the knee joint
? BOUNDARIES
? CONTENTS
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? APPLIED ANATOMY
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Upper MedialBoundary
Comprises two
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muscles
?Semimembranosus
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Boundaries of thePopliteal Fossa
Upper Lateral Boundary
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Tendon of Biceps
Femoris
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Boundaries of the
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Popliteal FossaLower Lateral Boundary
Lateral Head of
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Gastrocnemius
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Boundaries of the Popliteal FossaLower Medial Boundary
Medial Head of Gastrocnemius
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ARTERIES OF THIGHFEMORAL ARTERY
FEMORAL ARTERY
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? It is the main artery of the lower limb.
? It enters the femoral triangle behind the inguinal ligament
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at the midinguinal point.? It runs downward and medially successively via the femoral
triangle and adductor canal.
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? At the lower end of the adductor canal , it leaves the thigh
via the adductor hiatus to go into the popliteal fossa where it
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continues as the popliteal artery.SURFACE MARKING
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? Femoral artery isrepresented by the
upper two-thirds of a
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line joining the
midinguinal point to the
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adductor tubercle.The thigh is slightly
flexed, abducted and
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laterally rotated
RELATIONS OF THE FEMORAL ARTERY IN THE
FEMORAL TRIANGLE
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1. The main anterior relations are the skin, superficial fascia,
deep fascia and the anterior wall of the femoralsheath.
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2. Posteriorly, the artery rests, from above downwardson
? Psoas major,
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? Pectineus ,
? The profunda artery comes behind the femoral artery as it
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lies on the pectineus.? The nerve to Pectineus passes (from the femoral nerve)
mediallybehind the artery.
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? Adductor longus.
? The posterior wall of the femoral sheath Intervenes
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between these structures and the artery.RELATIONS OF THE FEMORAL ARTERY IN THE
FEMORAL TRIANGLE
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3. The femoral artery & the femoral vein.
? The femoral artery is accompanied by the femoral vein Just
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below the inguinal ligament. The vein is medial to the artery.? However, the femoral vein gradually crosses to the lateral
side posterior to the artery.
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? Femoral vein is directly behind the artery at the apex of the
femoral triangle, and lateral to the lower end of the artery.
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RELATIONS OF THE FEMORAL ARTERY IN THEFEMORAL TRIANGLE
4. The femoral nerve is lateral to upper part of the artery.
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? Lower down the artery is related to the branches of the
nerve, some of which cross it.
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? The branch to the pectineus crosses behind the upper partof the artery.
? The medial cutaneous nerve of the thigh crosses the artery
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from lateral to medial side near the apex of the femoral
triangle.
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? The saphenous branch crosses the artery within theadductor canal.
? The nerve to the vastus medialis is lateral to the artery in
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the adductor canal.
RELATIONS OF THE FEMORAL ARTERY IN
THE FEMORAL TRIANGLE
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5. The femoral branch of the genitofemoral nerve is also
lateral to the upper part of the femoral artery, within the
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femoral sheath, but lower down it passes to the front of theartery.
6. The profunda femoris artery a branch of the femoral
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artery itself, and its companion vein, lie behind the upper part
of the femoral artery, where it lies on the pectineus.
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? Lower down, however, the femoral and profundaarteries are separated by the adductor longus
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POPLITEAL ARTERY
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