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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