The medial circumflex femoral artery usually arises from the deep femoral artery. It supplies the supplies adductors and hamstring group as well as sciatic nerve and femoral head and neck through anastomosis. In current study includes 342 dissected hemipelvis to clarify the origin of medial circumflex femoral artery. The medial circumflex femoral artery arose from the common and deep femoral artery in 39.3% and 57%. Infrequently, it arose from the superficial femoral artery in 2.5% whereas it arose from the lateral circumflex femoral artery in 0.6%. In contrast, it found to be congenital absent in 0.6%. In current study, the usual origin level of medial circumflex femoral artery found to be proximal to lateral circumflex femoral artery in 52% and distal to the deep femoral artery in 57.3%. Knowing the medial circumflex femoral artery limits avascular necrosis of the femoral head such as embolization procedure. Therefore, knowing the origin variability of the medial circumflex femoral artery may lead to avoid iatrogenic fault in several procedures such as arterial bypass procedure to protect vascular supply of lower limb. Radiologists as well as orthopedics and vascular surgeons have to be aware of the medial circumflex femoral artery variation.
AL-TALALWAH, W.The inferior epigastric artery: anatomical study and clinical significance. Int. J. Morphol., 35(1):7-11, 2017.
SUMMARY:The inferior epigastric artery usually arises from the external iliac artery. It may arise from different origin. The aim of current study is to provide sufficient date of the inferior epigastric artery for clinician, radiologists, surgeons, orthopaedic surgeon, obstetricians and gynaecologists. The current study includes 171 dissected cadavers (92 male and 79 female) to investigate the origin and branch of the inferior epigastric artery in United Kingdom population (Caucasian) as well as in male and female. The inferior epigastric artery found to be a direct branch arising independently from the external iliac artery in 83.6 %. Inferior epigastric artery arises from common trunk of external iliac artery with the obturator artery or aberrant obturator artery in 15.1 % or 1.3 %. Further, the inferior epigastric artery gives obturator and aberrant obturator branch in 3.3 % and 0.3 %. Therefore, the retropubic connection vascularity is 20 % which is more in female than male. As the retropubic region includes a high vascular variation, a great precaution has to be considered prior to surgery such as hernia repair, internal fixation of pubic fracture and skin flap transplantation. The radiologists have to report treating physicians to decrease intra-pelvic haemorrhage due to iatrogenic lacerating obturator or its accessory artery
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