FREE BOOKS

Author's List




PREV.   NEXT  
|<   244   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   264   265   266   267   268  
269   270   271   272   273   274   275   276   277   278   >>  
the artery. The branches derived from the popliteal artery are the muscular and the articular. The former spring from the vessel opposite those parts of the several muscles which lie in contact with it; the latter are generally five in number--two superior, two inferior, and one median. The two superior articular branches arise from either side of the artery, and pass, the one beneath the outer, the other beneath the inner flexors, above the knee-joint; and the two inferior pass off from it, the one internally, the other externally, beneath the heads of the gastrocnemius below the joint; while the middle articular enters the joint through the posterior ligament. The two superior and inferior articular branches anastomose freely around the knee behind, laterally, and in front, where they are joined by the terminal branches of the anastomotic, from the femoral, and by those of the recurrent, from the anterior tibial. The main vessel, having arrived at the lower border of the popliteus muscle, divides into two branches, of which one passes through the interosseous ligament to become the anterior tibial; while the other, after descending a short way between the bones of the leg, separates into the peronaeal and posterior tibial arteries. In some rare instances the popliteal artery is found to divide above the popliteus muscle into the anterior, or the posterior tibial, or the peronaeal. The two large muscles, (gastrocnemius and soleus,) forming the calf of the leg, have to be removed together with the deep fascia in order to expose the posterior tibial, and peronaeal vessels and nerves. The fascia forms a sheath for the vessels, and binds them close to the deep layer of muscles in their whole course down the back of the leg. The point at which the main artery, F, Plate 66, gives off the anterior tibial, is at the lower border of the popliteus muscle, on a level with N, the neck of the fibula; that at which the artery again subdivides into the peronaeal, P, and posterior tibial branches, O, is in the mesial line of the leg, and generally on a level with the junction of its upper and middle thirds. From this place the two arteries diverge in their descent; the peronaeal being directed along the inner border of the fibula towards the back of the outer ankle; while the posterior tibial, approaching the inner side of the tibia, courses towards the back of the inner ankle. The gastrocnemius and soleus muscles overlie both arte
PREV.   NEXT  
|<   244   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   264   265   266   267   268  
269   270   271   272   273   274   275   276   277   278   >>  



Top keywords:

tibial

 

posterior

 

branches

 

artery

 
peronaeal
 

anterior

 

muscles

 

articular

 
popliteus
 

border


beneath
 
muscle
 

gastrocnemius

 

inferior

 

superior

 

popliteal

 

soleus

 

vessel

 

arteries

 

fibula


middle
 

generally

 

ligament

 

fascia

 

vessels

 

nerves

 
sheath
 
removed
 

expose

 
directed

descent

 

diverge

 
approaching
 

overlie

 

courses

 
thirds
 
subdivides
 

junction

 

mesial

 

freely


anastomose

 

enters

 

laterally

 
terminal
 

anastomotic

 
joined
 

externally

 

number

 

contact

 
median