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The popliteal vein is a
vein Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated b ...
of the
lower limb The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb ext ...
. It is formed from the
anterior tibial vein The anterior tibial vein is a vein in the lower leg. In human anatomy, there are two anterior tibial veins. They originate and receive blood from the dorsal venous arch, on the back of the foot and empties into the popliteal vein. The anterior ti ...
and the
posterior tibial vein The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein. Structure The posterior tibial veins receive blood from the medial and latera ...
. It travels medial to the
popliteal artery The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches ...
, and becomes the
femoral vein In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal vein. It ends at th ...
. It drains blood from the
leg A leg is a weight-bearing and locomotive anatomical structure, usually having a columnar shape. During locomotion, legs function as "extensible struts". The combination of movements at all joints can be modeled as a single, linear element ca ...
. It can be assessed using
medical ultrasound Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles ...
. It can be affected by popliteal vein entrapment.


Structure

The popliteal vein is formed by the junction of the
venae comitantes Vena comitans is Latin for accompanying vein. It refers to a vein that is usually paired, with both veins lying on the sides of an artery. They are found in close proximity to arteries so that the pulsations of the artery aid venous return. B ...
of the
anterior tibial vein The anterior tibial vein is a vein in the lower leg. In human anatomy, there are two anterior tibial veins. They originate and receive blood from the dorsal venous arch, on the back of the foot and empties into the popliteal vein. The anterior ti ...
and the
posterior tibial vein The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein. Structure The posterior tibial veins receive blood from the medial and latera ...
at the lower border of the
popliteus muscle The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the bipedal gait cycle, gait cycle (one with the foot in contact with the ground). In op ...
. It travels on the medial side of the
popliteal artery The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches ...
. It is superficial to the popliteal artery. As it ascends through the fossa, it crosses behind the popliteal artery so that it comes to lie on its lateral side. It passes through the
adductor hiatus In human anatomy, the adductor hiatus also known as hiatus magnus is a hiatus (gap) between the adductor magnus muscle and the femur that allows the passage of the femoral vessels from the anterior thigh to the posterior thigh and then the poplitea ...
(the opening in the
adductor magnus muscle Adductor may refer to: * One of the anatomical terms of motion * Adductor muscle (disambiguation) * Adductor canal The adductor canal, also known as the subsartorial canal or Hunter’s canal, is an aponeurotic tunnel in the middle third of the th ...
) to become the
femoral vein In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal vein. It ends at th ...
.Moore K.L. and Dalley A.F. (2006), Clinically Oriented Anatomy, 5th Edition, Lippincott Williams & Wilkins, Toronto, page 636


Tributaries

The tributaries of the popliteal vein include: * Veins that correspond to branches given off by the popliteal artery (see
popliteal artery The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches ...
). * the
small saphenous vein The small saphenous vein (also short saphenous vein or lesser saphenous vein) is a relatively large superficial vein of the posterior leg. Structure The origin of the small saphenous vein, (SSV) is where the dorsal vein from the fifth digit (small ...
, which perforates the deep fascia and passes between the two heads of the
gastrocnemius muscle The gastrocnemius muscle (plural ''gastrocnemii'') is a superficial two-headed muscle that is in the back part of the lower leg of humans. It runs from its two heads just above the knee to the heel, a three joint muscle (knee, ankle and subtala ...
to end in the popliteal vein. * the
fibular veins In anatomy, the fibular veins (also known as peroneal veins) are accompanying veins (venae comitantes) of the fibular artery. Structure The fibular veins are deep veins that help carry blood from the lateral compartment of the leg. They drain int ...
.


Variation

The popliteal vein may be doubled in up to 35% of people.


Function

The popliteal vein drains blood from the
leg A leg is a weight-bearing and locomotive anatomical structure, usually having a columnar shape. During locomotion, legs function as "extensible struts". The combination of movements at all joints can be modeled as a single, linear element ca ...
.


Clinical significance

The popliteal vein can be visualised using
medical ultrasound Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles ...
, including
Doppler ultrasonography Doppler ultrasonography is medical ultrasonography that employs the Doppler effect to perform imaging of the movement of tissues and body fluids (usually blood), and their relative velocity to the probe. By calculating the frequency shift of ...
. It may be affected by a
thrombus A thrombus (plural thrombi), colloquially called a blood clot, is the final product of the blood coagulation step in hemostasis. There are two components to a thrombus: aggregated platelets and red blood cells that form a plug, and a mesh of c ...
.


Popliteal vein entrapment

The popliteal vein may become trapped. This reduces the flow of blood out of the leg, causing
oedema Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels tight, the area ma ...
,
pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
, and venous ulcers. Entrapment is usually caused by
gastrocnemius muscle The gastrocnemius muscle (plural ''gastrocnemii'') is a superficial two-headed muscle that is in the back part of the lower leg of humans. It runs from its two heads just above the knee to the heel, a three joint muscle (knee, ankle and subtala ...
.
Venography Venography (also called phlebography or ascending phlebography) is a procedure in which an x-ray of the veins, a venogram, is taken after a special dye is injected into the bone marrow or veins. The dye has to be injected constantly via a catheter ...
(using an
x-ray An X-ray, or, much less commonly, X-radiation, is a penetrating form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 10  picometers to 10  nanometers, corresponding to frequencies in the range 30&nb ...
) or
magnetic resonance imaging Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio wave ...
can investigate it. Surgery can be used to remove tissue creating pressure.


Additional images

File:Gray582.png, The small saphenous vein. Popliteal vein is labeled at top. File:Gray583.png, The popliteal vein.


References

{{Authority control Veins of the lower limb