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腘动脉分支的一种罕见变异：胫前动脉和腓动脉发自胫腓总干。

A rare variation in popliteal artery branching: anterior tibial artery and fibular artery from the common tibiofibular trunk.

作者信息

Sachsenmeier Caitlin, Chapel Debilea, Kulesza Randy

机构信息

Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, USA.

出版信息

Anat Cell Biol. 2024 Dec 31;57(4):612-615. doi: 10.5115/acb.24.086. Epub 2024 Jul 18.

DOI:10.5115/acb.24.086
PMID:39021044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663521/
Abstract

The popliteal artery is a continuation of the femoral artery and is the main arterial supply to the lower leg and foot. Variation in the branching of the popliteal artery typically occurs proximal or distal to where the vessel crosses the popliteus muscle. In the case of a routine dissection of a 92-year-old female cadaver, a variation of the popliteal artery was found where the branches are a posterior tibial artery and a common tibiofibular trunk. It is important to recognize the vascular variations that exist in the popliteal fossa to prevent any unforeseen complications during surgeries or procedures to the knee or lower leg.

摘要

腘动脉是股动脉的延续，是小腿和足部的主要动脉供血来源。腘动脉分支的变异通常发生在该血管穿过腘肌的近端或远端。在对一具92岁女性尸体进行常规解剖时，发现腘动脉存在变异，其分支为胫后动脉和胫腓总干。认识到腘窝处存在的血管变异对于预防膝关节或小腿手术或操作过程中出现任何不可预见的并发症很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/11663521/f2a6c762a68d/acb-57-4-612-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/11663521/d53cce93200d/acb-57-4-612-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/11663521/f2a6c762a68d/acb-57-4-612-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/11663521/d53cce93200d/acb-57-4-612-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/11663521/f2a6c762a68d/acb-57-4-612-f2.jpg

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本文引用的文献

1
Popliteal Artery Branching Variations: A Study on Multidetector CT Angiography.腘动脉分支变异：多排 CT 血管造影研究。
Sci Rep. 2020 May 18;10(1):8147. doi: 10.1038/s41598-020-65045-6.
2
Variations in terminal branches of the popliteal artery: cadaveric study.腘动脉终末分支的变异：尸体研究
Surg Radiol Anat. 2019 Dec;41(12):1473-1482. doi: 10.1007/s00276-019-02262-3. Epub 2019 May 27.
3
Variants of the popliteal artery terminal branches as detected by multidetector ct angiography.多层螺旋CT血管造影检测到的腘动脉终末分支变异
Open Med (Wars). 2015 Dec 17;10(1):483-491. doi: 10.1515/med-2015-0056. eCollection 2015.
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The evidence-based surgical anatomy of the popliteal artery and the variations in its branching patterns.腘动脉的循证外科解剖及其分支模式的变异
J Vasc Surg. 2017 Feb;65(2):521-529.e6. doi: 10.1016/j.jvs.2016.01.043. Epub 2016 Mar 16.
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The risk of injury to the anterior tibial artery in the posterolateral approach to the tibia plateau: a cadaver study.胫骨平台后外侧入路中胫骨前动脉损伤的风险：尸体研究。
J Orthop Trauma. 2013 Apr;27(4):221-5. doi: 10.1097/BOT.0b013e318271f8f0.
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Variations in anatomy of the popliteal artery and its side branches.腘动脉及其分支的解剖变异。
Vasc Endovascular Surg. 2011 Aug;45(6):536-40. doi: 10.1177/1538574411409065. Epub 2011 Jun 12.
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Infrapopliteal balloon angioplasty for the treatment of chronic occlusive disease.腘下球囊血管成形术治疗慢性闭塞性疾病。
J Vasc Surg. 2009 Oct;50(4):799-805.e4. doi: 10.1016/j.jvs.2009.05.026.
8
Treatment of isolated posterior coronal fracture of the lateral tibial plateau through posterolateral approach for direct exposure and buttress plate fixation.经后外侧入路直接显露并采用支撑钢板固定治疗单纯性胫骨外侧平台后冠状骨折。
Arch Orthop Trauma Surg. 2009 Jul;129(7):955-62. doi: 10.1007/s00402-009-0829-5. Epub 2009 Feb 14.
9
Anatomical variations of the popliteal artery and its tibial branches: analysis in 1242 extremities.腘动脉及其胫支的解剖变异：1242例肢体分析
Cardiovasc Intervent Radiol. 2009 Mar;32(2):233-40. doi: 10.1007/s00270-008-9460-z. Epub 2008 Nov 4.