Aktan Ikiz Z Asli, Ucerler Hulya, Ozgur Zuhal
Medicine Faculty, Department of Anatomy, Ege University, 35100 Bornova, Izmir, Turkey.
Surg Radiol Anat. 2009 Nov;31(9):695-700. doi: 10.1007/s00276-009-0508-9. Epub 2009 May 6.
The aim of this study was to demonstrate some anatomic variations of popliteal artery and its surrounding structures that may be important especially for popliteal artery entrapment (PAE) syndrome.
A cadaveric study in 46 lower limbs was performed to improve the understanding of anatomy of the popliteal artery and its relations with surrounding structures.
The popliteal artery was lateral to the popliteal vein in four specimens (8.7%) and deep to popliteal vein in three specimens (6.5%). An aberrant accessory head of gastrocnemius was present in three specimens (6.5%). The popliteal artery and vein were tethered at the adductor magnus hiatus very tightly in one specimen (2.2%). An aberrant medial arterial course around normal medial head of gastrocnemius muscle was seen in one specimen (2.2%).
Various anomalous anatomic relationships between muscle and arteries in the popliteal fossa results in arterial compression. We believe that a review of the anatomic variations of the popliteal artery and its surrounding structures will be beneficial for the surgical approaches in PAE.
本研究的目的是展示腘动脉及其周围结构的一些解剖变异，这些变异可能对腘动脉压迫（PAE）综合征尤为重要。
对46条下肢进行尸体研究，以增进对腘动脉解剖及其与周围结构关系的理解。
在4个标本（8.7%）中，腘动脉位于腘静脉外侧，在3个标本（6.5%）中，腘动脉位于腘静脉深部。3个标本（6.5%）存在异常的腓肠肌副头。在1个标本（2.2%）中，腘动脉和静脉在大收肌裂孔处紧密相连。在1个标本（2.2%）中，可见腘动脉在正常腓肠肌内侧头周围走行异常。
腘窝内肌肉与动脉之间各种异常的解剖关系导致动脉受压。我们认为，回顾腘动脉及其周围结构的解剖变异将有助于PAE的手术治疗。
