Anastomosis in Lower Limb

Rasha M Elshinety, PhD, MD

Lecturer of Anatomy & Emryology
Anastomosis between superior and -1
inferior gluteal arteries
 Arterial Anastomosis of the Lower Limb

• They serve as collateral circulation between

arteries of lower limb and above
 2- Anastomosis around ASIS
It composed of:
1. Superficial circumflex iliac artery
2. Deep circumflex iliac artery
3. Lateral circumflex femoral artery
4. Superior gluteal artery
 :Trochanteric Anastomosis -3
• Is present in the trochanteric fossa of the
femur and is composed of:
1. Inferior branch of superior gluteal artery.
2. Inferior gluteal artery.
3. Ascending branch of medial circumflex
femoral artery.
It gives the main supply for the head of femur
 4- Cruciate Anastomosis
• It lies at the level of the middle of lesser
trochanter (upper part of adductor magnus)
• It is composed of:
1. Ascending branch of first perforator
2. Descending branch of inferior gluteal
3. Transverse branch of medal circumflex femoral
4. Transverse branch of lateral circumflex femoral
perforating branches of profunda femoris -5
:artery
• It is the series of anastomosis between the
perforating branches of femoral artery.
Superiorly they join the cuciate anastomosis
and inferiorly they join the muscular branch of
popliteal artery.
Anastomosis around knee joint -6
• It is composed of:
1. Genicular branches of popliteal artery
2. Tibial recurrent branches of anterior tibial
artery
3. Circumflex fibular artery from posterior tibial
aretry
 Anastomosis at the ankle and foot -7

1. Medial and Lateral malleolar networks

2. Anastomosis between medial and lateral
plantar arteries