Lateral circumflex femoral artery
Arteria circumflexa lateralis femoris
- Latin synonym: Arteria circumflexa femoris lateralis
Definition
The Lateral Femoral Circumflex Artery (a. circumflexa femoris lateralis; external circumflex artery) arises from the lateral side of the deep femoral artery, passes horizontally between the divisions of the femoral nerve, and behind the Sartorius and Rectus femoris, and divides into ascending, transverse, and descending branches.
The ascending branch passes upward, beneath the Tensor fasciæ latæ, to the lateral aspect of the hip, and anastomoses with the terminal branches of the superior gluteal and deep iliac circumflex arteri.
The descending branch runs downward, behind the Rectus femoris, upon the Vastus lateralis, to which it gives offsets; one long branch descends in the muscle as far as the knee, and anastomoses with the superior lateral genicular branch of the popliteal artery. It is accompanied by the branch of the femoral nerve to the Vastus lateralis.
The transverse branch, the smallest, passes lateralward over the Vastus intermedius, pierces the Vastus lateralis, and winds around the femur, just below the greater trochanter, anastomosing on the back of the thigh with the medial femoral circumflex, inferior gluteal, and first perforating arteries.
An oblique branch (not listed in the Terminologia Anatomica) may be described. This branch descends obliquely at about a 45-degree angle relative to the body's long axis, eventually running parallel to the long axis. It supplies the vastus intermedius and vastus lateralis muscles.
References
1.Morphological Study of Branches of Lateral Femoral Circumflex Artery Based on Digital Subtraction Angiography.Yang L, Cheng J, Liu Z, et al.Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS. 2023;80:18-24. doi:10.1016/j.bjps.2022.08.075.
2.Terminology of the Branches of the Lateral Circumflex Femoral Artery: Who Is Who?.Palackic A, Skias C, Winter R, et al.Journal of Anatomy. 2021;239(6):1465-1472. doi:10.1111/joa.13507.
3.Lateral Circumflex Femoral Arterial System and Perforators of the Anterolateral Thigh Flap: An Anatomic Study.Valdatta L, Tuinder S, Buoro M, et al.Annals of Plastic Surgery. 2002;49(2):145-50. doi:10.1097/00000637-200208000-00006.