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(SUBSARTORIAL CANAL/

HUNTER’S CANAL)
Synopsis:
• Introduction
• Extent
• Boundaries
• Contents
• Femoral artery
• Femoral vein
• Nerves
• Clinical aspects
Introduction :
• Triangular
• Intermuscular tunnel
• Medial side of the middle one-third of the thigh
Extent :
• Apex of the femoral triangle
• Tendinous opening in the adductor magnus.

• Passage to femoral vessels from femoral triangle


to the popliteal fossa
Boundaries
• Anterolateral wall: vastus medialis.
• Posteromedial wall / floor : Adductor
longus above, adductor magnus
below
• Medial Wall / roof : strong fibrous
membrane, sartorius
• Subsartorial plexus underneath
sartorius.
1. medial cutaneous nerve of the
thigh
2. saphenous nerve
3. anterior division of the
obturator nerve
• overlying fascia lata and the skin
Contents:
• Femoral artery
• Descending genicular artery
• Saphenous
• Muscular

• Femoral vein
• Saphenous nerve
• N. To vastus medialis
• Br. Of Obturator nerve
Femoral artery
• Apex of femoral triangle
• Adductor hiatus
• Branches ?
Femoral vein :
• Popliteal vein
• Posterior to artery- upper
• Lateral to artery – lower
Saphenous nerve :
• Crosses femoral artery L -> M
• Leaves with saphenous artery-
piercing fibrous roof
Nerve to vastus medialis :
• Branch of the femoral nerve
• Lateral to the femoral artery
BRANCHES OF OBTURATOR NERVE :
• Posterior division –
• Runs on anterior surface of the adductor
magnus
• Anterior division –
• Br. To subsartorial plexus
Clinical aspect:
• Popliteal artery aneurysm
• The femoral artery exposed & ligated in the adductor
canal
• Artery is healthy and does not tear when tied,
• First performed by surgeon, Dr John Hunter.
Adductor canal syndrome:

.Unusual cause of acute arterial occlusion in younger men.


.Arterial compression by an abnormal musculotendinous band arising from the adductor magnus muscle.

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