PROFUNDA FEMORIS ppt.pptx

Anatomy of profunda femoris artery

1. PROFUNDA FEMORIS OR DEEP FEMORAL ARTERY BY TABLE 4, AIIMS HYD

2. PROFUNDA FEMORIS DEEP BRANCH OF FEMORAL ARTERY Similar to Profunda brachii which was deep brachial artery present in upper limb. SURGICAL IMAGE RADIOLOGICAL IMAGE(USG) CADAVERIC IMAGE

3. CONTENTS ORIGIN COURSE BRANCHES ANASTOMOSES APPLIED ASPECTS VARIATIONS

4. ORIGIN Largest brach of femoral artery artery i.e. continuation of external iliac artery below the inguinal ligament. Chief artery of supply to all the 3 compartments of thigh i.e. anterior, medial, posterior compartments. Arises laterally and deep from femoral artery, 4cm below inguinal ligament , in the femoral triangle. Origin is in front of iliacus .

5. FEMORAL ARTERY PROFUNDA FEMORIS ARTERY

6. COURSE

7. Passes posterior to femoral vessels Passes deep to adductor longus and leaves femoral triangle Passes between adductor longus and adductor brevis Passes between adductor longus and adductor magnus Terminal part pierces adductor magnus and anastomose

8. BRANCHES Medial circumflex femoral artery Lateral circumflex femoral artery 4 Perforating branches

9. MEDIAL CIRCUMFLEX FEMORAL ARTERY Supplies adductor compartment and head of femur. Passes posteriorly between pectineus and psoas major Leaves femoral triangle Gives acetabular branch Divides into ascending and transverse branches

10. MCx FEMORAL And its ASCENDING and TRANSVERSE BRANCHES

11. LATERAL CIRCUMFLEX FEMORAL ARTERY Runs laterally between anterior and posterior divisions of femoral nerve Passes behind sartorius and rectus femoris Divides into ascending, transverse and descending branches.

12. LCx FEMORAL

13. BRANCHES OF LCx FEMORAL

14. ASCENDING BRANCH OF LCx Runs deep to tensor fascia lata Gives branches to hip joint and greater trochanter Takes part in trochanteric anastomosis

15. TRANSVERSE BRANCH OF LCx Pierces vastus lateralis Participates in cruciate anastomosis just below greater trochanter

16. DESCENDING BRANCH Runs down along anterior border of vastus lateralis Gives offsets to nearby muscles Ends by participating in genicular anastomosis

17. PERFORATING BRANCHES Supplies muscles of posterior compartment Arise on front of thigh Pass through Adductor longus, brevis and magnus Wind around back of femur Pierces aponeurotic origins of muscles attached to linea aspera End in Vastus lateralis

18. 1st Arises just above upper border of pectineus Participates in cruciate anastomosis 2nd Arise at lower border of pectineus Gives off nutrient artery to femur 3rd Arise on adductor longus 4 th Termination of profunda femoris Anastomose with superior muscular branches of popliteal artery

19. FIRST PERFORATING BRANCH OF PROFUNDA FEMORIS

20. ANASTOMOSES in which branches from profunda femoris participates SPINOUS ANASTOMOSIS TROCHANTERIC ANASTOMOSIS CRUCIATE ANASTOMOSIS LINE ANASTOMOSIS ON BACK OF THIGH GENICULAR ANASTOMOSIS

21. SPINOUS ANASTOMOSIS

22. TROCHANTERIC ANASTOMOSIS

23. CRUCIATE ANASTOMOSIS

24. LINE ANASTOMOSIS IN BACK OF THIGH

25. GENICULAR ANASTOMOSIS

26. PROFUNDA FEMORIS VEIN Accompany the profunda femoris artery Receives tributaries that correspond the branches of artery Drains into femoral vein

27. CLINICAL IMPORTANCE At apex of the femoral triangle femoral artery and profunda femoris artery are all in same plane. Injury to apex leads to large vessels leading haemorrhage. Any fracture to shaft of femur can lead to damage to profunda femoris. During surgeries (insertion of screws) this artery may get damaged. Useful for clinical procedures like arteriography, ultrasonography, haemodialysis.

28. COMMON VARIATIONS IN PROFUNDA FEMORIS High origin of profunda femoris (less than 4 cm from inguinal ligament) Origin of medial and lateral circumflex arteries from femoral artery and not profunda femoris. Profunda femoris origin is from posteromedial or medial side of femoral artery.

29. HIGH ORIGIN OF PROFUNDA FEMORIS TABLE 4 CADAVER (Right Side)

30. BOTH MEDIAL AND LATERAL CICUMFLEX ARTERY FROM FEMORAL ARTERY AND PROFUNDA FEMORIS ARISES SEPARATELY

31. References B.D. Chaurasia’s Human Anatomy Gray’s Anatomy for students Snell’s clinical anatomy

32. Thanks to table 4 crew Carol Hasini Naresh Yajushee Pranjali Vidya Jasim Saikiran Sakshi Sanidhya Nilansh Nishita Ojas Omkar Spoorthi Prasoon Pratik Preeti Rachana Radhika

33. SPECIAL THANKS TO Rohini Ma’am

34. THANK YOU