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HERO ID
6125972
Reference Type
Journal Article
Title
Variations in terminal branches of the popliteal artery: cadaveric study
Author(s)
Kang, TL; Chelliah, S; Velappan, RD; Kabir, N; Olewnik, L; Labetowicz, P; Podgorski, M; Polguj, M; Ruzik, K; Topol, M
Year
2019
Is Peer Reviewed?
1
Journal
Surgical and Radiologic Anatomy
ISSN:
0930-1038
EISSN:
1279-8517
Volume
41
Issue
12
Page Numbers
1473-1482
Language
English
PMID
31134299
DOI
10.1007/s00276-019-02262-3
Web of Science Id
WOS:000496304500011
Abstract
INTRODUCTION:
Identifying the branching pattern of the popliteal artery (PA) is a vital step in planning radiological and surgical procedures involving the anterior and posterior tibial and fibular arteries. The aim of this study was to characterize the course and morphology of the terminal branches of the PA.
MATERIALS AND METHODS:
The anatomical variations in the branching patterns of the anterior and posterior tibial and fibular arteries were examined in 100 lower limbs fixed in a 10% formalin solution. A dissection of the popliteal region of the leg was carried out according to a pre-established protocol, using traditional techniques. Morphometric measurements were then obtained twice by two researchers.
RESULTS:
In most cases (72%) the PA divides to form the anterior tibial artery (ATA) and a common junction for the posterior tibial and fibular arteries (type I), which further splits into the fibular artery and the posterior tibial artery (PTA). This type was subdivided into two subgroups according to whether the ATA (subgroup a) or the common junction of the posterior tibial and fibular arteries (subgroup b) had the larger diameter. Other identified variations included division of the PA into the ATA and PTA-8% (type II), trifurcation-12% (type III), the division of the PTA into the ATA and FA-8% (type IV), and aplasia of the PTA-8% (type IV).
CONCLUSION:
Although the typical PA branching type was observed, it can be classified further into two additional sub-types based on the diameter of the ATA and the common junction of the posterior tibial and fibular arteries.
Keywords
The popliteal artery; The anterior tibial artery; The fibular artery; The posterior tibial artery; The tibial-fibular trunk; New classification
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