Adductor canal explained

Adductor canal
Latin:canalis adductorius

The adductor canal (also known as the subsartorial canal or Hunter's canal) is an aponeurotic tunnel in the middle third of the thigh giving passage to parts of the femoral artery, vein, and nerve. It extends from the apex of the femoral triangle to the adductor hiatus.

Structure

The adductor canal extends from the apex of the femoral triangle to the adductor hiatus. It is an intermuscular cleft situated on the medial aspect of the middle third of the anterior compartment of the thigh, and has the following boundaries:

It is covered by a strong aponeurosis which extends from the vastus medialis, across the femoral vessels to the adductor longus and magnus.

Contents

The canal contains the subsartorial artery (distal segment of the femoral artery), subsartorial vein (distal segment of the femoral vein), and branches of the femoral nerve (specifically, the saphenous nerve, and the nerve to the vastus medialis).[1] [2] The femoral artery with its vein and the saphenous nerve enter this canal through the superior foramen. Then, the saphenous nerve and artery and vein of genus descendens exit through the anterior foramen, piercing the vastoadductor intermuscular septum. Finally, the femoral artery and vein exit via the inferior foramen (usually called the hiatus) through the inferior space between the oblique and medial heads of adductor magnus.[3]

Clinical significance

The saphenous nerve may be compressed in the adductor canal. The adductor canal may be accessed for a saphenous nerve block, often used to treat pain caused by this compression.

History

The eponym "Hunter's canal" is named for John Hunter.[4]

External links

Notes and References

  1. Book: Comprehensive Textbook of Clinical Radiology - Volume III: Chest and Cardiovascular system. Amarnath C and Hemant Patel. 2023. 9788131263617. Elsevier Health Sciences. Page 1072
  2. Book: Sauerland, Eberhardt K. . Patrick W. Tank . Tank, Patrick W. . Grant's dissector . limited . Lippincott Williams & Wilkins . Hagerstown, MD . 2005 . 0-7817-5484-4 . 128.
  3. Book: А.В. Николаев. . Топографическая анатомия и оперативная хирургия. . ГЭОТАР-Медиа (GEOTAR-Media) . Москва . 2007 . 978-5-9704-1207-7 . 174–176.
  4. Web site: CHAPTER 15: THE THIGH AND KNEE . 2008-01-27 . https://web.archive.org/web/20080121162834/http://www.dartmouth.edu/~humananatomy/part_3/chapter_15.html. 21 January 2008 . live.