Femoral sheath

Femoral sheath


FEMORAL SHEATH

  • Femoral sheath is a funnel shaped fascial prolongation around proximal part of femoral vessels, situated in the femoral triangle, below the inguinal ligament.
  •  It is 3-4 cm long. 
  • Distance between femoral ring and saphenous opening is 1.25cm 
  • It is formed by fascia iliaca.

COMPARTMENTS:

  • Femoral sheath is divided into 3 separate fascial compartements by septa :
  1.  Lateral compartment :- It contains femoral artery and femoral branch of genitofemoral nerve.
  2.  Intermediate compartment :- Femoral vein.
  3.  Medial compartment (femoral canal) :
  • It is conical in shape, wider above and narrow below. 
  • Femoral artery lies outside the femoral sheath 
  • The wider upper opening is known as femoral ring, which is potentially a weak point in lower abdomen and is the site for femoral hernia. 

Femoral ring is bounded :

  • Anteriorly by inguinal ligament, 
  • medially by lacunar ligament,
  •  posteriorly by pectineus with its covering fascia, and 
  • laterally by septum separating it from femoral vein. 
  • Femoral canal contains lymph node of cloquet or Rosenmuller and lymphatics.
Exam Question
 
  • Femoral ring is bounded by inguinal ligament, Lacunar ligament,pectineus, septum, femoral vein 
  • Distance between femoral ring and saphenous opening is 1.25cm 
  • Structure forming medial boundary of femoral ring is Lacunar ligament 
  • Femoral artery  lies outside the femoral sheath 
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