Abstract
The femoral triangle is important in puncture and exposure of the femoral artery,
block dissection of the groin lymph nodes and surgery of the great saphenous vein
at its termination. The great (long) saphenous vein passes upwards from in front of
the medial malleolus to a hand’s breadth behind the patella to pierce the deep fascia
at the groin to enter the common femoral vein. The landmark for this is one finger’s
breadth medial to the femoral pulse, which is located halfway between the anterior
superior iliac spine and the pubic symphysis. The small (short) saphenous vein commences
behind the lateral malleolus and ascends behind the calf to enter the popliteal vein
at the popliteal fossa. Both veins have numerous tributaries and perforators, guarded
by valves, which join the deep veins. The great saphenous vein relates to the saphenous
nerve, the small vein relates to the sural nerve and both may be injured in vein surgery.
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Copyright
© 2013 Published by Elsevier Inc.