GSU Blood Vessels of the Lower Limb
What is the pathway of blood from the heart to the aorta?
Which side of the heart gets oxygenated blood and which side gets deoxygenated?
right gets deoxygenated, left gets oxygenated
Which is the largest chamber of the heart and why?
left ventricle because it is discharging oxygenated blood into the circuit of the entire body
Draw a flowchart for pathway of blood in veins
draw a flowchart for the pathway of blood in arteries
What is the inferior vena cava?
large vein that carries deoxygenated blood from the lower and middle body into the right atrium of the heart.
Which three arteries are given off by the internal iliac artery?
obturator, inferior gluteal, and superior gluteal
The external iliac artery gives off which five arteries?
femoral, deep femoral, popliteal, anterior tibial, posterior tibial, and fibular
draw external iliac artery tree
What is the pathway of the external iliac artery?
passes deep to inguinal ligament and continues into thigh as femoral artery
What is the pathway of the femoral artery?
travels deep to sartorius in anterior thigh. becomes popliteal artery after passing posterior through adductor hiatus
What is the pathway of the deep femoral artery?
non terminal branch of femoral artery. continues dorsilaterally from femoral artery. reflect sartorius to see it.
What is the pathway of the popliteal artery?
passed behind the knee in the popliteal fossa, reaches the popliteus muscle, then divides into anterior and posterior tibial artery
What does the anterior tibial artery become? where?
dorsalis pedis artery. at the ankle.
What does posterior tibial artery branch into?
the fibular artery. lateral plantar artery, and medial plantar artery
how are deep veins named?
same as the arteries they accompany
what does the greater saphenous vein drain into?
femoral v
what does the lesser sapenous vein drain into?
popliteal v
Which two veins join together to form the IVC?
the two common iliac veins
The lesser saphenous runs (medial/lateral) and the greater saphenous runs (medial/lateral)
lateral; medial
Which muscles are fed by the obturator artery?
medial thigh muscles
Which muscles are fed by superior gluteal artery?
Gluteus maximus, gluteus medius,gluteus minimus and tensor fasciae latae
Which muscles are fed by inferior gluteal artery?
Gluteus maximus, piriformis
What does the femoral artery feed?
anterior compartment of thigh
What does the deep femoral artery feed?
posterior thigh muscles
what does the popliteal artery feed
popliteus muscle
What does the anterior tibial artery supply blood to
anterior compartment of the leg
what does the dorsalis pedis supply?
the dorsal surface of the foot
what does the posterior tibial artery supply
posterior compartment of the leg
what does the fibular artery supply?
the lateral compartment of the leg
what muscles does the medial plantar artery supply?
abductor hallucis flexor digitorum brevis
what forms the great saphenous vein?
dorsal digital vein of great toe and dorsal venous arch of foot
Describe the pathway of the great saphenous vein, especially where it begins and empties
ascends anterior to medial malleolus
passes posterior to medial condyle of femur (about a hand's breadth posterior to the medial border of the patella)
transverses the saphenous opening in the fascia lata
empties into the femoral vein
what forms the small saphenous vein?
dorsal digital vein of the fifth digit and dorsal venous arch
what is the pathway of the small saphenous vein
arises on the lateral side of the foot
ascends posterior to lateral malleolus as a continuation of lateral marginal vein
passes along the lateral border of the calcaneal tendon
inclines to the midline of the fibula and penetrates the deep fascia
ascends between the heads of gastroc
empties into popliteal vein in popliteal fossa
what are perforating veins?
veins that connect the deep and superficial veins. blood can only flow from superficial to deep because of valves.
origin, course and distribution of superior gluteal artery
O posterior division of internal iliac artery
C leaves pelvis through greater sciatic foramen, superior to piriformis
D gluteal muscles and tensor fascia latae
origin course and distribution of inferior gluteal artery
O anterior division of internal iliac artery
C leaves pelvis through greater sciatic foramen inferior to piriformis
D piriformis, coccygeus, levator ani, and gluteal muscles
origin and course of external iliac artery
O common iliac artery
C follows the iliopsoas muscle. becomes the femoral artery at the inguinal ligament. gives rise to inferior epigastric a and deep iliac circumflex a.
