Type of Article:  Original Research

Volume 5; Issue 3.3 (September 2017)

Page No.: 4410-4413

DOI: https://dx.doi.org/10.16965/ijar.2017.355


Wanderley, Annelise Passos Bispos 1, Brito, Gabriel Amorim 1, Rigolon, Luiz Paulo Junqueira 1, Lessa, Pedro Fernandes ¹, Fernandes, Rodrigo Mota Pacheco 1, Cisne, Rafael ¹.

1 Department of Morphology, Biomedical Center, Fluminense Federal University, RJ, Brazil.

Correspondence Address: Dr. Rafael Cisne, Department of Morphology – Biomedical Institute – Fluminense Federal University, 101 Prof. Ernani Mello St., PC: 24210-150, Niterói, RJ – Brazil. Phone 55-21-26292332 – Fax: 55-21-23292414 E-Mail: rafael.cisne@gmail.com


Background: The pattern of popliteal artery branching and its variations still subject for discussions due to several procedures performed in the popliteal fossa by vascular surgeons and interventional radiologists daily. The aim of this survey is to describe and quantify these variations comparing the results to the data found in the literature.

Material and Methods: Twenty one anatomical specimens of the Department of Morphology from Fluminense Federal University, preserved in 10% formalin aqueous solution, were used in this study.

Results: From those specimens, 17 (80.95%) had the most common pattern which is anterior tibial artery (AT) arising first followed by bifurcation of tibial–peroneal trunk in the posterior tibial artery (PT) and peroneal artery (PR); 3 (14.28%) had the trifurcation pattern; and 1 (4.77%) had the PT as first branch and anterior tibial-peroneal trunk leading to AT and PR arteries posteriorly.

Conclusions: The results showed low frequency of the common pattern when compared to the literature and revealed the relevance of the trifurcation pattern. The relative position of the frequency of this pattern matches the results of other studies.

Key words: Anterior Tibial Artery, Tibiofibular Trunk, Trifurcation.


  1. Colborn GL,Lumsden AB, Taylor BS, Skandalakis JE. The surgical anatomy of the popliteal artery. Am Surg 1994;60(4):238-246.
  2. Ninomiya JT,Dean JC, Goldberg VM.. Injury to the popliteal artery and its anatomic location in total knee arthroplasty. J Arthroplasty. 1999;14(7):803-809.
  3. Mauro MA, Jaques PF,  Moore M. The popliteal artery and its branches: embryologic basis of normal and variant anatomy. American Journal of Roentgenology. 1987;150(2):435–437.
  4. Zheng M, Chen C, Qiu Q, Wu C. Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries. Med Ultrason. 2016;18(1):64-69.
  5. Sumalatha S, Periyasamy V, Bhatt R, Dsouza A S, Hosapatna M. Anomalous Branching Pattern of the Popliteal Artery (PA): A Case Report.Journal of Clinical and Diagnostic Research. 2014;8(6):AD01–AD02.
  6. Kim D, Orron DE, Skillman, J J. Surgical significance of popliteal arterial variants. A unified angiographic classification. Annals of Surgery. 1989;210(6):776–81.
  7. Kropman RHJ, Kiela G, Moll FL, de Vries JPPM. Variations in anatomy of the popliteal artery and its side branches. Vascular and Endovascular Surgery. 2011;45(6):536–540.
  8. Kil SW, Jung GS. Anatomical variations of the popliteal artery and its tibial branches: analysis in 1242 extremities. Cardiovascular and Interventional Radiology. 2009;32(2):233–240.
  9. Mavili E, Dönmez H, Kahriman G, Özaşlamacı A, Özcan N, Taşdemir K. Popliteal artery branching patterns detected by digital subtraction angiography. Diagnostic and Interventional Radiology. 2011;17(1):80–83.
  10. Day CP, Orme R. Popliteal artery branching patterns — an angiographic study. Clinical Radiology. 2006;61(8):696–699.
  11. Ozgur Z, Ucerler H, Aktan Ikiz Z A. Branching patterns of the popliteal artery and its clinical importance. Surgical and Radiologic Anatomy. 2009;31(5):357–362.
  12. Keen JA. A study of the arterial variations in the limbs, with special reference to symmetry of vascular patterns.Developmental Dynamics. 1961;108(3):245-261.
  13. Trotter M. The level of termination of the popliteal artery in the white and the negro.American Journal of Physical Anthropology. 1940;27(1):109-118.
  14. Lappas D, Stavropoulos NA, Noussios G, Sakellariou V, Skandalakis, P. Anatomic study of infrapopliteal vessels.Folia Morphol. 2012;71:164-167.
  15. Tomaszewski KA,Popieluszko P, Graves MJ, Pękala PA, Henry BM, Roy J, Hsieh WC, Walocha JA. The evidence-based surgical anatomy of the popliteal artery and the variations in its branching patterns. J Vasc Surg. 2017;65(2):521-529.
  16. Szpinda M. An angiographic study of the anterior tibial artery in patients with aortoiliac occlusive.Folia Morphol. 2006;65(2):126-131.
  17. Aktan Ikiz ZA, Ucerler H, Ozgur Z. Anatomic variations of popliteal artery that may be a reason for entrapment. Surg Radiol Anat. 2009;31:695.
  18. Demirtaş H,Değirmenci B, Çelik AO, Umul A, Kara M, Aktaş AR, Parpar T. Anatomic variations of popliteal artery: Evaluation with 128-section CT-angiography in 1261 lower limbs. Diagn Interv Imaging. 2016;97(6):635-42.
  19. Adachi B. Das arteriensystem der Japaner, Journal of anatomy. 1932;66(3):434-435.
  20. Szpinda M.  Digital-image analysis of the angiographic patterns of the popliteal artery in patients with aorto-iliac occlusive disease (Leriche syndrome). Ann Anat. 2006;188(4):377-382.
  21. Calisir C, Simsek S, Tepe M. Variations in the popliteal artery branching in 342 patients studied with peripheral CT angiography using 64-MDCT. Jpn J Radiol. 2015;33(1):13-20.
  22. Davies BW, Husami TW, Lewis J, Retrum E. Developmental variations of the popliteal artery and its branches: a clinical correlation. Contemp Surg. 1989;34:28-32.
  23. Yanik, B. Bulbul, E. Demirpolat, G. Variations of the popliteal artery branching with multidetector CT angiography. Surgical and Radiologic Anatomy. 2015;37(3):223-230.
  24. Celtikci P, Ergun O, Durmaz HA, Conkbayir I, Hekimoglu B. Evaluation of popliteal artery branching patterns and a new subclassification of the ‘usual’ branching pattern. Surg Radiol Anat. 2017.

Cite this article: Wanderley, Annelise Passos Bispos, Brito, Gabriel Amorim, Rigolon, Luiz Paulo Junqueira, Lessa, Pedro Fernandes, Fernandes, Rodrigo Mota Pacheco, Cisne, Rafael. ANATOMICAL STUDY OF POPLITEAL ARTERY BRANCHING PATTERNS AND SURGICAL CONSIDERATIONS. Int J Anat Res 2017;5(3.3):4410-4413. DOI: 10.16965/ijar.2017.355