Lateral circumflex femoral artery

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Lateral circumflex femoral artery
Circumflex femoral arteries.png
The profunda femoris artery, femoral artery and their major branches - right thigh, anterior view. Circumflex femoral arteries labeled.
Gray552.png
Circumpatellar anastomosis. (Descending branch of lateral femoral circumflex visible at upper left.)
Details
Source Deep femoral artery
Identifiers
Latin arteria circumflexa femoris lateralis
TA98 A12.2.16.027
TA2 4692
FMA 20798
Anatomical terminology

The lateral circumflex femoral artery (also known as the lateral femoral circumflex artery or the external circumflex artery [1] ) is an artery in the upper thigh.[ citation needed ] It is usually a branch of the profunda femoris artery, and produces three branches. It is mostly distributed to the muscles of the lateral thigh, supplying arterial blood to muscles of the knee extensor group.

Contents

Structure

Origin

The lateral femoral circumflex artery usually arises from the lateral side of the profunda femoris artery, but may occasionally arise directly from the femoral artery. [2] It is the largest branch of the profunda femoris artery. [2]

Course and relations

The lateral circumflex femoral artery usually courses anterior to the femoral neck. It passes horizontally between the divisions of the femoral nerve. It passes posterior to the sartorius muscle and rectus femoris muscle. [3] It passes laterally across the hip joint capsule. [4]

It divides into ascending, transverse, and descending branches. [2]

Branches

The lateral circumflex femoral artery has three branches:

  1. The ascending branch of lateral circumflex femoral artery passes upward, beneath the tensor fasciae latae muscle, to the lateral aspect of the hip, and anastomoses with the terminal branches of the superior gluteal and deep circumflex iliac artery.
  2. The descending branch of lateral circumflex femoral artery runs downward, behind the rectus femoris, upon the vastus lateralis, to which it gives offsets; one long branch descends in the muscle as far as the knee, and anastomoses with the superior lateral genicular artery. It is accompanied by the branch of the femoral nerve to the vastus lateralis muscle.
  3. The transverse branch of lateral circumflex femoral artery is a small artery in the thigh. It is the smallest branch of the lateral circumflex femoral artery and passes lateralward over the vastus intermedius, pierces the vastus lateralis, and winds around the femur, just below the greater trochanter, anastomosing on the back of the thigh with the medial femoral circumflex artery, the inferior gluteal artery, and the perforating arteries of the profunda femoris artery.

Distribution

The lateral circumflex femoral artery mainly supplies muscles of the lateral thigh, [4] suppliyng the vastus lateralis, vastus intermedius, and rectus femoris muscles. [5] Due to the fact that it passes across the thickest part of the hip joint capsule, it is in a less suitable position to supply the proximal femur so that most of the arterial supply to the head and neck of the femur is instead afforded by the medial circumflex femoral artery. [4]

Variation

Origin

The lateral femoral circumflex artery has a variable origin. [2] [6] In 67% of people, it arises 1.5 cm inferior to the origin of the profunda femoris artery, and in others it arises at different distances from this origin. [2] In up to 20% of people, it arises directly from the femoral artery.[ citation needed ]

Course

A rare variant, where the lateral circumflex femoral artery passes posterior to the femoral nerve, has also been reported (this is important in orthopaedic surgery). [7]

See also

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. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<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">Deep femoral artery</span> Large branch of the femoral artery that supplies the thigh

The deep femoral artery also known as the deep artery of the thigh, or profunda femoris artery, is a large branch of the femoral artery. It travels more deeply ("profoundly") than the rest of the femoral artery. It gives rise to the lateral circumflex femoral artery and medial circumflex femoral artery, and the perforating arteries, terminating within the thigh.

<span class="mw-page-title-main">Gluteus minimus</span> Smallest of the three gluteal muscles

The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius.

<span class="mw-page-title-main">Quadriceps</span> Group of human leg muscle

The quadriceps femoris muscle is a large muscle group that includes the four prevailing muscles on the front of the thigh. It is the sole extensor muscle of the knee, forming a large fleshy mass which covers the front and sides of the femur. The name derives from Latin four-headed muscle of the femur.

<span class="mw-page-title-main">Hip</span> Anatomical region between the torso and the legs, holding the buttocks and genital region

In vertebrate anatomy, the hip, or coxa(pl.: coxae) in medical terminology, refers to either an anatomical region or a joint on the outer (lateral) side of the pelvis.

The biceps femoris is a muscle of the thigh located to the posterior, or back. As its name implies, it consists of two heads; the long head is considered part of the hamstring muscle group, while the short head is sometimes excluded from this characterization, as it only causes knee flexion and is activated by a separate nerve.

