lower limb Flashcards
Main supply of lower limb
femoral artery
femoral is contiunation of ?
External iliac artery!
behind inguinal ligament at mid inguinal point
mid inguinal point?
A POIINT MID WAY BETWEEN
ASIS AND
SYMPYSIS PUBIS
Course of femoral
proximal part : through femoral triangle
distal part : through adductor canal
femoral vein relations to the artery ?
posterolateral as it asends through lower part of adductor canal
posterior at upper part of the canal triangular apex
medially at the base of femoral triangle
Branches of the femoral artery
.
-Branches in the femoral triangle 3superficial Superficial epigastric artery, Superficial external pudendal artery Superficial circumflex iliac artery & 3 deep one of deep is in the adductor canal (descending genicular)
Deep external pudendal artery Profunda femoris artery Descending genicular artery . .
)Superficial epigastric artery
pierces the cribriform fascia & passes upwards and medially to supply the lower part of the anterior abdominal wall
Superficial external pudendal artery relation to round ligament of uterus ?
in front of it after pierceing the ciribriform fascia
supply external genetilia
Superficial circumflex iliac artery pierces ? and share in which anastomsis ?
fascia lata lateral to the saphenous opening & passes upward & laterally to share in the anastomosis around ASIS .
deep external peudendal unlike the superficial in ?
passes medially (behind) the round ligamnnet of uterus
main art supply to the thigh
profunda femoris of deep branch of femoral
main art supply to the thigh
profunda femoris of deep branch of femoral
course of profunda femoris
begin 4 cm below the inguinal ligament from posterolateral aspect !
in Femoral triangle: desends medially passes below femoral vessels and above pectinus
then Adductor longus ! it passes below adductor longus so it separate it from femoral vessel
then it passes above adductor brevis and Magnus piercing it being the 4th perferator
lateral circimflex Fomral artety behind ?
sartouris and rectus femoris
lateral circimflex feomral artety behind ?
sartouris and rectus femoris
med. circum femoral artery lie between?
quadratus femoris and
adductor magnus
med. circum femoral artery
lat . circum femoral artery
the ascending branch share in ?
1- med Torchanteric anastom
2lateral asis anastom
first perforeator of profund share in
Cruciate A
Superior muscular branch of popliteal artery ans with ?
The 4th Perferator anastoms with Superior muscular branch of popliteal artery
the nutrient artery of femur arise from ?
if single 2 perferator
if double 1 and 3 perferator
clincal imp of femoral art
could be compressed at mid -inguinal point against the femoral head to stop bleeding or for checking pulsation
.
Stab wound at the apex of the
femoral triangle cut the which structures?
superficial to deep femoral artery femoral vein, profunda vein lastly profunda artery .
Obturator is a branch of ?
Internal iliac artery : anterior divison of internal iliac artery
فروع الDGA ?
MSA مساء
Muscluar
Sahpenous :KA
Articular :KA
Main soruce odf supply the head of femur ?
The medial and lateral circumflex femoral arterirs from profunda from femoral
trochanteric anastomsis
Course of boturatort artey
passes along lateral wall of pelvis below obuterator nerve ,
pass through the obturator canal with obturator nerve to reach the thigh the divides into two bran ant and post forming a cicular arterial anastomsis around oute margin of ovturator membrane under the obturator externus !
Branches of arterial circle ?
MANAnACET ! مانا نسيت !
Musclar branches to ADO عدوني !
Adductor muscles and obutrator externus
Anastomotic with arteris in circ في السيرك
Inferior gluteal arterty
medial circumflex femoral artery
Acetabular branch for head of femur minor !
Course of Acetabular branch of obturator ?
Enter the hip joint through the acetabular foramen and run in the ligament of head of femur to supply the head !
Arteries of the gluteal region
-The superior gluteal artery:
-Theinfr gluteal artery:
The internal pudendal artery:
-A largest branch post division of internal iliac artery
he superior gluteal artery
describe he superior gluteal artery
largest of internal iliac artery
pass through the greater sciatic foramen above piriformis
and divide into superficial for glutes maximus
and deep upper and lower for other two glutei medius and minimus
the upper —- asia a
the lower —– tochanteric anastomisis!
gluteal branch of ant divison of intenal iliac art
Inferior gluteal artery
obturator
internal peudendal artery
branches of inferior gluteal art
MCA! مكة
Musclar for deep Glutes masximus
Companion Sicatic pierce sciatic and run in its substance till midlle of thigh
Anastomotic —- Crucciate x A and Trochanteric An
a gluteal branch of ant division of internal iliac artery that passes to pernum?
Internal peudendal art
شريان بيمشي بين عصبين؟
internal peudendal between
peudndal nerve and nerve to obturator internus
شريان بيعطي من ثقبين
internal pudendal artery reach the glutaal region through greater scaitic foramen and
reach perinum through lesser sciatic foramen
tributaries of internal iliac vein
vena comitants of
1- superior gluteal a
2-inferior gluteal a
3 -internal pudendal a
ASIS ANASTOMISIS
3 CIRC AND 1 GLUTEAL =4 2 circ iliac 1 circ femoral superifical and deep cir iliac ascendnig of lateral circ femoral branch of supeiror gluteal artery(upper of deep)
Trocha anastomsis
2 circ 2 glut 1-Ascending branch of medial and lateral circumflex femoral arteries. 2-A branch from superior gluteal and a branch from inferior gluteal arteries
Cruciate anastomosis where
between the adjacent borders of quadratus
femoris and adductor magnus.
cruciate anastomisi?
