Clinical anatomy of the popliteal blood vessels

Cross, L. L.; Hall, Julie; Howdieshell, Thomas R.; Colborn, Gene L.; Gale, Thomas F.

doi:10.1002/1098-2353(2000)13:5<347::aid-ca4>3.0.co;2-9

Cited by 21 publications

(10 citation statements)

References 12 publications

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“…In addition, if the very rare Type IIIC pattern (hypoplasia-aplasia of both the AT and the PT) is present, harvesting of the peroneal artery is contraindicated because this artery is the only artery that feeds the distal parts of the limb. Therefore, knowledge of these variations will change the treatment strategy (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Discussionmentioning

confidence: 98%

“…Moreover, recognizing anatomical variation is necessary for planning radiological and surgical interventions (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Despite improvements in vascular surgical techniques, patients with a high-origin anterior tibial artery lying posterior to the popliteus are vulnerable to arterial complications, including transection, fistula formation, pseudoaneurysm, and thrombosis, during orthopedic procedures such as high tibial osteotomy, revision total knee arthroplasty, lateral meniscal repair, posterior cruciate ligament reconstruction, and screw fixation for tibial tubercle osteotomy (2,11).…”

Section: Discussionmentioning

confidence: 99%

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Popliteal artery branching patterns detected by digital substraction angiography

Mavili

Dönmez²,

Kahriman³

et al. 2010

Diagn Interv Radiol

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Awareness of the anatomical variability determined by embryonic vascular development is important for radiologists and surgeons. Popliteal arterial variation may have clinical implications for vascular grafting, direct surgical repair, transluminal angioplasty, or embolectomy. Moreover, differentiating occlusion or arterial injury from variation depends on the clinician's knowledge of variations (1-10). Therefore, we aim to describe popliteal arterial variations. Materials and methodsThe femoral angiograms of 535 extremities (270 right, 265 left) in 350 consecutive patients who provided informed consent for the digital subtraction angiography (DSA) procedure were retrospectively examined. Of these, 226 limbs were evaluated bilaterally, and 83 limbs were evaluated unilaterally.The branching patterns were classified according to the system used by Kim et al. (Figs. 1a, 2a, 3a) (1). A normal level of popliteal branching (below the level of the tibial plateau) was classified as Type I. Type I was further divided into Type IA, in which the anterior tibial artery (AT) is the first branch, and the peroneal artery (PR) and posterior tibial artery (PT) arise from the tibioperoneal trunk (Fig. 1b); IB, in which there is no true tibioperoneal trunk and AT, PT, and PR arise within 0.5 cm (Fig. 1c); and IC, in which the PT is the first branch and AT and PR arise from the anterior tibioperoneal trunk (Fig. 1d).High division of the popliteal artery (at or above the level of the tibial plateau) was classified as Type II. This classification was further divided into Type IIA1, in which the AT arises above the knee and has a normal course (Fig. 2b); IIA2, in which the AT arises above the knee and has an initial medial curve (Fig. 2c); IIB, in which the PT is the first branch and arises above the knee joint, and the AT and PR have a common trunk (Fig. 2d); IIC, in which the PR is the first branch and arises above the knee joint, and the AT and PT have a common trunk; and IID, which involves high division of the popliteal artery with a trifurcation pattern and an AT with an initial medial course and a distal lateral course (Figs. 2e and 2f).Hypoplastic or aplastic branching with altered distal supply was classified as Type III. This group was further divided into Type IIIA, in which the PT is hypoplastic and the distal PT is replaced by the PR (Figs. 3b and 3c); Type IIIB, in which the AT is hypoplastic and the dorsalis pedis (PD) is replaced by the PR (Figs. 3d and 3e); and Type IIIC, in which the AT and PT are hypoplastic and the distal PT and DP are replaced by the PR (Figs. 3f and 3g). INTERVENTIONAL RADIOLOGY ORIGINAL ARTICLE Popliteal artery branching patterns detected by digital subtraction angiographyErtuğrul Mavili, Halil Dönmez, Güven Kahriman, Aysel Özaşlamacı, Nevzat Özcan, Kutay Taşdemir MATERIALS AND METHODSThe popliteal branching patterns were analyzed in 535 extremities (270 right, 265 left). Of these, 226 limbs were evaluated bilaterally, while 83 were evaluated unilaterally. The branching patterns were classifi...

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Popliteal artery branching patterns detected by digital substraction angiography

Mavili

Dönmez²,

Kahriman³

et al. 2010

Diagn Interv Radiol

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“…The anatomy of the lower limb venous system is highly variable [9,10]. Most of the venous variations have been studied through cadaveric dissections, venography or ultrasonography.…”

Section: Discussionmentioning

confidence: 53%

Unusual communication of profunda femoris vein with the popliteal vein in the middle of the popliteal fossa

Nayak¹,

Sirasanagandla²,

Surendran³

et al. 2013

FMAR

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“…The percentage of samples that presented a tibiofibular trunk of less than 1 cm was 5.3% (2 samples). This figure was no different from that presented by Ozgur et al, but a little lower than that demonstrated by Cross et al, (2000) which was 8%.…”

Section: Discussionmentioning

confidence: 99%

Biometric Study of the Bifurcations of the Popliteal Artery and the Tibiofibular Trunk

et al. 2014

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SUMMARY:The popliteal artery is located deep inside the popliteal fossa, and is an important landmark in surgical procedures. Lesions of this vessel and its branches can be dangerous, blocking circulation to the lower limb and leading to gangrene or even vascular failure. The aim of this work was to describe the biometric characteristics of the bifurcations of the popliteal artery and the tibiofibular trunk in relation to the head of the fibula in 38 lower limbs through dissection. The bifurcation of the both arteries was present in all the cases. The mean confidence interval for the bifurcation of the popliteal artery was from 2.82 cm to 3.18 cm from the head of the fibula, and that of the bifurcation of the tibiofibular trunk was from 5.72 cm to 6.68 cm. The bifurcation of the popliteal artery into the anterior tibial artery and tibiofibular trunk showed a more constant positioning than the level of the birfurcation of the posterior tibial artery and fibular artery. These data can help in the development of new access routes to these arteries, or the optimization of surgical planning in the region in question.

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Clinical anatomy of the popliteal blood vessels

Cited by 21 publications

References 12 publications

Popliteal artery branching patterns detected by digital substraction angiography

Popliteal artery branching patterns detected by digital substraction angiography

Unusual communication of profunda femoris vein with the popliteal vein in the middle of the popliteal fossa

Biometric Study of the Bifurcations of the Popliteal Artery and the Tibiofibular Trunk

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