Trochanteric Anastomosis
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Trochanteric Anastomosis
The trochanteric anastomosis provides circulation around the head of the femur. It includes the superior gluteal artery and the medial and lateral circumflex femoral arteries (the former of which provides the main supply to the femur). It is formed by the deep branch of superior gluteal artery, with ascending branches of both lateral and medial circumflex femoral arteries. The inferior gluteal artery usually joins the anastomosis. Branches from the anastomosis passes along the femoral neck The femoral neck (femur neck or neck of the femur) is a flattened pyramidal process of bone, connecting the femoral head with the femoral shaft, and forming with the latter a wide angle opening medialward. Structure The neck is flattened from ... with the retinacular fibers of the capsule. See also * Cruciate anastomosis Arteries {{circulatory-stub ...
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Blood Supply
The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, that consists of the heart and blood vessels (from Greek ''kardia'' meaning ''heart'', and from Latin ''vascula'' meaning ''vessels''). The circulatory system has two divisions, a systemic circulation or circuit, and a pulmonary circulation or circuit. Some sources use the terms ''cardiovascular system'' and ''vascular system'' interchangeably with the ''circulatory system''. The network of blood vessels are the great vessels of the heart including large elastic arteries, and large veins; other arteries, smaller arterioles, capillaries that join with venules (small veins), and other veins. The circulatory system is closed in vertebrates, which means that the blood never leaves the network of blood vessels. Some invertebrates such as arthr ...
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Femur
The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia (shinbone) and patella (kneecap), forming the knee joint. By most measures the two (left and right) femurs are the strongest bones of the body, and in humans, the largest and thickest. Structure The femur is the only bone in the upper leg. The two femurs converge medially toward the knees, where they articulate with the proximal ends of the tibiae. The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. Human females have thicker pelvic bones, causing their femora to converge more than in males. In the condition ''genu valgum'' (knock knee) the femurs converge so much that the knees touch one another. The opposite extreme is ''genu varum'' (bow-leggedness). In the general popu ...
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Superior Gluteal Artery
The superior gluteal artery is the largest and final branch of the internal iliac artery. It is the continuation of the posterior division of that vessel. It is a short artery which runs backward between the lumbosacral trunk and the first sacral nerve. It divides into a superficial and a deep branch after passing out of the pelvis above the upper border of the piriformis muscle. Within the pelvis, it gives off branches to the iliacus, piriformis, and obturator internus muscles. Just previous to exiting the pelvic cavity, it also gives off a nutrient artery which enters the ilium. Structure The superior gluteal artery is the largest and final branch of the internal iliac artery. It branches from the posterior division of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It divides into a superficial and a deep branch. Superficial branch The superficial branch passes over the piriformis muscle. It enters the deep surface of the gluteus maximus ...
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Medial Circumflex Femoral Artery
The medial circumflex femoral artery (internal circumflex artery, medial femoral circumflex artery) is an artery in the upper thigh that arises from the profunda femoris artery''.'' Damage to the artery following a femoral neck fracture may lead to avascular necrosis (ischemic) of the femoral neck/head. Structure Origin The medial femoral circumflex artery arises from the posterior medial aspect of the profunda femoris artery''.'' The medial femoral circumflex artery may occasionally arise directly from the femoral artery. Course and relations It winds around the medial side of the femur, passing first between the pectineus and iliopsoas muscles, and then between the obturator externus and the adductor brevis muscles. Branches At the upper border of the adductor brevis it gives off two branches: * The '' ascending branch'' * The ''descending branch'' descends beneath the adductor brevis, to supply it and the adductor magnus; the continuation of the vessel passes backwar ...
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Lateral Circumflex Femoral Artery
The lateral circumflex femoral artery, also known as the lateral femoral circumflex artery, or the external circumflex artery, is an artery in the upper thigh. It is usually a branch of the profunda femoris artery, and produces three branches. It is mostly distributed to the muscles of the lateral thigh. Structure Origin The lateral femoral circumflex artery usually arises from the lateral side of the profunda femoris artery, but may occasionally arise directly from the femoral artery. It is the largest branch of the profunda femoris artery. Course and relations The lateral circumflex femoral artery usually courses anterior to the femoral neck. It passes horizontally between the divisions of the femoral nerve. It passes posterior to the sartorius muscle and rectus femoris muscle. It passes laterally across the hip joint capsule. It divides into ascending, transverse, and descending branches. Branches The lateral circumflex femoral artery has three branches: # The ascending ...
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Inferior Gluteal Artery
The inferior gluteal artery (sciatic artery), the smaller of the two terminal branches of the anterior trunk of the internal iliac artery, is distributed chiefly to the buttock and back of the thigh. It passes down on the sacral plexus of nerves and the piriformis muscle, behind the internal pudendal artery. It passes through the lower part of the greater sciatic foramen. It escapes from the pelvis between piriformis muscle and coccygeus muscle. It then descends in the interval between the greater trochanter of the femur and tuberosity of the ischium. It is accompanied by the sciatic nerve and the posterior femoral cutaneous nerves, and covered by the gluteus maximus. It continues down the back of the thigh, supplying the skin, and anastomosing with branches of the perforating arteries. Additional images File:Gray544.png, The arteries of the gluteal and posterior femoral regions. File:Gray829.png, Dissection of side wall of pelvis showing sacral and pudendal plexuses. ...
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Anastomosis
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal (such as the foramen ovale in a fetus's heart) or abnormal (such as the patent foramen ovale in an adult's heart); it may be acquired (such as an arteriovenous fistula) or innate (such as the arteriovenous shunt of a metarteriole); and it may be natural (such as the aforementioned examples) or artificial (such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. Anastomoses that are abnormal, whether congenital or acquired, are often called fistulas. The term is used in medicine, biology, mycology, geology, and geography. Etymology Anastomosis: medical or Modern Latin, from Greek ἀναστόμωσις, anastomosis, "outlet, opening", Gr ana- "up, on, upon", stoma " ...
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Femoral Neck
The femoral neck (femur neck or neck of the femur) is a flattened pyramidal process of bone, connecting the femoral head with the femoral shaft, and forming with the latter a wide angle opening medialward. Structure The neck is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter, so that it measures one-third more than the antero-posterior diameter. The medial half is smaller and of a more circular shape. The anterior surface of the neck is perforated by numerous vascular foramina. Along the upper part of the line of junction of the anterior surface with the head is a shallow groove, best marked in elderly subjects; this groove lodges the orbicular fibers of the capsule of the hip joint. The posterior surface is smooth, and is broader and more concave than the ante ...
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Cruciate Anastomosis
The cruciate anastomosis is a circulatory anastomosis in the upper thigh of the inferior gluteal artery, the lateral and medial circumflex femoral arteries, and the first perforating artery of the profunda femoris artery. Also, the anastomotic branch of the posterior branch of the obturator artery.Henri Rouviere 11Ed The cruciate anastomosis is clinically relevant because if there is a blockage between the femoral artery and external iliac artery, blood can reach the popliteal artery by means of the anastomosis. The route of blood is through the internal iliac, to the inferior gluteal artery, to a perforating branch of the deep femoral artery, to the lateral circumflex femoral artery, then to its descending branch into the superior lateral genicular artery and thus into the popliteal artery. Structure The cruciate anastomosis is so-called because it resembles a cross. Its four components are: * Inferior gluteal artery * Transverse branches of the lateral circumflex femoral art ...
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