Popliteal artery

Popliteal artery
The arteries of the gluteal and posterior femoral regions. (Popliteal labeled at bottom center.)
Lymph glands of popliteal fossa.
Details
Sourcefemoral artery
Branchesanterior tibial, posterior tibial artery, sural, superior genicular (medial, lateral), middle genicular, inferior genicular (medial, lateral)
Veinpopliteal vein
Identifiers
Latinarteria poplitea
MeSHD011150
TA98A12.2.16.033
TA24699
FMA77155
Anatomical terminology

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

The deepest (most anterior) structure in the fossa, the popliteal artery runs close to the joint capsule of the knee as it spans the intercondylar fossa. Five genicular branches of the popliteal artery supply the capsule and ligaments of the knee joint. The genicular arteries are the superior lateral, superior medial, middle, inferior lateral, and inferior medial genicular arteries. They participate in the formation of the periarticular genicular anastomosis, a network of vessels surrounding the knee that provides collateral circulation capable of maintaining blood supply to the leg during full knee flexion, which may kink the popliteal artery.[1]

Structure

The popliteal artery is the continuation of the femoral artery.[2] It exits the popliteal fossa under the fibrous arch of the soleus muscle.[2]

Relations

Branches

The branches of the popliteal artery are:

Muscular branches of the popliteal artery supply the hamstring, gastrocnemius, soleus, and plantaris muscles. The superior muscular branches of the popliteal artery have clinically important anastomoses with the terminal part of the deep femoral and gluteal arteries. The cutaneous branches arise either directly by the popliteal artery or indirectly by the muscular branches. Genicular branches are five in number, two superior, two inferior, and one middle. The middle genicular artery supplies the cruciate ligaments and the synovial membrane of knee joint.

Tibial-fibular trunk

The fibular artery typically arises from the posterior tibial artery.[3] Therefore, the posterior tibial artery proximal to the fibular artery origin is sometimes called the tibial-peroneal trunk or tibial-fibular trunk and it could be said that the popliteal artery bifurcates into the tibial-fibular trunk and anterior tibial artery.

Clinical significance

  • Popliteal pulse: Because the popliteal artery is deep, it may be difficult to feel the popliteal pulse. Palpation of this pulse is commonly performed with the person in the prone position with the knee flexed to relax the popliteal fascia and hamstrings. The pulsations are best felt in the inferior part of the fossa where the popliteal artery is related to the tibia. Weakening or loss of the popliteal pulse is a sign of a femoral artery obstruction.
  • Popliteal aneurysm and hemorrhage: A popliteal aneurysm (abnormal dilation of all or part of the popliteal artery) usually causes edema and pain in the popliteal fossa. A popliteal aneurysm may be distinguished from other masses by palpable pulsations (thrills) and abnormal arterial sounds (bruits) detectable with a stethoscope. Because the artery lies deep to the tibial nerve, an aneurysm may stretch the nerve or compress its blood supply (see vasa vasorum). Pain from such nerve compression is usually referred, in this case to the skin overlying the medial aspect of the calf, ankle or foot. Because the artery is closely applied to the popliteal surface of the femur and the joint capsule, fractures of the distal femur or dislocations of the knee may rupture the artery, resulting in hemorrhage. Furthermore, because of their proximity and confinement within the fossa, an injury of the artery and vein may result in an arteriovenous fistula (communication between an artery and a vein). Failure to recognize these occurrences and to act promptly may result in the loss of the leg and foot. If the femoral artery must be ligated, blood can bypass the occlusion through the genicular anastomosis and reach the popliteal artery distal to the ligation.[4]
  • Popliteal artery entrapment syndrome

Additional images

See also

References

  1. ↑ Moore K.L. and Dalley A.F. (2006), Clinically Oriented Anatomy, 5th Edition, Lippincott Williams & Wilkins, Toronto, page 636
  2. 1 2 3 4 5 6 7 8 9 10 Masquelet, Alain-Charles; Sassu, Paolo (2009-01-01), Wei, Fu-Chan; Mardini, Samir (eds.), "CHAPTER 30 - Gastrocnemius flap", Flaps and Reconstructive Surgery, Edinburgh: W.B. Saunders, pp. 411–423, doi:10.1016/b978-0-7216-0519-7.00030-7, ISBN 978-0-7216-0519-7, retrieved 2021-02-20
  3. ↑ Day C, Orme R (2006). "Popliteal artery branching patterns -- an angiographic study". Clin Radiol. 61 (8): 696–9. doi:10.1016/j.crad.2006.03.014. PMID 16843754.
  4. ↑ Moore K.L. and Dalley A.F. (2006), Clinically Oriented Anatomy, 5th Edition, Lippincott Williams & Wilkins, Toronto, page 637

Albert Sidney Johnston

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