course of femoral vein
continuation of popliteal vein proximal to adductor hiatus
fed by profunda femoris vein and great saphenous vein
becomes the external iliac vein after passing posterior to inguinal ligament
in adductor canal, lies posterlaterally and posterior to the femoral artery
origin and course of femoral artery
continuation of external iliac artery distal to inguinal ligament
lateral to femoral vein in femoral triangle
descends on borders of iliopsoas and pectineus
enters adductor canal deep to sartorius
exits adductor canal passing through addcutor hiatus and becomes popliteal artery
origin and course of deep femoral artery
arises from femoral artery in femoral triangle. in middle third of thigh is separated from femoral artery by adductor longus. gives off three or four perforating arteries that wrap around posterior femur and feed adductor magnus, hamstring, and vastus lateralis muscles
origin and course of lateral circumflex femoral artery
can arise from deep femoral artery or femoral artery. encircles the thigh and anastosomes with the medial circumflex artery and supplies lateral thigh muscles and proximal femur.
origin and course of medial circumflex femoral artery
most likely arises from deep femoral artery but may arise from femoral artery
supplies most of blood to head and neck of femur. it's branches are posterior retinacular arteries.
passes deep between iliopsoas and pectineus to reach posterior aspect of femoral neck where it runs deep to quadratus femoris
course and distribution of perforating arteries
come from deep femoral artery
wrap around posterior aspect of femur
feed hamstrings, adductor magnus and vastus lateralis
popliteal vein course
continuation of posterior tibial veins
superficial to and in the same fibrous sheath as popliteal artery throughout course
popliteal v becomes femoral vein in adductor hiatus
small saphenous enters popliteal vein in popliteal fossa
popliteal artery course and distribution
continuation of femoral artery
begins where femoral artery passes adductor hiatus
passes through popliteal fossa
ends by dividing into anterior and posterior tibial arteries
branches into genicular arteries to feed the knee joint
muscular branches feed hamstrings, gastrocnemeus, soleus and plantaris
list the genicular arteries and area of the body
superior lateral, superior medial, inferior lateral and inferior medial genicular arteries feed the area of the knee joint capsule and ligaments.
course and distribution of anterior tibial a
anterior branch of popliteal artery - smaller than posterior branch
supplies anterior compartment of the leg
begins at inferior border of popliteus m. and pierces interosseus membrane
becomes dorsalis pedis artery
course and distribution of posterior tibial a.
supplies posterior compartment of leg and plantar area of foot
larger branch of popliteal artery
after if gives off fibular artery, passes inferomedially on posterior surface of tibialis posterior and then runs posterior to medial malleolus.
divides into medial and lateral plantar arteries
course and distribution of fibular artery
largest branch of posterior tibial a. Arises near distal border of popliteus
descends obliquely toward fibula, usually through flexor hallucis longus
gives off muscular branches to posterior and lateral compartment of leg, nutrient artery of the fibula, and perforating branch of fibular artery which pierces the interosseus membrane and goes to the dorsum of the foot
course of lateral plantar artery
from posterior tibial artery
courses laterally between first and second layer of plantar muscles continues into deep plantar arch
course of plantar arch
beings at base of fifth metatarsal as continuation of lateral plantar artery
courses between third and fourth muscle layers
unites lateral plantar artery and deep plantar artery (branch of dorsal artery)
deep plantar arch gives rise to four plantar metatarsal arteries, three perforating branches and branches to skin, fascia, and muscles in the sole
course and distribution of medial plantar artery
feeds the muscles of the great toes and skin on the medial side of the sole
branch of posterior tibial artery
branches common plantar digitial a --> proper plantar digital a.
course and distribution of dorsalis pedis
direct continuation of dorsalis pedis artery
begins midway between the malleoli and runs anteromedially deep to inferior extensor retinaculum between extensor hallucis longus and extensor digitorum longus tendons on the foot
feeds the forefoot
gives off lateral tarsal artery, arcuate a, deep plantar a, and dorsal metatarsal a.
course and distribution of lateral tarsal artery
branch of dorsalis pedis artery
deep to extensor digitorum brevis and extensor hallucis brevis
supplies extensor digitorum brevis and extensor hallucis brevis and articulations o the tarsus
course and distribution of arcuate artery
branch of dorsalis pedis a
it passes laterally, over the bases of the lateral four metatarsal bones, beneath the tendons of the extensor digitorum brevis
terminates in lateral tarsal artery
communicates with plantar arteries through perforating arteries of the foot
course and distribution of deep plantar artery
branch of dorsalis pedis
passes deeply between the heads of the first dorsal interosseous muscle to enter the sole of the foot where it joints the lateral plantar artery to form the deep plantar arch
course of dorsal metatarsal arteries
branches of dorsalis pedis.
each dorsal metatarsal arteries run to the cleft of the toe where they divide into two dorsal digital arteries
course of dorsal digital arteries
branches of dorsal metatarsal arteries
run along each side of phalanges