Femoral Triangle Anatomy PDF

Anatomy of LOWER Limb Femoral Triangle By Dr. Hassan Mohammed Rizk (Ph.D.) Associate Professor of Human Anatomy and Embryology  Three Important Regions in Lower Limb LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September...

Anatomy of LOWER Limb Femoral Triangle By Dr. Hassan Mohammed Rizk (Ph.D.) Associate Professor of Human Anatomy and Embryology  Three Important Regions in Lower Limb LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 2  Case Study LOWER LIMB Femoral Hernia Femoral Triangle By Dr. Hassan Rezk September 26, 2024 3  Objectives: by the end of this lecture the student must understand the following knowledge: ▪ Identify and demonstrate femoral triangle, regarding: LOWER LIMB 1) Site & Shape. 2) Boundaries 3) Roof 4) Floor 5) contents Femoral Triangle By Dr. Hassan Rezk September 26, 2024 4  Objective # ( 1 ) Femoral Triangle – Definition, Site & Shape LOWER LIMB ▪ Definition & Site: It is space in the upper third of the front of the thigh. ▪ Shape: Inverted triangular, it has: 1) Base: directed upwards. 2) Apex: directed downwards & medially. 3) Medial border. 4) Lateral border. 5) Roof. 6) Floor. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 5  Objective # ( 2 ) Femoral Triangle – Boundaries - Roof Saphenous opening LOWER LIMB The following layers from superficial to deep: 1) Skin. 2) Superficial Fascia. Superficial Skin Deep Fascia 3) Deep Fascia (fascia lata) with the following Fascia of Thigh (Fascia Lata) structures: a) Saphenous opening. b) Great Saphenous vein. Great Saphenous vein Femoral Triangle By Dr. Hassan Rezk September 26, 2024 6 LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 7  Objective # ( 2 ) Femoral Triangle – Boundaries Shape Formed By: M L LOWER LIMB Base Inguinal Ligament (directed upwards) Medial Border Medial border of adductor longus muscle. Lateral Border Medial border of sartorius muscle. Apex Meeting between two borders (directed downward) Continues with the adductor (sub-sartorial) canal From medial to lateral by the following muscles: 1) Adductor longus. Floor 2) +/- Adductor brevis. 3) Pectineus. 4) Iliopsoas Femoral Triangle By Dr. Hassan Rezk September 26, 2024 8 LOWER LIMB Apex Femoral Triangle By Dr. Hassan Rezk September 26, 2024 9  P.M. Iliacus I Base Inguinal Ligament * LOWER LIMB T.F.L. * Iliopsoas R.F. G I Iliacus P.M. Psoas major P. Pectineus V.L. Ad. B. Adductor Brevis V.M. Ad. L. Adductor Longus G. Gracilis Q.F. T Medial V.M. Vastus Medialis Border R.F. Rectus Femoris V.L. Vastus Lateralis Apex Q.F.T. Quadriceps Femoris Tendon T.F.L. Tensor Fascia Lata. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 10  Objective # ( 2 ) Femoral Triangle – Boundaries - Apex LOWER LIMB The apex of the femoral triangle points inferiorly. Continuous with a fascial canal (adductor canal). It descends medially down the thigh and posteriorly through an aperture in the lower end of one of the largest of the adductor muscles in the thigh (the adductor magnus muscle). To open into the popliteal fossa behind the knee. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 11 LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 12  Objective # ( 3 ) Femoral Triangle – Contents LOWER LIMB The following contents are arranged from lateral to medial: 1. Femoral nerve. Lymph nods 2. Femoral artery. Surrounded by femoral sheath 3. Femoral vein. 4. Lymphatic vessels. Femoral canal Inside femoral 5. lymph node. canal (deep inguinal L.N.) Femoral Triangle By Dr. Hassan Rezk September 26, 2024 13 LOWER LIMB Inside femoral canal Deep Fascia Saphenous opening of Thigh (Fascia Lata) Great Saphenous vein Femoral Triangle By Dr. Hassan Rezk September 26, 2024 14  Vascular Access To The Lower Limb Clinical correlation LOWER LIMB 1. Many radiological involve catheterization of the femoral artery or the femoral vein to obtain access to the contralateral lower limb, the ipsilateral lower limb, the vessels of the thorax and abdomen, and the cerebral vessels. 2. Cardiologists also use the femoral artery to place catheters in arch of the aorta and into the coronary arteries to perform coronary angiography and angioplasty. 3. Access to the femoral vein permits catheters to renal veins, the gonadal veins, the right atrium, and the right side of the heart, including the pulmonary artery and distal vessels of the pulmonary tree. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 15 LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 16  Femoral Hernia Clinical correlation ▪ Femoral hernia passes through femoral ring medial LOWER LIMB to the femoral vein and runs through the femoral canal until it reaches the saphenous opening. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 17  Case Scenario LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 18 LOWER LIMB Reference ISBN: 978-0-7020-5131-9 ISBN: 978-07817-7525-0 ISBN: 978-1-60913-446-4 Copyright© 2015, 2010, 2005 by Copyright© 2010, by Lippincott Copyright© 2012, by Lippincott Churchill Livingstone, an imprint of Williams & Wilkins, a Wolters Williams & Wilkins, a Wolters Elsevier Inc. Kluwer business. Kluwer business. Chapter 6. Chapter 5. Chapter 10. Femoral Triangle By Dr. Hassan Rezk September 26, 2024 19 LOWER LIMB Femoral Triangle By Dr. Hassan Rezk September 26, 2024 20