Welcome to International Journal of Anatomy and Research

Type of Article: Cas Report

Year: 2016 | Volume 4 | Issue 2 | Page No. 2508-2511

Date of Publication: 30-06-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.255

UNILATERAL ATYPICAL VARIATION IN THE BRANCHING PATTERN OF PROFUNDA FEMORIS ARTERY AND ITS CIRCUMFLEX BRANCHES: CLINICO-EMBYOLOGICAL ANNOTATION

Shilpi Garg ^*1, Shilpi Agarwal ¹, Babita Pangtey ².

^*1 Senior resident, Department of Anatomy, Maulana Azad Medical College, New Delhi, India.

² Assistant Professor, Department of Anatomy, Maulana Azad Medical College, New Delhi, India.

Address: Dr. Shilpi Garg, Senior resident, Department of Anatomy, Maulana Azad Medical College, New Delhi, India.
E-Mail: mdshilpi@gmail.com

ABSTRACT

Background: Femoral artery is frequently accessed by radiologists and surgeons. Anatomical knowledge of the variations of femoral artery and its branches including profunda femoris, medial and lateral femoral circumflex arteries is required to minimize complications during clinical procedures in the femoral region and hip joint replacement.
Case Report: We report a unilateral variation in the branching pattern of profunda femoris artery and its circumflex branches in the femoral triangle of left side in middle aged old male formalin preserved cadaver. The variations were noted, measured and appropriately photographed.
Observations: The profunda femoris artery was arising from the posterior-medial aspect of femoral artery approximately 4-5 cm below the inguinal ligament and medial & lateral circumflex arteries was arising from femoral artery along with profunda femoris artery. The embryological and clinical implications of the observed variations are discussed.
Conclusion: Knowledge of such variations in the branching pattern of femoral artery should be considered before planning different diagnostic and therapeutic interventions.
Key Words: Femoral artery, Lateral circumflex femoral artery, Medial circumflex femoral artery, Profunda femoris artery, VEGF, Vascular Endothelial Growth Factor.

REFERENCES

1. Kaplan JL, Allen RJ. A cost based comparison between perforator flaps and TRAM flaps. Plast Reconstr Surg 2000;105(3):943-948.

2.  Hollinshead HW. Buttock, Hip joint and thigh, Profunda femoris artery. In: Anatomy for surgeons: Vol. 3. The back and limbs. 2nd ed. Hoeber Medical Division, Happer & Row Publishers, New York, Evanston and London, 1969;2(3): 725-730.

3.  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.

4.  Sadler .T.W: Langman’s Medical Embryology, 12th edition. Lippincott Williams &Wilkins: Philadelphia; 2012:75-77.

5. Senior HD.The development of the arteries of the human lower extremity. Am.J Anat 1919:23;55-95.

6.  Mc Minn R.M.H. (1994) Last’s Anatomy, 9th ed., London, Churchill Livingstone, 155-6

7.  Dixit D., Kubavat D., Rathod S., Patel M., Singel T. (2011) Int. J. Biol. Med. Res.(1994);2(4):1084-1089.

8.  Baptist M, Sultana F, Hussain T. Anatomical variation of the origin of profunda femoris artery, its branches and diameter of the femoral artery. Professional Med J 2007;14(3):523-527.

9.  Tanyeli E, Yildirim M, Uzel M, Ural F. Deep femoral artery with 4 variations – a case report. Surg Radiol Anat 2006; 28(2): 211-213.

10. Gautier E, Ganz K, Krügel N, Gill T, Ganz R, Anatomy of the medial femoral circumflex artery and its surgical implications, J Bone Joint Surg Br, 2000, 82(5):679-683.

11.  Uzel M, Tanyeli E, Yildirim M. Anatomical study of the origin of lateral circumflex femoral artery in Turkish population. Folia Morphol (Warsz) 2008;67(4):226-230.

12. Fukuda H, Ashida M, Ishii R, Abe S, Ibukuro K. Anatomical variants of the lateral femoral circumflex artery: an angiographic study. Surg Radiol Anat 2005;27(3): 260-264.

13. Siddharth P, Smith NL, Mason RA, Giron F. Variational anatomy of the deep femoral artery. Anat Rec 1985;212(2):206-209.

Shilpi Garg, Shilpi Agarwal, Babita Pangtey. UNILATERAL ATYPICAL VARIATION IN THE BRANCHING PATTERN OF PROFUNDA FEMORIS ARTERY AND ITS CIRCUMFLEX BRANCHES: CLINICO-EMBYOLOGICAL ANNOTATION. Int J Anat Res 2016;4(2):2508-2511. DOI: 10.16965/ijar.2016.255