Anat Cell Biol.  2024 Dec;57(4):612-615. 10.5115/acb.24.086.

A rare variation in popliteal artery branching: anterior tibial artery and fibular artery from the common tibiofibular trunk

Affiliations
  • 1Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, USA

Abstract

The popliteal artery is a continuation of the femoral artery and is the main arterial supply to the lower leg and foot. Variation in the branching of the popliteal artery typically occurs proximal or distal to where the vessel crosses the popliteus muscle. In the case of a routine dissection of a 92-year-old female cadaver, a variation of the popliteal artery was found where the branches are a posterior tibial artery and a common tibiofibular trunk. It is important to recognize the vascular variations that exist in the popliteal fossa to prevent any unforeseen complications during surgeries or procedures to the knee or lower leg.

Keyword

Anatomic variation; Popliteal artery,; Tibial arteries; Orthopedics

Figure

  • Fig. 1 The figure contains a summary of Type I variations of the PA that can be found. (A) The typical presentation, PA with ATA and PTA branches with FA branching from PTA. (B) A trifurcation of the PA, all branches originating from the PA. (C) PA with PTA and CTT, with ATA and FA branching from CTT. PA, popliteal artery; ATA, anterior tibial artery; PTA, posterior tibial artery; FA, fibular artery; CTT, common tibiofibular trunk.

  • Fig. 2 The image above contains the posterior view of the right leg. The reflected gastrocnemius is pictured. PA is located between the femoral condyles and splits into the PTA and the CTT below the popliteus muscle. Branching from the CTT is the FA and ATA. PA, popliteal artery; PTA, posterior tibial artery; CTT, common tibiofibular trunk; FA, fibular artery; ATA, anterior tibial artery; br., branch; m, muscle; S, superior; L, lateral.


Reference

References

1. Gray H, Clemente CD. Anatomy of the human body. 30th ed. Lea & Febiger;1985.
2. Akshal P. Tubbs RS, Shoja MM, Loukas M, editors. Lower limb arteries. Bergman's Comprehensive Encyclopedia of Human Anatomic Variation. John Wiley & Sons;2016. p. 741–51. DOI: 10.1002/9781118430309.ch57.
3. Standring S, Gray H. Gray's anatomy: the anatomical basis of clinical practice. 41st ed. Elsevier;2015.
4. Oner S, Oner Z. 2020; Popliteal artery branching variations: a study on multidetector CT angiography. Sci Rep. 10:8147. DOI: 10.1038/s41598-020-65045-6. PMID: 32424241. PMCID: PMC7235002.
5. Oztekin PS, Ergun E, Cıvgın E, Yigit H, Kosar PN. 2015; Variants of the popliteal artery terminal branches as detected by multidetector ct angiography. Open Med (Wars). 10:483–91. DOI: 10.1515/med-2015-0056. PMID: 28352741. PMCID: PMC5368887.
6. Kropman RH, Kiela G, Moll FL, de Vries JP. 2011; Variations in anatomy of the popliteal artery and its side branches. Vasc Endovascular Surg. 45:536–40. DOI: 10.1177/1538574411409065. PMID: 21669862.
7. Kil SW, Jung GS. 2009; Anatomical variations of the popliteal artery and its tibial branches: analysis in 1242 extremities. Cardiovasc Intervent Radiol. 32:233–40. DOI: 10.1007/s00270-008-9460-z. PMID: 18982387.
8. Tomaszewski K, Popieluszko P, Graves M, Pękala P, Henry B, Roy J, Hsieh W, Walocha J. 2017; The evidence-based surgical anatomy of the popliteal artery and the variations in its branching patterns. J Vasc Surg. 65:521–9.e6. DOI: 10.1016/j.jvs.2016.01.043. PMID: 26994952.
9. Olewnik Ł, Łabętowicz P, Podgórski M, Polguj M, Ruzik K, Topol M. 2019; Variations in terminal branches of the popliteal artery: cadaveric study. Surg Radiol Anat. 41:1473–82. DOI: 10.1007/s00276-019-02262-3. PMID: 31134299. PMCID: PMC6853856.
10. Heidari N, Lidder S, Grechenig W, Tesch NP, Weinberg AM. 2013; The risk of injury to the anterior tibial artery in the posterolateral approach to the tibia plateau: a cadaver study. J Orthop Trauma. 27:221–5. DOI: 10.1097/BOT.0b013e318271f8f0. PMID: 22986314.
11. Chang SM, Zheng HP, Li HF, Jia YW, Huang YG, Wang X, Yu GR. 2009; Treatment of isolated posterior coronal fracture of the lateral tibial plateau through posterolateral approach for direct exposure and buttress plate fixation. Arch Orthop Trauma Surg. 129:955–62. DOI: 10.1007/s00402-009-0829-5. PMID: 19214543.
12. Conrad MF, Kang J, Cambria RP, Brewster DC, Watkins MT, Kwolek CJ, LaMuraglia GM. 2009; Infrapopliteal balloon angioplasty for the treatment of chronic occlusive disease. J Vasc Surg. 50:799–805.e4. DOI: 10.1016/j.jvs.2009.05.026. PMID: 19786239.
13. Buyuktoka RE, Buyuktoka AD, Adibelli ZH, Pekcevik Y, Izmir TR. Infrapopliteal arterial branching variations and clinical significance of it. Paper presented at: ECR 2020. 2020 Jul 15-19; Vienna, Austria.
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