MGIMS,sevagram.Anatomy.

FEMORAL TRIANGLE

Sanga Pradeep KumarPresented by

INTRODUCTION

BOUNDARIES

CONTENTS

CLINICAL ANATOMY

REFERENCES

Inguinal ligament (laterally) Sartorius

(medially)Adductor longus

Apex

BOUNDARIES (Base

)

Right Thigh

ROOF

--Superficial inguinal lymph nodes--Femoral branch of genitofemoral nerve--Branches of ilioinguinal nerve--Branches of femoral vessels--Great saphenous vein.

Deep fascia--Saphenous opening and--Cribriform fascia.

SkinSuperficial fascia

IliacusPsoas major

PectineusAdductor longus

FLOOR

Lateral

Medial

--Fatty tissue

Rosenmuller group of lymph nodes(Deep inguinal)

Femoral sheath

Femoral sheath-Fascia TRANSVERSALIS

-Fascia ILIACA

>Lateral/arterial compartment>middle/venous compartment>medial compartment/ FEMORAL CANAL

(Post)

(Ant)

Femoral Canal

Right Thigh (Post)

(Ant)

(Lat)(Med)

-Conical.-Allows the Femoral Vein to expand-Contains lymph vessels, A Lymph node (CLOQUET),connective tissue

Femoral Ring

Femoral ArteryExternal iliac

Origin- External iliac artery

Course-Midinguinal point to Apex

Branches- 3 superficial 3 deep

Continues as-Popliteal Artery

Femoral Vein

Origin-Popliteal vein

Tributaries-

Continues as-External Iliac Vein

Root Value-Dorsal division of Ant primary rami of L2 L3 L4

Course-

Branches- Anterior division> 1 muscular, 2 cutaneous.Posterior division> 4 muscular,1 cutaneous.Articular-Vascular-

CLINICAL IMPORTANCE

-FEMORAL ARTERY Pulsations,Compressed,(Catheters)Coronary angiography.

-FEMORAL VEINIntra venous infusions in infants.

-GUNSHOT POINT.

-FEMORAL NERVEMeralgia parasthetica.

Femoral Hernia-Femoral canal

-Females > Males-wider femoral canal-wider pelvis-small size of femoral vessels

-Neck and Sac.-loop of bowel.

. •DOWNWARDS

. •BACKWARDS

. •UPWARDS

. •DOWNWARDS

. •FORWARDS

. •UPWARDS

Direction of hernial sac is Typical.

Repair of hernia

Femoral canal

Saphenous opening

Superficial vessels

Difference

Femoral hernia-Inferior-Lateral

Inguinal hernia-Superior-Medial

To Pubic Tubercle

THANK YOU.

REFERENCES.

A K DuttaB D Chaurasia.Gray s anatomy.Google.