A cadaveric study of variations in the origin of medial circumflex femoral artery

Apurva P Darji, Paras S Shrimankar, Hiteshkumar Muktilal Chauhan, Hardik Khatri, Tulsidas C Singel

Abstract


        The medial circumflex femoral artery is the chief source of blood supply to head and neck of femur. So, the precise knowledge of the anatomy of the artery is essential during reconstructive surgeries of the hip joint and if it is damaged, may cause avascular necrosis of the head of femur.  We have done this study to determine the mode of origin and the distance of origin of medial circumflex femoral artery from the origin of profunda femoris artery and from mid-inguinal point when it arises from femoral artery. We dissected 130 femoral triangles in 65 human cadavers which revealed interesting variations. Medial circumflex femoral artery originated from profunda femoris artery in 116 cases and from femoral artery in 14 cases. In most of the cases, the distance of origin of medial circumflex femoral artery from the origin of profunda femoris artery was ranging from 0 to 10 mm. Variations in the arterial patterns may be due to the divergence in the mode and proximo-distal level of branching or aberrant vessels that connect with the principal vessels, arcades or plexuses during the development of the blood vessels. Thus the knowledge of these variations can be of great help to the surgeons in reducing the chances of intra-operative secondary haemorrhage and post-operative complications.


Keywords


Femoral artery, Idiopathic ischaemic necrosis, Medial circumflex femoral artery, Profunda femoris artery.

Full Text:

PDF

References


Standring S, Healy JC, Johnson D, Williams A, Collins P. Gray’s Anatomy: The Anatomical Basis of Clinical Practice.40th ed. London: Elsevier, Churchill Liwingstone 2008; p.409, 491-494,544,665-668,1349-85.

Hollinshead WJ. Anatomy for surgeon’s. The Back and Limbs, vol.3. Newyork: Medical book department of harper and brothers 1958; p.705-42.

Gautier E, Ganz K, Krugel N, Gill T, Ganz R. Anatomy of the medial femoral circumflex artery and its surgical implications. The journal of bone and joint surgery (Br) 2000; 82: p.679–683.

Cunningham’s manual of practical anatomy. Vol.-1. Upper and lower limbs. 15th edi. London: Oxford university press 2002; p.129-44.

Lipchutz BB. Studies on the blood vascular tree, A composite study of the femoral artery. Anatomical Record 1961; 10: p.361-70.

Siddharth P, Smith NL, Mason RA, Giron F. Variational anatomy of the deep femoral artery. Anat Rec 1985; 212(2): p.206–9.

Clarke SM, Colborn GL. The medial femoral artery: its clinical anatomy and nomenclature, Clin Anat 1993; 6: p.94- 105.

Başar R, Sargon MF, Cumhur M, Bayramoğlu A, Demiryürek D. Distinct Intergender difference in the femoral artery ramification patterns found in the Turkish population: angiographic study, Anat Sci Int 2002; 77(4): p.250–253.

Tanyeli E, Uzel M, Yildirim M, Celik HH. An anatomical study of the origins of the medial circumflex femoral artery in the Turkish population. Folia Morphol 2006; 65(3): p.209 -12.

Samarawickrama MB, Nanayakkara BG, Wimalagunarathna KWR, Nishantha DG , Walawag UB. Branching pattern of the femoral artery at the femoral triangle: a cadaver study. Galle Medical Journal 2009; 14(1): p.31-34.

Prakash, Kumari J, Bharadwaj AK , Jose BA, Yadav KS, Sing G. Variations in the origins of the profunda femoris, medial and lateral femoral circumflex arteries: a cadaver study in the Indian population, Romanian journal of morphology and embryology 2010; 51(1): p.167-70.

Kulkarni SP, Nikade VV. A study of branching pattern of femoral artery in femoral triangle in cadavers. International journal of recent trends in science and technology. 2013; 6(1): p.53-55.

Shainy V B, Suseelamma D, Shridevi N S, Gayatri N, Sangeeta M. A study of the origin of medial circumflex femoral artery. Journal of Dental and Medical Sciences 2013; 4(5) p.28-31.

Dixit D, Dharati M, Suresh P, Mital M, Singel TC. A study of variations in the origin of profunda femoris artery and its circumflex branches. Int J Biol Med Res 2011; 2(4): p.1084 –89.

Anajankar VP, Panshewdikar PN, Thakare G, Mane U, Tekale V. Morphological study on branching pattern of femoral artery: a cadaveric study. International journal of biomedical and pharmaceutical sciences 2014; 4(28): p.34-38.




DOI: http://dx.doi.org/10.7439/ijbar.v6i7.2269

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




Copyright (c) 2015 International Journal of Biomedical and Advance Research

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Most read articles by the same author(s)