Vascular lacuna

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The vascular lacuna (Latin: lacuna vasorum) is the compartment beneath the inguinal ligament which allows for passage of the femoral vessels, [1] lymph vessels and lymph nodes. Its boundaries are the iliopectineal arch, the inguinal ligament, the lacunar ligament, and the superior border of the pubis. The structures found in the vascular lacuna, from medial to lateral, are:

The vascular lacuna is separated from the muscular lacuna by the iliopectineal arch. The lacunar ligament can be a site of entrapment for femoral hernias. [2]

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Femoral artery 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 or profunda femoris 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.

Femoral triangle

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.

Lacuna may refer to:

Inguinal lymph nodes

Inguinal lymph nodes are lymph nodes in the human groin. Located in the femoral triangle of the inguinal region, they are grouped into superficial and deep lymph nodes. The superficial have three divisions: the superomedial, superolateral, and inferior superficial.

Groin The two creases at the junction of the torso with the thighs, on either side of the pubic area

In human anatomy, the groin is the junctional area between the abdomen and the thigh on either side of the pubic bone. This is also known as the medial compartment of the thigh that consists of the adductor muscles of the hip or the groin muscles.

Iliopsoas Joined psoas and the iliacus muscles.

The iliopsoas muscle refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

Lumbar plexus

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.

In human anatomy, the inguinal region refers to either the groin or the lower lateral regions of the abdomen. It may also refer to:

Femoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, almost all develop in women due to the increased width of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure. Seventy percent of pediatric cases of femoral hernias occur in infants under the age of one.

Femoral ring Base of the femoral canal

The femoral ring is the base of the femoral canal. It is directed upward and is oval in form, its long diameter being directed transversely and measuring about 1.25 cm. Part of the intestine can sometimes pass through the femoral ring into the femoral canal causing a femoral hernia.

Femoral canal Anatomy of the leg

In human anatomy of the leg, the femoral sheath has three compartments. The lateral compartment contains the femoral artery, the intermediate compartment contains the femoral vein, and the medial and smallest compartment is called the femoral canal. The femoral canal contains efferent lymphatic vessels and a lymph node embedded in a small amount of areolar tissue. It is conical in shape and is about 2 cm long.

Superficial epigastric artery Large blood vessel

The superficial epigastric artery arises from the front of the femoral artery about 1 cm below the inguinal ligament, and, passing through the femoral sheath and the fascia cribrosa, turns upward in front of the inguinal ligament, and ascends between the two layers of the superficial fascia of the abdominal wall nearly as far as the umbilicus.

Iliac fascia

The iliac fascia, or Abernethy's fascia, is a fascia in the region of the ilium of the pelvis.

Femoral sheath Anatomical structure of the upper thigh

The femoral sheath, also called the crural sheath, is a continuation of the abdominal fascia that is contained in the femoral triangle. It forms the femoral canal, allowing for the femoral artery and the femoral vein to travel between the abdomen and the thigh.

Lacunar ligament

The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle.

Pectineal ligament

The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the lacunar ligament. It runs on the pectineal line of the pubic bone. The pectineal ligament is the posterior border of the femoral ring.

Popliteal lymph nodes

The popliteal lymph nodes, small in size and some six or seven in number, are embedded in the fat contained in the popliteal fossa, sometimes referred to as the 'knee pit'. One lies immediately beneath the popliteal fascia, near the terminal part of the small saphenous vein, and drains the region from which this vein derives its tributaries, such as superficial regions of the posterolateral aspect of the leg and the plantar aspect of the foot.

The muscular lacuna is the lateral compartment of the thigh inferior to the inguinal ligament, for the passage of the iliopsoas muscle, the femoral nerve and the lateral cutaneous nerve of the thigh; it is separated by the iliopectineal arch from the vascular lacuna.

The Iliopectineal arch is a thickened band of fused iliac fascia and psoas fascia passing from the posterior aspect of the inguinal ligament anteriorly across the front of the femoral nerve to attach to the iliopubic eminence of the hip bone posteriorly. The iliopectineal arch thus forms a septum which subdivides the space deep to the inguinal ligament into a lateral muscular lacuna and a medial vascular lacuna. When a psoas minor muscle is present, its tendon of insertion blends with the iliopectineal arch

Outline of human anatomy Overview of and topical guide to human anatomy

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

References

  1. Medical Dictionary. The American Heritage® Stedman. 2011.
  2. Ross, L.M., Lamperti, E.D. (2006). Thieme: Atlas of Anatomy: 489