<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">Vastus intermedius muscle</span> Body of the femur muscle

The vastus intermedius (Cruraeus) arises from the front and lateral surfaces of the body of the femur in its upper two-thirds, sitting under the rectus femoris muscle and from the lower part of the lateral intermuscular septum. Its fibers end in a superficial aponeurosis, which forms the deep part of the quadriceps femoris tendon.

<span class="mw-page-title-main">Internal iliac artery</span> Main artery of the pelvis

The internal iliac artery is the main artery of the pelvis.

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">Superior gluteal artery</span>

The superior gluteal artery is the terminal branch of the posterior division of the internal iliac artery. It exits the pelvis through the greater sciatic foramen before splitting into a superficial branch and a deep branch.

<span class="mw-page-title-main">Inferior gluteal artery</span>

The inferior gluteal artery is a terminal branch of the anterior trunk of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It is distributed chiefly to the buttock and the back of the thigh.

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

The obturator artery is a branch of the internal iliac artery that passes antero-inferiorly on the lateral wall of the pelvis, to the upper part of the obturator foramen, and, escaping from the pelvic cavity through the obturator canal, it divides into an anterior branch and a posterior branch.

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

The lateral superior genicular artery is a branch of the popliteal artery that supplies a portion of the knee joint.

<span class="mw-page-title-main">Medial circumflex femoral artery</span>

The medial circumflex femoral artery is an artery in the upper thigh that arises from the profunda femoris artery. It supplies arterial blood to several muscles in the region, as well as the femoral head and neck.

<span class="mw-page-title-main">Deep circumflex iliac artery</span> Artery in the pelvis

The deep circumflex iliac artery is an artery in the pelvis that travels along the iliac crest of the pelvic bone.

<span class="mw-page-title-main">Perforating arteries</span>

The perforating arteries are branches of the deep artery of the thigh, usually three in number, so named because they perforate the tendon of the adductor magnus to reach the back of the thigh. They pass backward near the linea aspera of the femur underneath the small tendinous arches of the adductor magnus muscle.

<span class="mw-page-title-main">Vastus muscles</span> Human thigh muscles

The vastus muscles are three of the four muscles that make up the quadriceps femoris muscle of the thigh. The three muscles are the vastus intermedius, the vastus lateralis, and the vastus medialis located in the middle, on the outside, and inside of the thigh, respectively. The fourth muscle is the rectus femoris muscle a large fleshy muscle which covers the front and sides of the femur.

References

PD-icon.svgThis article incorporates text in the public domain from page 630 of the 20th edition of Gray's Anatomy (1918)

  1. Power, John Hatch (5 March 2010). Anatomy of the Arteries of the Human Body, with the Descriptive Anatomy of the Heart Paperback. Nabu Press. ISBN   978-1146643283.
  2. 1 2 3 4 5 Scott Levin, L.; Baumeister, Steffen (2009-01-01), Wei, Fu-Chan; Mardini, Samir (eds.), "CHAPTER 7 - Lower extremity", Flaps and Reconstructive Surgery, Edinburgh: W.B. Saunders, pp. 63–70, doi:10.1016/b978-0-7216-0519-7.00007-1, ISBN   978-0-7216-0519-7 , retrieved 2021-02-23
  3. Manaster, B. J.; Crim, Julia, eds. (2016-01-01), "Thigh Radiographic Anatomy and MR Atlas", Imaging Anatomy: Musculoskeletal (Second Edition), Philadelphia: Elsevier, pp. 606–659, doi:10.1016/b978-0-323-37756-0.50046-6, ISBN   978-0-323-37756-0 , retrieved 2021-02-23
  4. 1 2 3 Moore, Keith L. (2018). Clinically Oriented Anatomy. A. M. R. Agur, Arthur F., II Dalley (8th ed.). Philadelphia. p. 713. ISBN   978-1-4963-4721-3. OCLC   978362025.{{cite book}}: CS1 maint: location missing publisher (link)
  5. Swift, Hilary; Bordoni, Bruno (2022), "Anatomy, Bony Pelvis and Lower Limb, Femoral Artery", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   30855850 , retrieved 2023-01-11
  6. Yang, Guang; Chung, Kevin C. (2018-01-01), Chung, Kevin C. (ed.), "Procedure 78 - Free Anterolateral Thigh Flap", Operative Techniques: Hand and Wrist Surgery (Third Edition), Elsevier, pp. 713–719, doi:10.1016/b978-0-323-40191-3.00078-0, ISBN   978-0-323-40191-3 , retrieved 2021-02-23
  7. Goel, Shivi; Arora, Jyoti; Mehta, Vandana; Sharma, Mona; Suri, RK; Rath, Gayatri (Jan 16, 2015). "Unusual disposition of lateral circumflex femoral artery: Anatomical description and clinical implications". World Journal of Clinical Cases. 3 (1): 85–88. doi: 10.12998/wjcc.v3.i1.85 . PMC   4295224 . PMID   25610855.