Femoral triangle

borders , contents and clinical applications of the femoral triangle plus its relations

1. TRIGONUM FEMORIS MUDOOGO EDGAR

2. Outline Definition Boundaries Contents Clinical correlates MUDOOGO EDGAR 2

3. Definition triangular depressed area situated in the upper part of the medial aspect of the thigh just below the inguinal ligament MUDOOGO EDGAR 3

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5. Boundaries Superiorly : lower border of inguinal ligament Laterally : medial border of Sartorius muscle Medially : lateral border of adductor longus muscle Floor : - medially by pectineus & adductor longus muscles - laterally by iliopsoas muscle MUDOOGO EDGAR 5 SAIL

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7. Contents From lateral to medial: Femoral nerve and its (terminal) branches Femoral sheath and its contents: Femoral artery and several of its branches. Femoral vein and its proximal tributaries (e.g., the great saphenous and deep femoral veins). Deep inguinal lymph nodes and associated lymphatic vessels MNEMONIC (lateral-medial) NAVEL MUDOOGO EDGAR 7

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10. IN THE CLINIC femoral artery and femoral vein are highly palpable (used for pulse taking) Catheterization superficial position of the femoral artery in the femoral triangle also makes it vulnerable to traumatic injury, especially laceration Commonly, both the femoral artery and vein are lacerated in anterior thigh wounds because they lie close together MUDOOGO EDGAR 10

11. When it is necessary to ligate the femoral artery, anastomosis of branches of the femoral artery with other arteries that cross the hip joint, may supply blood to the lower limb Heavy bleeding in the lower limb may be stopped by applying pressure on some points in the femoral triangle Important for coronary angioplasty & peripheral angioplasty MUDOOGO EDGAR 11

12. Femoral hernia a protrusion of abdominal viscera (often a loop of small intestine) through the femoral ring into the femoral canal . MUDOOGO EDGAR 12

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14. THANK YOU MUDOOGO EDGAR 14