THE FEMORAL ARTERY (Figs. 450, 451)

The =femoral artery= is the main arterial trunk of the thigh. It begins

at the level of the anterior border of the pubis, from which it is

separated by the femoral vein. It descends almost vertically in the

femoral canal behind the sartorius muscle, covered at first by the

internal femoral fascia and lower down by the gracilis. After passing

over the insertion of the pectineus, it perforates the adductor muscle,

crosses in the vascular groove of the posterior surface of the femur,

and is continued between the two heads of the gastrocnemius as the

popliteal artery. It is related at its origin to the sartorius in front,

the femoral vein behind (which separates it from the pectineus), and the

iliacus externally. Lower down it is related superficially to the deep

inguinal lymph glands, and deeply to the vastus internus, while the

saphenous nerve is in front of it, and the vein passes to its external

face. The chief branches are as follows:

[Illustration:

FIG. 457.—DISSECTION OF INGUINAL REGION AND INNER SURFACE OF THIGH OF

HORSE.

_1_, External pudic artery; _2_, anterior branches of _1_; _3_,

posterior branches of _1_; _4_, transverse anastomosis between

external pudic veins; _4′_, venous plexus of dorsum penis; _5_,

femoral artery; _6_, saphenous nerve; _7_, anterior border of

external inguinal ring; _8_, obliquus abdominis internus; _9_,

posterior border of external inguinal ring; _10_, tunica vaginalis;

_11_, vas deferens; _12_, cremaster muscle; _13_, prepuce; _14_,

glans penis; _15_, external urethral orifice; _16_, posterior

branches of circumflex iliac vessels; _17_, saphenous vessels; _18_,

fold of flank; _19_, penis (cut); _A_, superficial inguinal lymph

glands; _B_, precrural lymph glands; _C_, deep inguinal lymph

glands. (After Schmaltz, Atlas d. Anat. d. Pferdes.)

]

1. The =prepubic artery= (Truncus pudendo-epigastricus) arises from the

femoral artery at its origin, usually by a common trunk with the deep

femoral. It passes forward and a little inward and downward across the

edge of the inguinal ligament, and then runs on the abdominal surface of

the ligament to the inner part of the internal inguinal ring, where it

divides over the upper border of the internal oblique muscle into the

posterior abdominal and external pudic arteries.

(1) The =posterior abdominal artery= (A. epigastrica caudalis) passes

along the external border of the rectus abdominis and anastomoses in the

umbilical region with the anterior abdominal artery (Figs. 272). It

supplies branches to the rectus and obliquus internus muscles.

(2) The =external pudic artery= (A. pudenda externa) descends on the

inguinal ligament through the inner part of the inguinal canal and

emerges at the inner angle of the external ring. In the male it divides

into the =subcutaneous abdominal artery= and the =dorsal artery of the

penis=. The former runs forward a short distance from the linea alba,

and gives branches to the superficial inguinal lymph glands, the sheath,

and the scrotum. The latter passes to the dorsum penis and ends at the

glans as the arteria glandis. It gives off collateral branches (Rami

profundi penis) to the corpus cavernosum, one of which usually passes

backward and anastomoses with a branch of the obturator artery. Branches

are also supplied to the superficial inguinal lymph glands, the prepuce,

and the scrotum. In the female the =mammary artery= takes the place of

the dorsal artery of the penis; it plunges into the base of the mammary

gland.

2. The =deep femoral artery= (A. profunda femoris) arises either by a

common trunk with the prepubic or a little distal to it (Fig. 451). It

passes backward and downward across the inner face of the femoral vein,

then below the pubis in the space between the hip joint and the

pectineus muscle. On reaching the obturator externus it inclines more

ventrally and outward, passes out between the internal border of the

femur and the quadratus femoris, and ramifies in the biceps femoris and

semitendinosus. It supplies large collateral branches to the adductor

muscles and twigs to the deep inguinal lymph glands and the hip joint.

3. The =anterior femoral artery= (A. femoralis cranialis) arises a

little distal to the preceding vessel from the opposite side of the

femoral trunk. It passes forward, outward, and a little downward across

the deep face of the sartorius, and dips in between the rectus femoris

and vastus internus (Fig. 451). It is related externally to the

ilio-psoas and the femoral nerve.

In some cases this artery is replaced by a large branch of the

external circumflex, which passes between the ilio-psoas and rectus

femoris and enters the interstice between the latter muscle and the

vastus internus.

4. Innominate =muscular branches= (Rami musculares) of variable size and

arrangement are given off to the muscles of this vicinity.

5. The =saphenous artery= (A. saphena) is a small vessel which arises

from the femoral about its middle or from a muscular branch, and emerges

between the sartorius and gracilis or through the latter to the inner

surface of the thigh (Fig. 457). It is joined by the large saphenous

vein and the saphenous nerve and passes down superficially on the fore

part of the gracilis, continues on the deep fascia of the leg, and

divides above the hock into two branches, which accompany the radicles

of the vein. It gives off cutaneous twigs and anastomoses with the

recurrent tibial artery.

In some cases this anastomosis does not occur. The artery may be

larger and directly continuous with the internal tarsal artery.

6. The =articular branch= (A. genu suprema) is a slender artery which

arises from the femoral just before it passes through the adductor. It

descends along the posterior border of the vastus internus to the inner

surface of the stifle joint, where it ramifies.

7. The =nutrient artery of the femur= (A. nutritia femoris) is given off

at the middle of the femur and enters the nutrient foramen.

8. The =posterior femoral= or =femoro-popliteal artery= (A. femoris

caudalis) is a large vessel which arises from the posterior face of the

femoral just before the trunk passes between the two heads of the

gastrocnemius (Fig. 455). It is very short and divides into two

branches. The ascending branch passes upward and outward between the

adductor (in front) and the semimembranosus (behind), and enters the

biceps femoris, in which it ramifies. The descending branch passes

downward and backward on the external head of the gastrocnemius, then

curves upward between the biceps femoris and semitendinosus (crossed

externally by the tibial nerve) and divides into branches to these

muscles. A branch is detached from the convexity of the curve which

passes down between the heads of the gastrocnemius, gives branches to

that muscle and the flexor perforans, and is continued by a slender

artery which accompanies the tibial nerve and unites with the recurrent

tibial artery. A branch ascends alongside of the sciatic nerve between

the biceps and semitendinosus and anastomoses with a descending branch

of the obturator.

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