Medial circumflex femoral artery

Medial circumflex femoral artery
The profunda femoris artery, femoral artery and their major branches - right thigh, anterior view. Circumflex femoral arteries labeled.
Details
Source	Deep femoral artery, femoral artery
Supplies	Thigh
Identifiers
Latin	arteria circumflexa femoris medialis
TA98	A12.2.16.021
TA2	4686
FMA	20799
Anatomical terminology [edit on Wikidata]

The medial circumflex femoral artery (internal circumflex artery,^[1] medial femoral circumflex artery) is an artery in the upper thigh^[2] that arises from the profunda femoris artery.^[1] It supplies arterial blood to several muscles in the region, as well as the femoral head and neck.

Damage to the artery following a femoral neck fracture may lead to avascular necrosis (ischemic) of the femoral neck/head.^[2]

Structure

Origin

The medial femoral circumflex artery arises from the posteromedial aspect of the profunda femoris artery.^[1]

The medial femoral circumflex artery may occasionally arise directly from the femoral artery.^{[citation needed]}

Course and relations

It winds around the medial side of the femur^[1] to pass along the posterior aspect of the femur.^[3] It first passes between the pectineus and the iliopsoas muscles, then between the obturator externus and the adductor brevis muscles.^[1]

Branches

At the upper border of the adductor brevis it gives off two branches:^[1]

• The ascending branch
• The descending branch descends beneath the adductor brevis, to supply it and the adductor magnus; the continuation of the vessel passes backward and divides into superficial, deep, and acetabular branches.
  • The superficial branch
  • The deep branch
  • The acetabular branch

Distribution

The medial femoral circumflex artery (with its branches) supplies arterial blood to several muscles, including: the adductor muscles of the hip, gracilis muscle,^[1][3] pectineus muscle,^[3] and external obturator muscle.^[1] It delivers most of the arterial supply to the femoral head and femoral neck via branches - the posterior retinacular arteries.^[4]

Clinical significance

Branches of the medial circumflex femoral artery supplying the head and neck of the femur are often torn in femoral neck fractures and in hip dislocation.^[4]

See also

• Lateral femoral circumflex artery

References

This article incorporates text in the public domain from page 630 of the 20th edition of Gray's Anatomy (1918)

1. Gray, Henry (1918). Gray's Anatomy (20th ed.). p. 630.
2. Mannella, P; Galeotti, R; Borrelli, M; Benea, G; Traina, G. C.; Massari, L; Chiarelli, G. M. (1986). "L'arteriografia selettiva nelle fratture della testa femorale" [Selective arteriography in femoral head fractures]. La Radiologia Medica (in Italian). 72 (6): 462–5. PMID 3715086.
3. Swift, Hilary; Bordoni, Bruno (2022), "Anatomy, Bony Pelvis and Lower Limb, Femoral Artery", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 30855850, retrieved 2023-01-11
4. Moore, Keith L. (2018). Clinically Oriented Anatomy. A. M. R. Agur, Arthur F., II Dalley (8th ed.). Philadelphia. p. 713. ISBN 978-1-4963-4721-3. OCLC 978362025.

Additional images

• 
  Medial circumflex femoral artery

External links

• Medial femoral circumflex artery at the Duke University Health System's Orthopedics program
• Anatomy figure: 12:04-06 at Human Anatomy Online, SUNY Downstate Medical Center - "Arteries of the lower extremity shown in association with major landmarks."