ABSTRACT
Introduction: Anatomical knowledge is very important for accurate diagnosis and proper treatment of the patient.The popliteal region presents a wide range of vascular anomalies. The correct diagnosis of these anatomicalvariations plays a key role in success of diverse procedures performed by orthopaedicians, vascular surgeonsand radiologists. In this context, the aim of our study was to gain knowledge on the origin, level and mode oftermination, course and relations of popliteal artery with surrounding structures, mainly the muscles, in poplitealfossa. The results obtained were compared with previous studies.Materials and methods: The study was carried out in 50 lower limbs of 25 well-embalmed cadavers. There wasno evidence of previous knee surgeries in any of the limbs. The specimens were collected from the department ofAnatomy, KVG Medical College, Sullia.Results: The femoral artery continued as popliteal artery, which terminated at the lower border of popliteusmuscle. Trifurcation pattern was observed in one specimen. 10% of specimens had hypoplastic/aplasticposteriortibial artery, distally replaced by peroneal artery. Another 4% of specimens had smaller posterior tibialand larger peroneal artery. Length of tibio peroneal trunk from the lower border of popliteus muscle was shorterthan normal (2.5 cm) in one specimen and longer in another specimen. The observation on course and relationsshowed that the popliteal artery passed beneath a bony tunnel of fibula before terminating in one specimen andin another specimen, popliteal artery was superficial to popliteal vein in the middle of popliteal fossa. In othertwo specimens, it coursed more medially towards medial head of gastrocnemius and another specimen presentedwith popliteal artery crossed by muscle belly of plantaris.Conclusion: This study adds up to the knowledge on vascular variations in the popliteal region, the awareness ofwhich is important to vascular surgeons while performing arterial reconstructions in femoro distal bypass graftprocedures and also to orthopaedicians during surgical clubfoot release.
ABSTRACT
Background and objectives: Moderator band is a specialized bridge present between the base of the anteriorpapillary muscle and interventricular septum. It carries the right branch of the bundle of HIS with it. The band isknown to prevent the over distension of the right ventricle during the diastolic phase. There is a need of lot ofresearch and studies on the septomarginal trabecula as it proves to be important clinically. Here we measuredthe length, breadth, height, angle with the interventricular septum, and the superficial marking of Moderatorband on the sternocostal surface of the right ventricle is done. This paper describes the morphological variationsfound in its origin and insertion.Materials and Methods: 15 formalin-soaked cadaveric hearts were taken from the Department of Anatomy ofKVG Medical College, Sullia. The foetal hearts, the hearts with gross pathology, if any are excluded from the study.Result: The morphometric parameters are tabulated and the morphological variations are noted. The results arecompared with the results of the previous studies on the moderator band.Conclusion: It is confirmed that the thickness of moderator band varies at its origin and insertion. The surfacemarking of moderator band on sternocostal surface of the heart will help in locating the moderator band throughthe echocardiography and during cardiac surgeries on right ventricle. The possibility of second moderator band,multiple origin or insertion is more than 20%.