J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2161KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(11): 1353-1358, 1982

Original article

ANATOMICAL AND CLINICAL CONSIDERATIONS OF THE SURAL ARTERY

1st Department of Surgery, Tokyo Medical and Dental Univ.
*) 2nd Department of Anatomy, Tokyo Medical and Dental Univ.
**) Department of Radiolog, Tokyo Medical and Dental Univ.

Takehisa Iwai, M.D., Shoji Sato, M.D., Takeo Yamada, M.D., Kenji Sato, M.D.*), Soji Suzuki, M.D.**),  

Anatomical aspects of the sural artery were examined analizing fifty six films of well-visualized angiograms and eleven subjects for anatomical dissection. Morphologically, types of its origin were able to classify in four, namely, 1) one sural artery, 2) two sural arteries deriving from same level of the popliteal artery, 3) two sural arteries deriving from different level, and 4) multiple (more than three) sural arteries.
One of the anatomical subjects showed bilateral lesions of the popliteal artery entrapment syndrome.
The original level of the sural arteries which demonstrated in angiograms and anatomical subjects were as follows: In more-than-two sural arteries type, average distance of the medial branch was at 21.5±14.5mm from a point of proximal depression of the medial epicondylus of the femur and the lateral branch at 22.9±9.3mm, and in one sural artery type, it was at 13.7±9.3 from the same point.
Embryological considerations of the popliteal artery and the gastrocnemius muscle could suggest several causes and effects of variants and anomalies of the sural artery, and the popliteal artery entrapment syndrome. Clinical problems for surgery were also discussed.

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