Cribriform fascia

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Cribriform fascia
Gray580.png
The great saphenous vein and its tributaries at the saphenous opening
Details
Identifiers
Latin fascia cribrosa
TA98 A04.7.03.020
TA2 2706
FMA 58735
Anatomical terminology

The cribriform fascia (also known as the fascia cribrosa, or Hesselbach's fascia) is the portion of the superficial layer of the deep fascia of leg which extends between the sartorius muscle, adductor longus muscle, and inguinal ligament to form the anterior portion of the femoral canal. [1]

Contents

The cribriform fascia forms numerous openings to allow the passage of vessels and nerves, the most prominent of these being the saphenous opening (saphenous hiatus) (which gives passage to the great saphenous vein). [1]

Anatomy

Structure

An inferior aponeurotic thickening of the cribriform fascia - the falciform margin of sphenous opening - forms the inferior margin of the sapnenous opening, embracing the arch of the great saphenous vein. [2]

Clinical significance

The cribriform fascia has been proposed for use in preventing new vascularization when surgery is performed at the join between the great saphenous vein and the femoral vein. [3]

Eponym

When the eponym is used, it is named for Franz Kaspar Hesselbach. [4] [5]

Related Research Articles

<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 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">Great saphenous vein</span> Large, subcutaneous, superficial vein of the leg

The great saphenous vein (GSV) or long saphenous vein is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle.

<span class="mw-page-title-main">External carotid artery</span> Major artery of the head and neck

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<span class="mw-page-title-main">Genitofemoral nerve</span>

The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of L1-L2. It splits a genital branch and a femoral branch. It provides sensory innervation to the upper anterior thigh, as well as the skin of the anterior scrotum in males and mons pubis in females. It also provides motor innervation to the cremaster muscle.

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Inguinal lymph nodes are lymph nodes in the groin. They are situated in the femoral triangle of the inguinal region. They are subdivided into two groups: the superficial inguinal lymph nodes and deep inguinal lymph nodes.

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The popliteal vein is a vein of the lower limb. It is formed from the anterior tibial vein and the posterior tibial vein. It travels medial to the popliteal artery, and becomes the femoral vein. It drains blood from the leg. It can be assessed using medical ultrasound. It can be affected by popliteal vein entrapment.

<span class="mw-page-title-main">Femoral vein</span> Large blood vessel in the leg

In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus as the continuation of the popliteal vein. The great saphenous vein, and the deep femoral vein drain into the femoral vein in the femoral triangle when it becomes known as the common femoral vein. It ends at the inferior margin of the inguinal ligament where it becomes the external iliac vein. Its major tributaries are the deep femoral vein, and the great saphenous vein. The femoral vein contains valves.

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

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<span class="mw-page-title-main">Inferior epigastric artery</span> Blood vessel

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<span class="mw-page-title-main">Adductor canal</span> Aponeurotic tunnel in the middle third of the thigh

The adductor 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.

<span class="mw-page-title-main">Superficial circumflex iliac artery</span>

The superficial iliac circumflex artery, the smallest of the cutaneous branches of the femoral artery, arises close to the superficial epigastric artery, and, piercing the fascia lata, runs lateralward, parallel with the inguinal ligament, as far as the crest of the ilium.

<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">Membranous urethra</span> Narrowest part of the urethra

The membranous urethra or intermediate part of male urethra is the shortest, least dilatable, and, with the exception of the urinary meatus, the narrowest part of the urethra. It extends from the apex of the prostate proximally to the bulb of urethra distally. It measures some 12 mm in length. It traverses the pelvic floor. It is surrounded by the external urethral sphincter, which is in turn envelopped by the superior fascia of the urogenital diaphragm.

<span class="mw-page-title-main">Saphenous opening</span>

In anatomy, the saphenous opening is an oval opening in the upper mid part of the fascia lata of the thigh. It lies 3–4 cm below and lateral to the pubic tubercle and is about 3 cm long and 1.5 cm wide.

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References

PD-icon.svgThis article incorporates text in the public domain from page 468 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 "fascia cribriformis l.m. - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-05-21.
  2. "bord falciforme du hiatus saphène - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-05-21.
  3. De Maeseneer, MG; Philipsen, TE; Vandenbroeck, CP; Lauwers, PR; Hendriks, JM; De Hert, SG; Van Schil, PE (2007). "Closure of the cribriform fascia: an efficient anatomical barrier against postoperative neovascularisation at the saphenofemoral junction? A prospective study". European Journal of Vascular and Endovascular Surgery. 34 (3): 361–6. doi: 10.1016/j.ejvs.2007.03.020 . PMID   17513142.
  4. synd/3213 at Who Named It?
  5. F. K. Hesselbach. Anatomisch-chirurgische Abhandlung über den Urspurng der Leistenbrüche. Würzburg, Baumgärtner, 1806.