Popliteal Fossa Flashcards
What is the popliteal fossa?
a diamond shaped region at the back of the knee.
Superomedially boundary of the popliteal fossa
- semimembranosus m.
2. semitendinosus m.
Superolaterally boundary of the popliteal fossa
Biceps femoris m.
Inferolaterally boundary of the popliteal fossa
Lateral head of the gastrocnemius m.
Inferomedially boundary of the popliteal fossa
Medial head of the gastrocnemius m.
What is inside the popliteal fossa (medial to lateral)?
VANN
Popliteal vein - popliteal artery- tibial nerve -common fibular nerve
Popliteal vein will be above the popliteal artery
Popliteal artery trajectory and branches
Popliteal A will come out of the adductor hiatus and then give off genicular arteries above the knee, at the knee and below the knee.
Above the knee:
- Superior medial genicular a
- Superior lateral genicular a
At knee:
1. Middle genicular a
Below the knee:
- Inferior medial genicular a
- Inferior lateral genicular a
these all supply the knee joint.
At the end of the popliteal fossa, the popliteal a will then divide into:
- Posterior tibial A- stays at the back of the leg
- Anterior tibial A- goes to front of leg via the interosseus membrane
At the foot, what does the anterior tibial a. become?
Dorsalis pedis a.
What participates in an anastamoses of the knee?
Genicular branches of the popliteal a, This allows bypassing of the popliteal artery in case there is damage.
How can we damage the popliteal a?
- Flex knee too long
2. Popliteal vessels become occluded
How can we identify the inferior medial genicular a?
It comes down the popliteal a at a strong angle.
what genicular a does not participate in an anastomses?
middle genicular a
What forms the popliteal vein?
What is the trajectory?
- Posterior tibial vein
- Anterior tibial vein.
[Small saphenous vein] will also terminate on it.
Goes through adductor hiatus to form the femoral vein.
Sciatic nerve branches into
- Tibial nerve
2. Common fibular n.
Branches of the tibial n.
medial sural cutaneous n.
Branches of the common fibular n
- Lateral sural cutaneous n.
- Superficial fibular n
- Deep fibular n.
The superficial and deep fibular nerves will wind around the head and neck of the fibula and go to the anterior leg, thus, it is susceptible to injury.
What does the sural nerve run with?
Small saphenous vein.
What does the sural nerve innervate?
Distal posterior aspect of the leg
Lateral aspect of ankle and foot.