from the original on 21 January 2008. Retrieved 2008-01-27.