Skip to main content

Advertisement

Log in

Clinical significance of understanding lateral and medial circumflex femoral artery origin variability

  • Original Article
  • Published:
Anatomical Science International Aims and scope Submit manuscript

Abstract

The common femoral artery (CFA) divides into the superficial femoral artery (SFA) and deep femoral artery (DFA). The lateral circumflex femoral artery (LCFA) and medial circumflex femoral artery (MCFA) are most often branches of the DFA, although a large number of different variations in their origin has been described. We performed microdissection on both lower limbs of 30 fetuses, gestational age from 7 to 10 lunar months. Our results show that the LCFA and MCFA usually arise from the DFA. In 78.3% of cases, the MCFA originated from the DFA. In 11.7% of cases, the MCFA originated from the CFA, and in 5% of cases from the SFA. One case showed a common trunk with the DFA. Also, the MCFA was missing in one case, and it had a common trunk with the LCFA in one case. In 83.3% of cases, the LCFA arose from the DFA and in 6.7% of cases from the CFA. In one case, it had a common trunk with the DFA, and in one case with the MCFA. In 3.3% of cases, the LCFA was missing. In 66.7% of cases, both arteries originated from the DFA, in 15% of cases one originated from the DFA and the other from the CFA or SFA. Our results are in accordance with some published studies but also differ from the outcomes of other studies. Comprehensive knowledge of different variation types is imperative in order to prevent complications during surgical and orthopedic interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • Al-Talalwah W (2015) The medial circumflex femoral artery origin variability and its radiological and surgical intervention significance. Springerplus 228(4):149

    Article  Google Scholar 

  • Basar R, Sargan MF, Cumhur M, Bayramoglu A, Demiryurek D (2002) Distinct intergender difference in the femoral artery ramification patterns found in the Turkish population: angiographic study. Anat Sci Int 77(4):250–253

    Article  PubMed  Google Scholar 

  • Brantley SK, Rigdon EE, Raju SS (1993) Persistent sciatic artery: embryology, pathology and treatment. J Vasc Surg 183(2):242–248

    Article  Google Scholar 

  • Choy KW, Kogilavani S, Norshalizah M et al (2013) Topographical anatomy of the profunda femoris artery and the femoral nerve: normal and abnormal relationships. Clin Ter 164(1):17–19

    PubMed  CAS  Google Scholar 

  • Ciftcioglu E, Kale A, Kopuz C et al (2009) Medial circumflex femoral artery with different origin and course: a case report and review of the literature. Folia Morphol 68:188–191

    CAS  Google Scholar 

  • Dewar DC, Lazaro LE, Klinger CE et al (2016) The relative contribution of the medial and lateral femoral circumflex arteries to the vascularity of the head and neck of the femur: a quantitative MRI-based assessment. Bone Jt J 98B(12):1582–1588

    Article  Google Scholar 

  • Fukuda H, Ashida M, Ishii R et al (2005) Anatomical variants of the lateral femoral circumflex artery: an angiographic study. Surg Radiol Anat 27:260–264

    Article  PubMed  Google Scholar 

  • Gautier E, Ganz K, Krügel N et al (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Jt Surg Br 82(5):679–683

    Article  CAS  Google Scholar 

  • Halawi MJ, Brigati D, McBride JM, Drake RL, Brooks PJ (2017) Surgical hip dislocation through a direct lateral approach: a cadaveric study of vascular danger zones. J Clin Orthop Trauma 8(3):281–284

    Article  PubMed  PubMed Central  Google Scholar 

  • Hapugoda S, Hsu CC, Kwan GN, Watkins TW, Raphael JA (2016) Duplication of the superficial femoral artery: comprehensive review of imaging literature and insight into embryology. Acta Radiol Open 5(7):1–4

    Google Scholar 

  • Hubmer MG, Schwaiger N, Windisch G et al (2009) The vascular anatomy of the tensor fasciae perforator latae flap. Plast Reconstr Surg 124(1):181–189

    Article  PubMed  CAS  Google Scholar 

  • Kanawati AJ (2014) Variations of the sciatic nerve anatomy and blood supply in the gluteal region: a review of the literature. ANZ J Surg 84(11):816–819

    Article  PubMed  Google Scholar 

  • Lalovic N, Cvijanovic R, Malis M, Ilic M, Cuk M, Nikolic I (2013) Surgical anatomy of the initial segment of the lateral circumflex femoral artery. Med Pregl 66(7–8):326–330

    Article  PubMed  Google Scholar 

  • Lanz T, Wachsmuth W (2003) Bein und Statik/Praktische Anatomie Bd. 1/4. Springer, Berlin

