open access

Vol 76, No 2 (2017)
REVIEW ARTICLES
Published online: 2016-09-27
Submitted: 2016-05-25
Accepted: 2016-07-01
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The variable origin of the lateral circumflex femoral artery: a meta-analysis and proposal for a new classification system

K. A. Tomaszewski, J. Vikse, B. M. Henry, J. Roy, P. A. Pękala, M. Svensen, D. Guay, K. Saganiak, J. A. Walocha
DOI: 10.5603/FM.a2016.0056
·
Pubmed: 27714726
·
Folia Morphol 2017;76(2):157-167.

open access

Vol 76, No 2 (2017)
REVIEW ARTICLES
Published online: 2016-09-27
Submitted: 2016-05-25
Accepted: 2016-07-01

Abstract

The lateral circumflex femoral artery (LCFA) is responsible for vascularisation of the head and neck of the femur, greater trochanter, vastus lateralis and the knee. The origin of the LCFA has been reported to vary significantly throughout the literature, with numerous branching patterns described and variable distances to the mid-inguinal point reported. The aim of this study was to determine the estimated population prevalence and pooled means of these anatomical characteristics, and review their associated clinical relevance. A search of the major electronic databases was performed to identify all articles reporting data on the origin of the lateral circumflex femoral artery and its distance to the mid-inguinal point. Additionally, an extensive search of the references of all relevant articles was performed. All data on origin, branching, and distance to mid-inguinal point was extracted and pooled into a meta-analysis. A total of 26 articles (n = 3731 lower limbs) were included in the meta-analysis. Lateral circumflex femoral artery most commonly originates from the deep femoral artery with a pooled prevalence of 76.1% (95% confidence interval 69.4–79.3). The deep femoral artery-derived lateral circumflex femoral artery was found to originate with a mean pooled distance of 51.06 mm (95% confidence interval 44.61–57.51 mm) from the mid-inguinal point. Subgroup analysis of both gender and limb side data were consistent with these findings. Due to variability in the lateral circumflex femoral artery’s origin and distance to mid-inguinal point, anatomical knowledge is crucial for clinicians to avoid iatrogenic injuries when performing procedures in the femoral region, and thus radiographic assessment prior to surgery is recommended. Lastly, we propose a new classification system for origin of the lateral circumflex femoral artery

Abstract

The lateral circumflex femoral artery (LCFA) is responsible for vascularisation of the head and neck of the femur, greater trochanter, vastus lateralis and the knee. The origin of the LCFA has been reported to vary significantly throughout the literature, with numerous branching patterns described and variable distances to the mid-inguinal point reported. The aim of this study was to determine the estimated population prevalence and pooled means of these anatomical characteristics, and review their associated clinical relevance. A search of the major electronic databases was performed to identify all articles reporting data on the origin of the lateral circumflex femoral artery and its distance to the mid-inguinal point. Additionally, an extensive search of the references of all relevant articles was performed. All data on origin, branching, and distance to mid-inguinal point was extracted and pooled into a meta-analysis. A total of 26 articles (n = 3731 lower limbs) were included in the meta-analysis. Lateral circumflex femoral artery most commonly originates from the deep femoral artery with a pooled prevalence of 76.1% (95% confidence interval 69.4–79.3). The deep femoral artery-derived lateral circumflex femoral artery was found to originate with a mean pooled distance of 51.06 mm (95% confidence interval 44.61–57.51 mm) from the mid-inguinal point. Subgroup analysis of both gender and limb side data were consistent with these findings. Due to variability in the lateral circumflex femoral artery’s origin and distance to mid-inguinal point, anatomical knowledge is crucial for clinicians to avoid iatrogenic injuries when performing procedures in the femoral region, and thus radiographic assessment prior to surgery is recommended. Lastly, we propose a new classification system for origin of the lateral circumflex femoral artery

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Keywords

evidence-based anatomy, common femoral artery, lateral circumflex femoral artery

About this article
Title

The variable origin of the lateral circumflex femoral artery: a meta-analysis and proposal for a new classification system

Journal

Folia Morphologica

Issue

Vol 76, No 2 (2017)

Pages

157-167

Published online

2016-09-27

DOI

10.5603/FM.a2016.0056

Pubmed

27714726

Bibliographic record

Folia Morphol 2017;76(2):157-167.

Keywords

evidence-based anatomy
common femoral artery
lateral circumflex femoral artery

Authors

K. A. Tomaszewski
J. Vikse
B. M. Henry
J. Roy
P. A. Pękala
M. Svensen
D. Guay
K. Saganiak
J. A. Walocha

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