DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20162333

A study of variations in the branching pattern of popliteal artery and its clinical perspective

Anisha Bettaiah, Sangeetha Venkat, Saraswathi G.

Abstract


Background: Popliteal artery is the continuation of femoral artery which is the main and prime arterial supply to the knee, leg and foot. Variations of popliteal artery have been the subject of repeated study as exposure of this artery is required in both emergency and elective vascular procedures. Knowledge of the anatomical variations in the branching of popliteal artery is important, because damage to artery and its branches can lead to limb disability or life threatening haemorrhage.

Methods: A total of 40 popliteal arteries were studied by dissection method. Specimens were collected from the cadavers which were available in the department of anatomy, JSS medical college, Mysore, India.

Results: The origin, course and termination of the popliteal artery in all the 40 specimens were normal. Regarding the branching pattern of genicular arteries, there was a common stem of origin for superior medial genicular artery (SMGA), middle genicular artery (MGA), superior lateral genicular artery (SLGA) in 2 specimens (5%).

Conclusions: Popliteal artery is the commonly approached site for above and below knee bypass grafts. It is also frequently injured during penetrating and blunt trauma involving lower extremity. Although prevalence of the variations was less in our study, the awareness of possible variations will be beneficial to angiographers and to vascular surgeons and orthopaedic surgeons.

 


Keywords


Popliteal artery, Superior medial genicular artery, Middle genicular artery, Superior lateral genicular artery

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References


Knee GH. In: Gray’s Anatomy. 40th ed. Standring S. Elsevier Churchill Livingstone. Spain. 2008;1408-9.

Mauro MA, Jaques PF, Moore M. The popliteal artery and its branches: Embryologic basis of normal and variant anatomy. Am J Roentgenol. 1988;150:435-7.

Bergman RA, Thompson SA, Afifi AK, Saadeh FA. Cardiovascular system. In: Compendium of human anatomic variation. Urban and Schwarzenberg. Baltimore. 86-87. Available at: http://www.anatomyatlases.org/ AnatomicVariants/ Cardiovascular/ Text/ Arteries/ Suprascapular.shtml

Kim D, Orron DE, Skillman JJ. Surgical significance of popliteal arterial variants. Journal of Annals of surgery. 1989;210:776-81.

Bardsley JL, Staple TW. Variations in branching of the popliteal artery. Radiology. 1970;94:581-87.

Somayaji SN, Nayak S, Bairy KL. Variations in the branching pattern of the popliteal artery. J Anat Soc India. 1996;45:23-6.

Day CP, Orme R. Popliteal artery branching patterns an angiographic study. Clin Radio. 2006;61:696-9.

Singla R, Kaushal S, Chabbra U. Popliteal artery branching pattern : a cadaveric study. Eur journal of Anatomy. 2012;16(2):157-62.

Salaria H, Atkinson R. Anatomic study f the middle genicular artery. Journal of orthpaedic surgery 2008;16(1):47-9.

Gibson MH, Mills JG, Johnson GE, Downs AR. Ann. Surg. March. 1977;341-8.

Turnipseed WD. Popliteal entrapment syndrome. J Vasc Surg. 2002;35:910-5.

Ikiz ZAA, Ucerler H, Ozgur Z. Anatomical variations of popliteal artery that may be a reason for entrapment. Surg Radiol Anat. 2009;31(9):695-700.

Moore W, Krabak B J. Chronic lateral knee pain in a cyclist: popliteal artery entrapment. Clinical J Sport Med. 2007;17(5):401-3.

Wu HY, Yang YJ. Bilateral persistent sciatic arteries complicated with acute left lower limb ischemia. J. Formos. Med. Assoc. 2007;106(12):1038-42.

Joffe N. Aneurysm of a persistent primitive sciatic artery. Clin Radiol. 1964;15:286-90.

Mandell VS, Jaques PF, Delany DJ, Oberheu V. Persistent sciatic artery: clinical embryologic and angiographic features. Am J Roentgenol. 1985;144:245-9.

Freeman MP, Tisnado J, Cho S. Persistent sciatic artery. report of three cases and litreature review. Brit J Radio. 1986;59(699):217-23.

Tindall AJ, Shetty AA, James KD, Middleton A, Fernando KW. Prevalence and surgical significance of a high-origin anterior tibial artery. J Orthop Surg (Hong Kong). 2006;14:13-6.

Garud TT, Deshpande AD, Evans HJR. Pseudoaneurysm of an anomalous anterior tibial artery following total knee replacement. Eur J Vasc Endovasc Surg Extra. 2003;5:1-2.

Barut C, Sevinc O, Ozden H, Comert A, Esmer AF, Tekdemir I, et al. Surgical anatomy and bifurcation patterns of the popliteal artery:an anotomic study. Turkiye Klinkleri Journal of Medical Sciences. 2009;29(2):338-43.

Wright FW. Persistent axial or sciatic artery of the lower limb in association with hemihypertrophy. Clin Radiol. 1964;15:291-2.

Bron C, Haller C, Calanca L, Qanadli SD, I. Milesi-Haesler, E. Haesler. Popliteal Artery Entrapment Syndrome: 3 Unusual Features in the Same Patient. Eur J Vasc Endovasc Surg Extra. 2007;14:51-3.

Colborn GL, Lumsden AB, Taylor BS, Skandalakis JE. The surgical anatomy of the popliteal artery, The American Surgeon. 1994;60:238-46.

Ebraheim NA, Lu J, Hao Y, Biyani, RA. Yeasting. Anterior tibial artery and its actual projection on the lateral aspect of the tibia: a cadaveric study.surgical and radiologic anatomy 1998;20(4):259-62.