Middle genicular artery | |
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Details | |
Supplies | Ligaments and synovial membrane in the interior of the knee-joint |
Identifiers | |
Latin | arteria media genus |
TA98 | A12.2.16.036 |
TA2 | 4702 |
FMA | 22536 |
Anatomical terminology |
The middle genicular artery (azygos articular artery) is a small branch of the popliteal artery. It supplies parts of the knee joint.
The middle genicular artery (MGA) arises from the anterolateral surface of the popliteal artery. [1] [2] This point of origin is distal to the superior genicular arteries, and between, equidistantly, the medial condyle of femur and the lateral condyle of femur. [2] As a normal variation, the MGA may emerge from the popliteal artery at a common point of origin shared with the superior lateral genicular artery, or both vessels may arise at separate, distinct points.
The angle at which the middle genicular artery leaves the popliteal artery varies with flexion and extension of the knee. [1] It may form a near 90° angle when the knee is flexed, but an angle of only between 15° and 30° when the knee is extended. [1]
The diameter of the MGA is between 2 and 4 millimetres , and its length between 3 and 5 centimetres . It has two venae comitantes along its length. It pierces the oblique popliteal ligament and the joint capsule of the knee. [1]
The middle genicular artery supplies the anterior cruciate ligament and the posterior cruciate ligament. [2] It also supplies the synovial membrane at the bottom of the knee. [2]
The middle genicular artery may be damaged during knee arthroscopy, particularly using a posterior approach through the popliteal fossa. [1] It may also be damaged in traumatic injuries to the knee, often caused by sports. [2]
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.
In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia, and one between the femur and patella. It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis.
The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body.
The posterior cruciate ligament (PCL) is a ligament in each knee of humans and various other animals. It works as a counterpart to the anterior cruciate ligament (ACL). It connects the posterior intercondylar area of the tibia to the medial condyle of the femur. This configuration allows the PCL to resist forces pushing the tibia posteriorly relative to the femur.
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.
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 tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.
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.
The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.
The semimembranosus muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.
The semitendinosus is a long superficial muscle in the back of the thigh. It is so named because it has a very long tendon of insertion. It lies posteromedially in the thigh, superficial to the semimembranosus.
The common fibular nerve is a nerve in the lower leg that provides sensation over the posterolateral part of the leg and the knee joint. It divides at the knee into two terminal branches: the superficial fibular nerve and deep fibular nerve, which innervate the muscles of the lateral and anterior compartments of the leg respectively. When the common fibular nerve is damaged or compressed, foot drop can ensue.
The popliteal fossa is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia. Like other flexion surfaces of large joints, it is an area where blood vessels and nerves pass relatively superficially, and with an increased number of lymph nodes.
The superior genicular arteries, two in number, arise one on either side of the popliteal artery, and wind around the femur immediately above its condyles to the front of the knee-joint. The medial superior genicular artery is on the inside of the knee and the lateral superior genicular artery is on the outside.
The lateral superior genicular artery is a branch of the popliteal artery that supplies a portion of the knee joint.
The lower extremity of femur is the lower end of the femur in human and other animals, closer to the knee. It is larger than the upper extremity of femur, is somewhat cuboid in form, but its transverse diameter is greater than its antero-posterior; it consists of two oblong eminences known as the lateral condyle and medial condyle.
The oblique popliteal ligament is a broad, flat, fibrous ligament on the posterior knee. It is an extension of the tendon of the semimembranosus muscle. It attaches onto the intercondylar fossa and lateral condyle of the femur. It reinforces the posterior central portion of the knee joint capsule.
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.
The patellar network is an intricate network of blood vessels around and above the patella, and on the contiguous ends of the femur and tibia, forming a superficial and a deep plexus.
The anterior meniscofemoral ligament is a small fibrous band of the knee joint. It arises from the posterior horn of the lateral meniscus and passes superiorly and medially in front of the posterior cruciate ligament to attach to the lateral surface of medial condyle of the femur.
This article incorporates text in the public domain from page 633 of the 20th edition of Gray's Anatomy (1918)