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Imaging the vascularisation of the femoral head by CT angiography

M Zlotorowicz1, J Czubak, P Kozinski

  • 1The Medical Centre of Postgraduate Education, Gruca Teaching Hospital, Konarskiego 13, 05-400 Otwock, Poland. m.zlotorowicz@wp.pl

The Journal of Bone and Joint Surgery. British Volume
|August 31, 2012
PubMed

The femoral head receives its blood supply primarily from the medial femoral circumflex artery, with its deep branch being the most important. In a previous study, we performed classical anatomical dissections of 16 hips. We have extended our investigation with a radiological study, in which we aimed to visualise the arteries supplying the femoral head in healthy individuals. We analysed 55 CT angiographic images of the hip. Using 64-row CT angiography, we identified three main arteries supplying the femoral head: the deep branch of the medial femoral circumflex artery and the posterior inferior nutrient artery originating from the medial femoral circumflex artery, and the piriformis branch of the inferior gluteal artery. CT angiography is a good method for visualisation of the arteries supplying the femoral head. The current radiological studies will provide information for further investigation of vascularity after traumatic dislocation of the hip, using CT angiography.

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