Anat Cell Biol.  2014 Jun;47(2):141-143. 10.5115/acb.2014.47.2.141.

Uncommon branching pattern with a prominent articular ramus of the inferior gluteal artery in a Korean male cadaver

• Eun HK
• Chung HS
• Yoon SP

• KMID: 1882587
• DOI: http://doi.org/10.5115/acb.2014.47.2.141

Abstract

We found a rare case of uncommon branching pattern with a prominent articular ramus of the inferior gluteal artery in a 39-year-old Korean male cadaver, whose cause of death was rectal carcinoma. The inferior gluteal artery branches off downwards at a time, the muscular rami ran in parallel with one another, and the articular ramus gave another muscular branch and has an anastomosis with the medial circumflex femoral artery. Knowledge of vascular variations in the gluteal region may give useful information of versatile flaps for reconstruction and the prominent articular ramus found in this case is good enough to consider the existence of the anastomosis between the medial circumflex femoral artery and the inferior gluteal artery as normal, not rudimentary

Keyword

Anastomosis; Buttocks; Rami muscularis; Variation; Cadaver

MeSH Terms

Adult
Arteries*
Buttocks
Cadaver*
Cause of Death
Femoral Artery
Humans
Male

Figure

• 

  Fig. 1 Photograph of dissection of the left gluteal region. IG, inferior gemellus; IGA, inferior gluteal artery; IGN, inferior gluteal nerve; PCNT, posterior cutaneous nerve of thigh; PM, piriformis muscle; ra, ramus of articularis; rm, ramus of muscularis; SG, superior gemellus; SN, sciatic nerve; ST, sacrotuberous ligament.

Reference

1. Zhang JL, Lu LG, Wu YJ. Anatomic observation of inferior gluteal artery. Zhonghua Zheng Xing Wai Ke Za Zhi. 2005; 21:44–46.

2. Grose AW, Gardner MJ, Sussmann PS, Helfet DL, Lorich DG. The surgical anatomy of the blood supply to the femoral head: description of the anastomosis between the medial femoral circumflex and inferior gluteal arteries at the hip. J Bone Joint Surg Br. 2008; 90:1298–1303.

3. Song WC, Bae SM, Han SH, Koh KS. Anatomical and radiological study of the superior and inferior gluteal arteries in the gluteus maximus muscle for musculocutaneous flap in Koreans. J Plast Reconstr Aesthet Surg. 2006; 59:935–941.

4. Gautier E, Ganz K, Krügel N, Gill T, Ganz R. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg Br. 2000; 82:679–683.

5. Reddy S, Vollala VR, Rao M. Absence of inferior gluteal artery: a rare observation. Int J Morphol. 2007; 25:95–98.

6. Shetty SD, Marpalli AP, Nayak BS. Total replacement of inferior gluteal artery by a branch of superior gluteal artery. Int J Anat Var. 2012; 5:85–86.

7. Rozen WM, Ting JW, Grinsell D, Ashton MW. Superior and inferior gluteal artery perforators: In-vivo anatomical study and planning for breast reconstruction. J Plast Reconstr Aesthet Surg. 2011; 64:217–225.

8. Scheufler O, Farhadi J, Kovach SJ, Kukies S, Pierer G, Levin LS, Erdmann D. Anatomical basis and clinical application of the infragluteal perforator flap. Plast Reconstr Surg. 2006; 118:1389–1400.

9. Zlotorowicz M, Szczodry M, Czubak J, Ciszek B. Anatomy of the medial femoral circumflex artery with respect to the vascularity of the femoral head. J Bone Joint Surg Br. 2011; 93:1471–1474.