Friday 15 May 2020

Femoral Triangle

Femoral Triangle 
  • The femoral triangle (or Scarpa's triangle) is an anatomical region of the upper third of the thigh. It is a subfascial space which appears as a triangular depression below the inguinal ligament when the thigh is flexed, abducted and laterally rotated.  
Boundaries : 
Roof : The roof of femoral traingle formed by 
  • Skin.
  • Superficial Fascia. 
  • Deep fascia. 
Floor : The floor of the triangle is formed  
  • Medially by the addacture longus and pectinious.
  • Laterly by the psoas major and iliacus. 
  • Femoral triangle | Radiology Reference Article | Radiopaedia.org

Contents : Are as follow 
  • Femoral artery and its branches. 
  • Femoral vein and its tributaries.
  • Femoral sheath encloses the upper 4cm of the femoral vessels.
Nerves : 
  • Femoral nerve 
  • The femoral branch of genitofemoral nerve.
  • Later cutaneous nerve of the thigh. 
  • The nerve of pectineus. 
Cinical anatomy : 
  • Femoral hernia : The femoral canal is an area of potential weakness in the abdominal wall through which abdominal contents may buldge out forming the femoral harnia.
  • Abnormal obturator artery : The normal obturator artery is a branch of the internal iliac. 
  • Swellings in the femoral triangle:

  • Can be caused by:

  • Femoral hernia
  • Inflamed/ enlarged lymph nodes
  • Abcess
  • Lipoma
  • Aneurisms of the vessels
  • Neuromas
  • Muscle tumors
  • Psoas abcess, usually arising from TB spine 
  • The artery can be pressed against the iliopubic eminence below the inguinal ligament at the mid-inguinal (femoral point), to reduce bleeding from a distal cut.

  • Lateral cutaneous nerve of thigh may get entangled in the inguinal ligament. This leds to the painon the lateral side of thigh. it is called "meralgia parasthetica". 
  • Types of Hernia in Adults | Rolling Hills Medical

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