    Google Scholar 

  • Lazaro LE, Klinger CE, Sculco PK, Helfet DL, Lorich DG (2015) The terminal branches of the medial femoral circumflex artery: the arterial supply of the femoral head. Bone Jt J 97B(9):1204–1213

    Article  Google Scholar 

  • Lippert H, Pabst R (1985) Arterial variations in man: classification and frequency. Bergmann, Munich

    Book  Google Scholar 

  • Marichevich MA, Bykowski MR, Schusterman MA 2nd, Katzel EB, Gimbel ML (2017) Lateral thigh perforator flap for breast reconstruction: computed tomographic angiography analysis and clinical series. J Plast Reconstr Aesthet Surg 70(5):577–584

    Article  Google Scholar 

  • Massoud TF, Fletcher EW (1997) Anatomical variants of the profunda femoris artery: an angiographic study. Surg Radiol Anat 19:99–103

    Article  PubMed  CAS  Google Scholar 

  • Morisaki K, Yamaoka T, Iwasa K, Kuma S, Okazaki J (2017) Persistent sciatic artery aneurysm with limb ischemia: a report of two cases. Ann Vasc Dis 10(1):44–47

    Article  PubMed  PubMed Central  Google Scholar 

  • Nasu H, Chiba s (2009) Rare case of femoral artery ramification and origin of the obturator artery. Anat Sci Int 84(4):323–326

    Article  PubMed  Google Scholar 

  • Papon X, Picquet J, Fournier HD, Enon B, Mercier P (1999) Persistent sciatic artery: report of an original aneurysm-associated case. Surg Radiol Anat 21(2):151–153

    Article  PubMed  CAS  Google Scholar 

  • Prakash Kumar J, Kumar BA et al (2010) Variations in the origins of the profunda femoris, medial and lateral femoral circumflex arteries: a cadaver study in the Indian population. Rom J Morphol Embryol 51(1):167–170

    PubMed  CAS  Google Scholar 

  • Siddharth P, Smith NL, Mason RA et al (1985) Variational anatomy of the deep femoral artery. Anat Rec 212:206–209

    Article  PubMed  CAS  Google Scholar 

  • Sinkeet SR, Ogeng’o JA, Elbusaidy H, Olabu BO, Irungu MW (2012) Variant origin of the lateral circumflex femoral artery in a black Kenyan population. Folia Morphol 71(1):15–18

    CAS  Google Scholar 

  • Tanyeli E, Uzel M, Yildirim M et al (2006) An anatomical study of the origins of the medial circumflex femoral artery in the Turkish population. Folia Morphol 65(3):209–212

    CAS  Google Scholar 

  • Tomaszewski KA, Henry BM, Vikse J et al (2016) The origin of the medial circumflex femoral artery: a meta-analysis and proposal of new classification system. PeerJ 4:1726

    Article  CAS  Google Scholar 

  • Tomaszewski KA, Henry BM, Vikse J et al (2017) Variations in the origin of the deep femoral artery: a meta-analysis. Clin Anat 30(1):106–113

    Article  PubMed  Google Scholar 

  • Tuinder S, Baetens T, De Haan MW et al (2014) Septocutaneous tensor fasciae latae flap for breast reconstruction: radiological considerations and clinical cases. J Plast Reconstr Aesthet Surg 67(9):1248–1256

    Article  PubMed  CAS  Google Scholar 

  • Uzel M, Tanyeli E, Yildirim M (2008) An anatomical study of the origins of the lateral circumflex femoral artery in the Turkish population. Folia Morphol 67(4):226–230

    CAS  Google Scholar 

  • Vazquez MT, Murillo J, Maranillo E et al (2007) Patterns of the circumflex femoral arteries revisited. Clin Anat 20(2):180–185

    Article  PubMed  CAS  Google Scholar 

  • Vuksanovic-Bozaric A, Radojevic N, Muhovic D et al (2015) Significance of anatomical variations of the lateral circumflex femoral artery for the tensor fasciae latae flapping. Folia Morphol 74(3):389–395

    Article  CAS  Google Scholar 

Download references

Acknowledgements

As it is based on a case from daily pathological autopsy practice, the authors did not have any support funding of the paper. The authors did not have any financial benefits from publishing this paper.

Author information

Authors and Affiliations

Authors

Contributions

AV-B—conception, execution of the data being published, wrote the paper. MA—design. LV—interpretation of the data being published. MG—interpretation of the data being published. BV—design. MR—interpretation of the data being published.

Corresponding author

Correspondence to Aleksandra Vuksanović-Božarić.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vuksanović-Božarić, A., Abramović, M., Vučković, L. et al. Clinical significance of understanding lateral and medial circumflex femoral artery origin variability. Anat Sci Int 93, 449–455 (2018). https://doi.org/10.1007/s12565-018-0434-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12565-018-0434-1

Keywords

Navigation