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arterial supply of gluteal regon for mbbs and dpt students.pptx
- 1. COURSE CODE: SHS 101 RESOURSE PERSON: D Muhammad khan bugti REFERENCE TEXT: RICHARD S. SNELL + GRAYS ANATOMY SEMESTER: 2 (FALL 2015)
- 2. SUMMARY • Fibrous flexor sheath • Extensor hood • Arches of foot • Inter-tarsal joint • Tarsometatarsal joint • Interphalangeal joint
- 3. INTRODUCTION • Arterial supply of lower limb
- 4. ARTERIAL SUPPLY OF GLUTEAL REGION
- 6. COMMON ILIAC ARTERY INTERNAL ILIAC ARTERY EXTERNAL ILIAC ARTERY
- 7. ARTERIAL SUPPLY OF LOWER LIMB • Common iliac branches into: – Internal iliac • Supplies pelvic organs – External iliac • Supplies lower limb
- 8. INTERNAL ILIAC ARTERY 1. Gluteals • Superior and Inferior 2. Internal Pudendal • Perineum, external genitalia 3. Obturator • Adductor muscles – Other branches supply rectum, bladder, uterus, vagina, male reproductive glands
- 14. Arteries of Lower Limb External Iliac Common Femoral artery ▪ Crosses under Inguinal Ligament BRANCHES ▪ Superficial Circumflex Femoral artery ▪ Superficial Inferior Epigastric artery ▪ Superficial Pudendal artery
- 15. External Iliac Artery Common Femoral Artery Inguinal Ligament Profunda Femoris Artery Superficial Femoral Artery
- 17. PROFUNDA FEMORIS ARTERY • Biggest Branch of Common Femoral artery • 5cm distal to Inguinal Ligament • 6 BRANCHES • 2 Circumflex Femoral » Medial » Lateral • 4 Perforating Arteries
- 19. CIRCUMFLEX FEMORAL ARTERY • Form ring around upper Femur • Lateral Circumflex has 2 branches – Ascending branch than anastomoses with superior gluteal artery – Descending branch to knee
- 21. PERFORATING ARTERIES • Supply muscles of thigh • Surround Femur • Last is continuation of Profunda artery
- 22. Lateral Circumflex Perforating arteries Profunda Femoris
- 23. SUPERFICIAL FEMORAL ARTERY • Passes in Adductor Canal • Between Vastus Med / Adductors / Sartorius • Through Adductor Hiatus • At junction of upper 2/3 and lower 1/3 of femur • Into Popliteal Fossa Popliteal Artery • Just before this – descending branch to genicular anastomosis
- 25. SUPERFICIAL FEMORAL ARTERY POPLITEAL ARTERY ANTERIOR TIBIAL ARTERY POSTERIOR TIBIAL ARTERY DESCENDING GENICULAR ARTERY Continue as
- 26. POPLITEAL ARTERY • Branches to Genicular Anastomosis and Knee Joint • Divides at lower border of Knee Joint • Posterior Tibial artery (which gives off Peroneal artery) • Anterior Tibial artery
- 27. Adductor Brevis Adductor Magnus Superficial Femoral Sartorius Vastus Medialis Popliteal Artery Lateral Superior Genicular Artery
- 29. Popliteal Artery Inferior Lateral Genicular Artery Anterior Tibial Artery Posterior Tibial Artery Peroneal Artery Tibioperoneal Trunk
- 32. ANTERIOR TIBIAL ARTERY • Passes above upper margin of interosseus membrane • Descends anterior to membrane • Becomes superficial at ankle midway between malleoli • Continues as Dorsalis Pedis Artery • Passes between 1st and 2nd metatarsals to join plantar arch
- 35. POSTERIOR TIBIAL ARTERY • Larger of the two • 2.5cm from its origin Peroneal artery • Then descends and becomes more medial • At the ankle • Medial malleolar branch • Then passes posterior to medial malleolus ▪ Halfway between tip of malleolus and midline ▪ Branches medial and lateral plantar artery (principal supply of the foot)
- 36. Posterior Tibial Artery Medial Malleolus
- 37. PERONEAL ARTERY • Descends to lie posteromedially of the fibula • Runs behind tibiofibular joint • Ends as Calcaneal Branch
- 38. Peroneal Artery Calcaneal Branch of Peroneal artery
- 39. POSTERIOR TIBIAL ARTERY LATERAL PLANTAR ARTERY MEDIAL PLANTAR ARTERY PERONEAL ARTERY LEG FOOT
- 41. DORSALIS PEDIS ARTERY • Anterior tibial artery passes beneath superior extensor retinaculum – DORSALIS PEDIS ARTERY • Its pulsation can be felt on dorsum of foot
- 44. DORSALIS PEDIS ARTERY • Dorsalis pedis may give - lateral tarsal artery • Lateral tarsal and dorsalis pedis make - Arcuate artery • Arcuate artery - metatarsal and dorsal digital arteries • *Dorsalis pedis gives a deep branch to join the plantar arch
- 46. DORSALIS PEDIS ARTERY ARCUATE ARTERY METATARSAL ARTERY DORSAL DIGITAL ARTERIES LATERAL TARSAL ARTERY
- 47. ARTERIES OF SOLE OF FOOT • Posterior tibial artery in plantar region gives Medial and Lateral Plantar Arteries • Lateral plantar artery makes most part of plantar arch • It give rise to – plantar metatarsal arteries – proper plantar digital arteries
- 51. REGION ARTERIAL SUPPLY GLUTEAL REGION SUPERIOR GLUTEAL ARTERY, INFERIOR GLUTEAL ARTERY, INTERNAL PUDENDAL ARTERY, OBTURATOR ARTERY ANTERIOR THIGH FEMORAL ARTERY, PROFUNDA FEMORIS ARTERY MEDIAL THIGH OBTURATOR ARTERY, FEMORAL ARTERY POSTERIOR THIGH PROFUNDA FEMORIS ARTERY
- 52. REGION ARTERIAL SUPPLY ANTERIOR LEG ANTERIOR TIBIAL ARTERY LATERAL LEG PERONEAL ARTERY POSTERIOR LEG POSTERIOR TIBIAL ARTERY, POPLITEAL ARTERY, PERONEAL ARTERY DORSUM OF FOOT DORSALIS PEDIS AND ARCUATE ARTERY SOLE OF FOOT MEDIAL AND LATERAL PLANTER ARTERIES
- 53. SUMMARY
- 54. COMMON ILIAC ARTERY EXTERNAL ILIAC ARTERY SUPERFICIAL FEMORAL ARTERY POPLITEAL ARTERY ANTERIOR TIBIAL ARTERY DORSALIS PEDIS ARTERY LATERAL TARSAL ARTERY POSTERIOR TIBIAL ARTERY PERONEAL ARTERY LATERAL PLANTAR ARTERY MEDIAL PLANTAR ARTERY PROFUNDA FEMORIS ARTERY INTERNAL ILIAC ARTERY SUPERIOR GLUTEAL INFERIOR GLUTEAL INTERNAL PUDENDAL OBTURATO R ARTERY
- 55. QUESTIONS 1. Main artery of lower limb a. Popliteal artery b. Profunda femoris artery c. Femoral artery d. Tibial artery e. All of above
- 56. QUESTIONS 1. Main artery of lower limb a. Popliteal artery b. Profunda femoris artery c. Femoral artery d. Tibial artery e. All of above
Editor's Notes
- 41