طالع مستعرض نازل ؟ قولون؟؟
transvers of medial and lateral cirumflex femoral arteries
Descending of inferior gluteal art
ascending of 1st perferator artery `
Functions of gluteal anastomisis?
اتصال بين internal iliac و femoral
trochanteric anstomisis
مهم جدا جدا لان مصدر الغذاء الاهم لراس الفخذ !
deepest structure in the popliteal fossa,
Popliteal artery
popliteal vein relation to artery
The popliteal vein always intervenes
between the popliteal artery and the
tibial nerve throughout the fossa.
Anterior (deep): relation of popliteal art?
e floor of the popliteal fossa 1 popliteal surface of femur 2back of knee joint 3 popliteus fascia
branches of popliteal art
MAC وتفاحة بيل جتس Muscular CUTANUOUS genicular articular 5 2 up 1 mid 2 down superior genicular med lat middle genicular inf ggenicular med and lat
continues as dorsalis pedis
artery passing in front of the ankle joint midway
between the 2 malleoli?
ATA anterior tibial art
ATA (share
in anastomosis around the
KNEE
anterior post tibial recurrents
ata share
in anastomosis around the
ankle
ant lat and med malleolar art
Dorsalis pedis relation in foot
medially EHL extensor hallucis longus
medial terminal branch of deep peroneal nerve MDTDPN
laterally EDL extensor digitorum longus!
under superior extensor reticulum !
HOW DOES DORSALIS PEDIS ARTERY COMPLETE PLANTAR ARCH?
It passes between the two heads of the first interossues muscle at the proximal end f first interossues space to soel of foot to complete plantar arch
The pulsation of dorsalis pedis artety?
mid point between 2 maleloi
proximal end of first intermetatarsal space !
Lateral to Extensor Hallucis Longus
branches of dorsalis pedis :?
TARC MAT طارق مات
tarsal – lateral and medial tarsals
arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes
branches of dorsalis pedis :?
TARC MAT طارق مات
tarsal – lateral and medial tarsals
arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes
dorsal metatarsals reciver distal perofrating from plantar metatarsals !
first dorsal metatrasl
it arises from dorsalis pedis before e sole
it give medial for big toe
lateral giving 2 branches for adjacent sidies of 2nd toe
largest branch of the popliteal aert
PTA posterior tibial
branches of PTA
سفينمكومكالومب اي حاجة@@ Circumflex fibular Nutrient to tibia Muscular Communticating with communcat of pernoeal Calcanean with cal of pernoneal medial malleolar pernoeal اهم واحد فيهم !
pernoeal course
below popliteus
along medial crest of fibula
between tibials pos and flexor halusis longus
end behind inf tb joint giving calcnean branches !
فروع ال pernoeal
كومكالنب في
اي حاجة برضو @@
communicat with com of pta calcn with cal of pta nutrient musclar perforating anastomse with anterior lateral malleolar art!
alternative to dorsalis pedis ?
it is perforating of pernoeal !
medial plantar artery course?
runs under the cover of abductor haluusics then between it and the flexor digitorum brevis to the medial side of medial plantar nerve
ends at the base of first metatarsal bone by anastomosing with the digital branch to the medial side of the big toe
superficial digital branches of the medial plantar describe.
they are 3 small branches runing with the branches of m p n
and then they anastomose with the 3 plantar metatarsals of the plantar arch
anastomtic branches of the lateral plantar artery ?
with branches of arcuate art and lateral tarsal branches !
describe the perforator branches of the plantar side of foot.
the proximal perforator directly from the lateral plantar art which anastsomos with domea dorsal metatarsal branches through interosseus spaces
;
the distal perofrateros (ant)
they arise from the plantar metatarsal branches of the plantar arch of lateral planatr art
they join domeas dorsal metatarsal art
course of the longest vein
from the medial side of dova and then ant to the medial malleolus with the saphenous nerve ascending medially to tibia then
posteriomedially at knee joint
then medially in the thigh till it reach the saphenous opening hooking round its inferior margin then pierce ciribriform fascia and end in Femoral vein
tributaries of the Gs
ankle : medial marginal veins leg connected with the ss and the deep veins by perferators thigh receives the vena comitants of superficial circumflex iliac super external peudenal super epigastric epiexcirc
clincal imp of gGs ?
- blood and fluid perfusion
- coronary by pass ! longest vein replacement for coronary
course of Small saphenous vein
from the lateral side of Dova dorsal venous arch
ascend behind the lateral malleolus with the Sural Nerve
then lateral to tendocalcanueus then it ascend in the mid of the calf between heads of gastrocnemius then pierce the fascia to end in popliteal vein
ss ributaries
dorsum of foot deep veins
leg cutanuous branches
in the thigh with great saphenous 7-13 valves !
relation og the pop vein to art?
lower part medial
mid post\
upper postlateral
