Foot and Ankle International
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Wheeless' Textbook of Orthopaedics

Lateral Circumflex Femoral Artery



 

- Discussion:
    - usually arises from lateral side of deep femoral artery;
    - in 15% of pts, it arises from femoral artery above profunda;
    - LFCA passes laterally in front of Psoas   & between branches of
            Femoral Nerve;
    - passes deep to Sartorius & rectus femoris, and divides into anterior,
            transverse, and descending branches;
    - ascending branch
            - passes upward beneath   Rectus Femoris & Tensor Fascia Lata;
            - it anastomoses w/ terminals of superior gluteal artery ;
    - transverse branch:
            - enters Vastus Lateralis , winds around femur below its greater trochanter,
                  & anastomoses on back of thigh w/ MFCA,   inferior gluteal, &
                  first perforating arteries (Cruciate Anastomosis );
    - descending branch:
            - may arise separately from femoral or profunda artery;
            - passes downward beneath the Rectus Femoris;
    - sends branches to Vastus Lateralis   & intermedius accompanied by
          branches of Femoral Nerve, & anastomoses w/ descending genicular branch
          of   femoral artery and lateral superior genicular branch of
          popliteal artery; (see genicular arterial system)
    - it continues down fascia lata & sends multiple perforators to skin overlying
          fascia lata and lateral aspect of the knee;
    - lateral circumflex of femoral artery is principal source of blood to the                         trochanteric area & inferior part of femoral neck;
          - it anastomoses to limited degree w/ branches of medial circumflex;
    - nutrient artery   of femur sends branches to metaphysis or neck but does
          not contribute significantly to head;




Original Text by Clifford R. Wheeless, III, MD.