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Transcript
09/02/2010
BOUNDARIES OF THE TRIANGLE
FEMORAL TRIANGLE
• Inguinal ligament
• Medial border of the sartorius muscle
• Medial border of the adductor longus muscle
Marc Revol (2010)
FLOOR OF THE TRIANGLE
Superficial vessels
• Arteries are branches of the femoral artery :
• Medial wall : pectineus and adductor longus
• Lateral wall : iliopsoas and sartorius
• Femoral artery and vein lie anterior to the
fascia covering iliopsoas and pectineus
muscles
• Femoral nerve lies posterior to the fascia
– Superficial circumflex iliac artery
– Superficial epigastric artery
– External pudendal arteries
• Veins are tributaries of the great saphenous
vein, which passes through the saphenous
opening of the superficial fascia
Inguinal lymph nodes
• Superficial nodes :
1.
2.
3.
4.
5.
Anterior superior iliac spine
Pubic tubercle
Sartorius
Adductor longus
Femoral triangle
– Proximal chain is parallel to the inguinal ligament
– Distal chain is parallel to the great saphenous vein
• Deep nodes : 2 or 3 nodes on the medial side
of the femoral vein
1
09/02/2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
Femoral artery
Deep circumflex iliac artery
Inferior epigastric artery
Superficial epigastric artery
Superficial circumflex iliac artery
External pudendal arteries
Profunda femoris artery
Lateral circumflex femoral artery
Descending branch of the lateral circumflex
femoral artery
10. Medial circumflex femoral artery
11. Perforating arteries
1. Sartorius . 2. Iliopssoas. 3. Pectineus. 4. Adductor longus. 5. Femoral nerve.
6. Femoral artery. 7. Femoral vein. 8. Deep femoral lymph vessels and nodes
9. Long saphenous vein. 10. Superficial inguinal nodes. 11. Superficial fascia.
12. Deep fascia.
sources
GRAY’S ANATOMY. The anatomical basis of clinical practice
Elsevier Churchill Livingstone, 39th edition, 2005 (1627 p)
Grant’s atlas of anatomy
Williams and Wilkins. Baltimore, 9th edition, 1991 (650 p)
1. Tensor fasciae latae. 2. Sartorius. 3. Rectus femoris. 4. Vastus lateralis.
5. Vastus intermedius. 6. Pectineus. 7. Femoral artery. 8. Femoral vein.
9. Femoral nerve. 10. Lateral circumflex femoral artery. 11. Lateral femoral
cutaneous nerve. 12. iliatibial tract.
Manuel de chirurgie plastique, reconstructrice et esthétique
Sauramps Médical, 2ème édition, 2009 (874 p)
2