Type of Article:  Original Research

Volume 5; Issue 4.3 (December 2017)

Page No.: 4679-4685

DOI: https://dx.doi.org/10.16965/ijar.2017.435


Soumya Philippose 1, J. Sujitha Jacinth *2, V. Muniappan 3.

1 Assistant professor, Department of Anatomy, Amala Institute of Medical Sciences, Trichur, India.

*2 Assistant professor, Department of Anatomy, RMMCH, Annamalai University, Chidambaram, India.

2 Professor and Head, Department of Anatomy, RMMCH, Annamalai University, Chidambaram, India.

Address for Correspondence: Dr. J. Sujitha Jacinth, Assistant professor, Department of Anatomy, RMMCH, Annamalai University, Chidambaram, India.


Introduction & aim: Anatomical variations in the arterial system are very common. In spite of advanced invasive techniques, knowledge of variations still remains limited. One such artery showing variations is the popliteal artery. Limb-threatening sequelae ensue from its damage. The aim of the study encompasses gaining knowledge on the  anatomy of Popliteal artery with respect to its commencement, termination, branching pattern & its relation with surrounding structures mainly the muscles in the Popliteal fossa with a view of helping surgeons from various fields while performing surgery in this region. Comparison with results from previous studies on the popliteal artery was also planned.

Materials and Methods: The study was carried out in 50 lower limbs of 25 well embalmed cadavers of South Indian origin irrespective of age and sex. None of the limbs showed any evidence of previous knee surgery.

Results: Popliteal artery was the continuation of femoral artery. The level of termination in relation to the Popliteus muscle was high in one case and in the middle in another case. Popliteal artery terminated into anterior tibial and posterior tibial arteries. Arterial trifurcation was unobserved. Course was found to be normal with the Popliteal vein and Tibial nerve lying lateral to the artery in the upper part of popliteal fossa and medial to it in the lower part by crossing superficial to it. Third head of Gastrocnemius or aberrant band was not found.

Conclusion: This study provides information vital to the successful accomplishment of surgical, radiological or interventional procedures to be carried out in the vicinity of the vessel.

KEYWORDS: Popliteal artery, anterior tibial artery, posterior tibial artery, popliteus muscle, third head of gastrocnemius.


  1. Standring S, Gray’s anatomy.The anatomical basis of clinical practice:40th Elsevier. Churchill Livingstone; 2008.p. 1408,1409.
  2. Lee McGregor’s,Synopsis of surgical anatomy:12th1986:244-245.
  3. Atilla S, llgit ET, Akpek S,Yucel C,Tali ET, Isik S. MR imaging and MR angiography in popliteal artery entrapment syndrome. Eur Radiol. 1998 8 (6):1025 – 1029.
  4. (4)) Stuart PTA. Note on a variation in the course of popliteal artery. J Anat Physiol.1879 13:162 .
  5. 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.
  6. Romanes G J.Cunningham’s manual of practical anatomy.In:popliteal fossa Vol.1. 15th Oxford, Oxford Medical Publications;p.160-162
  7. K.Datta, Essentials of Human Embryology, 5th ed.2005;196
  8. kurtoglu Z and Uluutku MH.A Combined Variation of the Arteries and Nerve in a Leg.Turk J. Med. Sci.,(1999)29(6):723-727.
  9. Adachi B. Das Arterien system der japaner, band 2. Kyoto, Kenkyusha:1928;198 – 201.
  10. Bergman RA, Thompson SA, Afifi AK, Afifi AK, Saadeh FA. Popliteal vein.eds. Compendium of Human Anatomic Variations, Text, Atlas and World 2nd ed. Baltimore, Munich: Urban and Schwarzenberg; 1988:93.
  11. Lippert H, Pabst R. Arterial variations in man: Classification and Frequency. Munchen: J.F Bergman Verlag;1985 ;82.
  12. Kim HK, Shin MJ, Kim SM, Lee SH ,Hong HJ, Popliteal artery entrapment syndrome : morphological classification utilizing  MR imaging .Skeletal Radiol. 2006 ; 35(9): 648 – 658.
  13. Zuhal Ozgur, Hulya Ucerler, Z Asli AktanIkiz. Branching patterns of the Popliteal artery and its clinical importance. Surg Radiol Anat 2009;31:357-362.
  14. Trotter M. The level of termination of popliteal artery in the White and the Negro. Am J Phys Anthropol. 1940; 27: 109- 118.
  15. Kil SW, Jung GS.  Anatomical variations of the popliteal artery and its tibial branches: analysis in 1242 extremities . Cardiovasc intervent Radiol.2009;32(2);233-240.
  16. Yildiz S.A. High–origin anterior tibial artery and its current clinical importance.International journal of anatomical variations 2010; 3:180-182.
  17. Tindall AJ,Shetty AA, James KD, Middleton A, Fernado KW. Prevalance and surgical significance of a high origin anterior tibial artery. J Orthop Surg(Honh Kong). 2006;14:13-16.
  18. Colborn G L, Lumsden A B, Taylor B S, Skandalakis J E . The surgical anatomy of popliteal artery,The American Surgeon.1994; 60:238 – 246.
  19. Day CP, Orme R. Popliteal artery branching patterns – An Angiographic study. Clin Radiol. 2006;61(8):696 – 699.
  20. Aktan Ikiz ZA, Ucerler H, Ozgur Z.Anatomic variations of popliteal artery that may be a reason for entrapment. Surg Radiol Anat.2009;31(9):695-700.
  21. Haidar S , Thomas K, Miller S. Popliteal artery entrapment syndrome in a young girl. Pediatric Radiol .2005;35(4):440 – 443.
  22. Gibson MHL, Mills JG, Johnson GE, Downs AR.Popliteal entrapment syndrome. Ann Surg 1977;185:341 – 348.
  23. Di Marzo L, Cavallaro A . Popliteal vascular entrapment.World J Surg. 2005: 29:S43-S45.
  24. Elias D .A, White L.M, Rubenstein J.D, et al. Clinical evaluation and MR imaging features of popliteal artery entrapment and cystic adventitial disease.AJR.2003;180(3):627–632.
  25. Dar AM, Ahanger AG,  Wani RA, Bhat MA, Lone GN, Shah SH . Popliteal artery injuries: the Kashmir experience. J Trauma 2003;55(2):362- 365.

Cite this article: Soumya Philippose, J. Sujitha Jacinth, V. Muniappan. THE ANATOMICAL STUDY OF POPLITEAL ARTERY AND ITS VARIATIONS. Int J Anat Res 2017;5(4.3):4679-4685. DOI: 10.16965/ijar.2017.435