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Sometimes, the SSV joins the common gastrocnemius vein before draining in the popliteal vein. [2] Sometimes, it does not make contact with the popliteal vein, but goes up to drain in the GSV at a variable level. [1] Instead of draining in the popliteal vein, it can merge with the Giacomini vein and drain in the GSV at the superior 1/3 of the thigh.
The gastrocnemius muscle is prone to spasms, which are painful, involuntary contractions of the muscle that may last several minutes. [5] A severe ankle dorsiflexion force may result in a Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling. [6]
[2] [9] This distal attachment is the stronger of the two and makes up the floor of the pes anserine bursa. The proximal tibial attachment of the sMCL is the primary stabilizer to valgus force on the knee, whereas the distal tibial attachment is the primary stabilizer of external rotation at 30° of knee flexion. [3] [9]
The superficial portion (the gastrocnemius) gives off two heads attaching to the base of the femur directly above the knee. The deep (profundus) mass of muscle (the soleus) forms the remaining head which attaches to the superior posterior area of the tibia. The triceps surae is innervated by the tibial nerve, specifically, nerve roots L5–S2.
The GSV, a superficial vein, is the longest vein in the body. It has its origin in the dorsal venous arch of the foot, a superficial vein which connects the small saphenous vein with the GSV. It travels up the leg and medial side of the thigh to reach the groin, where it drains into the common femoral vein. [32]
The great saphenous vein (GSV) or long saphenous vein (/ s ə ˈ f iː n ə s /) is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot , leg and thigh to the deep femoral vein at the femoral triangle .
Diagram showing named veins. Perforator veins exist along the length of the lower limb, in greater number in the leg (anatomical ref to below knee) than in the thigh. Some veins are named after the physician who first described them: Dodd's perforator at the inferior 1/3 of the thigh; Boyd's perforator at the knee level
With the patient supine, empty the superficial veins by 'milking' the leg in the distal to proximal direction. Now press with your thumb over the saphenofemoral junction (2.5 cm below and 2.5 cm lateral to the pubic tubercle ) and ask the patient to stand while you maintain pressure.