Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 1922-1926
Date of Publication: 29-02-2016
VARIATIONS IN BRANCHING PATTERN OF PROFUNDA FEMORIS ARTERY AND ITS CIRCUMFLEX BRANCHES
Pretty Rathnakar *1, Vinay Kumar V 2, Remya Vinod 3, Beena Nandan 4.
*1 Assistant Professor, Department of Anatomy, K.S.Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.
2 Associate Professor, Department of Anatomy, K.S.Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.
3 Lecturer, Department of Anatomy, K.S.Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.
4 Associate Professor, Department of Anatomy, Academy of Medical Sciences, Pariyaram, Kannur District, Kerala, India.
Address: Dr. Pretty Rathnakar, Assistant Professor, Department of Anatomy, K.S.Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.
Background: Accurate knowledge about the anatomical variations of origin of profunda femoris artery, medial and lateral circumflex femoral artery are important for clinicians for performing surgeries around the aforesaid vessels.
Materials and Methods: The present study was done on 73 lower limbs (38 right and 35 left side) available in the department of Anatomy. The branching pattern of profunda femorais, medial and lateral circumflex femoral artery were studied. The branching pattern was categorized into different types. The type 1a, the lateral circumflex femoral artery branched distal to the medial circumflex femoral artery and type 1b, the medial circumflex femoral artery branched distal to the lateral circumflex femoral artery. They are grouped under the type 1c, if both the circumflex femoral arteries, were found branching at the same level. Subtype 2a, if the lateral circumflex femoral artery is branching from the profunda femoris artery and the medial circumflex femoral artery is branching from the femoral artery. Type 2b, if the medial circumflex femoral artery is branching from the profunda femoris artery and the lateral circumflex femoral artery is branching from the femoral artery. In type 3, both the lateral and medial circumflex femoral arteries were branching from the femoral artery.
Results: The mean distance between the mid inguinal point and origin of profunda femoris artery from femoral artery was 4.33cms and in majority of specimens the profunda femoris artery originated posterolaterally to femoral artery. In the present study, the type 1a was observed in 57.53% of specimens, type 1b in 4.11% of specimens. The type 1c was not at all seen in any of the specimens. The type 2a was found in 24.65% specimens, type 2b was observed in 9.58% specimens and type 3 in 4.11% of cases.
Conclusion: Knowledge of the variations of the site of origin and course of PFA and its circumflex branches is of diagnostic significance and is important in various surgical procedures and reduces chances of peri-operative complications.
Key words: Artery, Femoral, Profunda femoris, Circumflex.
- Standring S. Pelvic girdle, gluteal region and hip joint, Profunda femoris artery. In: Gray's Anatomy, The anatomical basis of clinical practice. 40th ed. Elsevier Churchill Livingstone,2008:1379-1380.
- Savithri P. A rare variation of trifurcation of right femoral artery. International Journal of Anatomical Variations. 2013;6:4–6.
- Kaplan JL, Allen RJ. A cost based comparison between perforator flaps and TRAM flaps. Plast Reconstr Surg 2000;105(3):943-948.
- Langer R, Langer M, Scholz A, Astinet F, Schwetlick G, Felix R. Femoral head perfusion in patients with femoral neck fracture and femoral head necrosis. J Belge Rad, 1993;76:145–149.
- Gautier E, Ganz K, Krügel N, Gill T, Ganz R, Anatomy of the medial femoral circumflex artery and its surgical implications. Journal of Bone and Joint Surgery. Br. 2000;82(5):679-683.
- Vazquez MT, Murillo J, Maranillo E, Parkin I, Sanudo J. Patterns of circumflex femoral arteries revisited. Clinical anat. 2007;20:180-5.
- Ciftcioglu E, Kale A, Kopuz C, Edizer M, Aydln E, Demir MT. Medial circumflex femoral artery with different origin and course: a case report and review of the literature. Folia Morphol. 2009;68:188-91.
- Sahin B, Uzun A, Emirzeoglu M, Kosif R, Bilgic S. A deep femoral artery passing in front of the femoral vein. Folia Morphol. 2003;62:143-6.
- Prakash, Kumar J, Kumar BA, Jose BA, Kumar YS, Singh G. Variations in the origins of the profunda femoris, medial and lateral femoral Circumflex arteries: a cadaver study In the Indian population. Romanian Journal of Morphology and Embryology. 2010;51(1):167–170.
- Dixit DP, Mehta LA, Kothari ML. Variations in the origin and course of profunda femoris artery. Journal of Anatomical Society of India. 2001;50(1):6–7.
- Vuksanovic-Bozaric , Stefanivic N, Pavlovic S, Duraskosvic R, Randelovic J. Analysis of deep femoral artery origin variances on fetal material. Facta Universitatis: Medicine and biology. 2007;14(3):112–116.
- Dixit D, Kubavat DM, Rathod SP, Pateld MM, Singel TC. A study of variations in the origin of profunda femoris artery and its circumflex branches. Int J Biol Med Res. 2011;2(4):1084-89.
- Vazquez MT, Murillo J, Maranillo E, Parkin I, Sanudo J. Patterns of the circumflex femoral arteries revisited. Clin Anat. 2007;20:180-5.
- Vishal K, Murlimanju BV. Variability in the origin of Lateral and medial circumflex femoral arteries: an anatomical study in South Indians. International Journal of Anatomy and Research. 2014;2(4):692-696. DOI: 10.16965/ijar.2014.528.
- Shanahan D, Jordan RK. Rare origin of the inferior epigastric artery from an anomalous medial circumflex femoral artery. J Anat. 1997;191:611.
- Valdatta L, Tuinder S, Buoro M, Thione A, Faga A, Putz R . Lateral circumflex femoral artery system and perforators of the anterolateral thigh flap, an anatomic study. Ann plast surg. 2002;49:145-150.
- Sugawara Y, Sata O, Miyata T, Kimura H, Namba T, Mukuuchi M .Utilization of the Lateral circumflex femoral artery as a midway outflow for aortopopliteal grafting. report of a case. Surgery today. 1998;28:967-970.
- Chitra R. Arare variational anatomy of the profunda femoris artery. Folia Morphol. 2008;67:157-8.
- Vaas F. Some considerations concerning the deep femoral artery. Arch Chir Neerl 1975;27:25-34.
- Canale JM, Lange L, Friedman MJ. A new technique for noninvasive evaluation of femoral arterial and venous anatomy before and after percutaneous cardiac catheterization in children and infants. Am J Cardiol. 1982;49:349-55.
Pretty Rathnakar, Vinay Kumar V, Remya Vinod, Beena Nandan. VARIATIONS IN BRANCHING PATTERN OF PROFUNDA FEMORIS ARTERY AND ITS CIRCUMFLEX BRANCHES. Int J Anat Res 2016;4(1):1922-1926. DOI: 10.16965/ijar.2016.114