Adductor Canal Flashcards
Anatomical location
Narrow conical tunnel located in thigh
From apex of femoral triangle to adductor magnus
Anterior border
Sartorius
Lateral border
Vastus medialis
Posterior border
Adductor longus
Adductor magnus
Apex
Adductor hiatus (gap between adductor and hamstring attachments of adductor longus)
Contents
Femoral artery
Femoral vein
Nerve to vastus medialis
Saphenous nerve
Adductor canal block
Local anaesthetic is administered in the canal to block saphenous nerve
Sometimes blocks nerve to vastus medialis
Provides sensory anaesthesia for procedures involving distal thigh and femur, knee and lower leg on the medial side
Locate saphenous nerve
Use sartorius and femoral artery as anatomical landmarks
Adductor canal compression syndrome
Entrapment of the neurovascular bundle within the canal
Usually caused by hypertrophy of adjacent muscles eg. vastus medialis
Most common in young males
May present with claudication due to occlusion of femoral artery
Or neurological symptoms due to entrapment of saphenous nerve