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Surgical and Radiologic Anatomy

26.03.2024 | Original Article

The accessory vascularization of the tensor fasciae latae muscle: towards a new classification?

verfasst von: Silvia Gandolfi, B Chaput, Y Berkane, E Lupon, A Karra

Erschienen in: Surgical and Radiologic Anatomy

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Abstract

Purpose

The tensor fasciae latae (TFL) muscle is supplied by the lateral femoral circumflex artery (LCFA), arising from the deep femoral artery. However, it has been noted that there is also a consistent vascular anastomotic network. The aim of this study was to describe the accessory vascularization of the TFL muscle through a descriptive anatomical study, in order to hypothesize the feasibility of harvesting a TFL flap in the event of an injury to the main pedicle. In addition, we illustrate this hypothesis with a successful clinical case of Scarpa freconstruction following ligature of the deep femoral artery.

Methods

The description of the accessory vascularization was obtained by injecting dye into seven lateral femoral circumflex arteries (LCFA), six superficial circumflex iliac arteries (SCIA), and three inferior gluteal arteries (IGA).

Results

The TFL muscle was vascularized primarily by the LCFA. A vascular anastomotic network with the SCIA and the IGA was observed. After selective injection to the SCIAs and IGAs, the subsequent injection to the LCFA showed a diffusion of the TFL skin paddle with a perforasome overlapping between the different vascular territories.

Conclusion

The ascending branch of the lateral femoral circumflex plays a dominant role in the vascularization of the TFL muscle. As a result of a periarticular anastomotic network of the hip, this artery establishes several connections with the proximal arteries. Consequently, in cases where blood flow through the LCFA is interrupted, it should be equally possible to harvest the TFL flap through its accessory vascularization.
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Metadaten
Titel
The accessory vascularization of the tensor fasciae latae muscle: towards a new classification?
verfasst von
Silvia Gandolfi
B Chaput
Y Berkane
E Lupon
A Karra
Publikationsdatum
26.03.2024
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-024-03343-8

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