Middle genicular artery

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Middle genicular artery
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.

Contents

Structure

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]

Function

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]

Clinical significance

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]

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">Knee</span> Leg joint in primates

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.

<span class="mw-page-title-main">Tibia</span> Leg bone in vertebrates

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.

<span class="mw-page-title-main">Posterior cruciate ligament</span> One of four major ligaments of the knee

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.

<span class="mw-page-title-main">Popliteal artery</span> Continuation of the femoral artery that supplies the lower leg

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.

<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.

<span class="mw-page-title-main">Tibial nerve</span> Branch of the sciatic nerve

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.

<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.

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.

<span class="mw-page-title-main">Semitendinosus muscle</span> One of the hamstring muscles; posterior part of the thigh

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.

<span class="mw-page-title-main">Popliteal fossa</span> Depression at back of knee joint

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.

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

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.

<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">Lower extremity of femur</span>

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.

<span class="mw-page-title-main">Oblique popliteal ligament</span>

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.

<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">Patellar network</span> Network of blood vessels around the knee

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.

References

PD-icon.svgThis article incorporates text in the public domain from page 633 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 Salaria H, Atkinson R (April 2008). "Anatomic study of the middle genicular artery". Journal of Orthopaedic Surgery. 16 (1): 47–9. doi: 10.1177/230949900801600112 . PMID   18453659. S2CID   34321933.
  2. 1 2 3 4 5 de Carvalho RT, Ramos LA, Novaretti JV, Ribeiro LM, Szeles PR, Ingham SJ, Abdalla RJ (December 2016). "Relationship Between the Middle Genicular Artery and the Posterior Structures of the Knee: A Cadaveric Study". Orthopaedic Journal of Sports Medicine. 4 (12): 2325967116673579. doi:10.1177/2325967116673579. PMC   5175417 . PMID   28050573.