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Damage to the saphenous nerve and its infrapatellar branch is possible during medial knee surgery, potentially causing numbness or pain over the medial knee and leg. [7] As with all surgeries, there is a risk of bleeding, wound problems, deep vein thrombosis , and infection that can complicate the outcome and rehabilitation process.
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.
Along with the soleus muscle, the gastrocnemius forms half of the calf muscle. Its function is plantar flexing the foot at the ankle joint and flexing the leg at the knee joint. The gastrocnemius is primarily involved in running, jumping and other "fast" movements of leg, and to a lesser degree in walking and standing.
However research has shown that there is a clear association between the presence of IPVs and recurrent varicose veins. [8] Before 1985, the ligation of IPVs needed open surgery. In 1985, G. Hauer described the Sub-fascial endoscopic perforator vein surgery (SEPS) technique [9] allowing IPVs to be clipped through a small incision.
The ASV which is often responsible for varicose veins, can be located at the 'alignment sign', where it is seen to align with the femoral vessels. On ultrasound at the saphenofemoral junction in the groin, the common femoral vein (CFV) with the GSV and the common femoral artery (CFA) create an image called the Mickey Mouse sign.
The surgery is performed by arthroscopy, after the joint is cleaned of calcified cartilage. Through use of an awl, the surgeon creates tiny fractures in the subchondral bone plate. [10] Blood and bone marrow (which contains stem cells) seep out of the fractures, creating a blood clot that releases cartilage-building cells.
Posteriorly: The popliteal vein and the tibial nerve, fascia, and skin. Laterally: The biceps femoris and the lateral condyle of femur in upper part, and plantaris, lateral gastrocnemius in lower part. Medially: The semimembranosus and the medial condyle of femur in upper part, and tibial nerve, popliteal vein, medial head of gastrocnemius in ...
The medial epicondyle of the femur is an epicondyle, a bony protrusion, located on the medial side of the femur at its distal end. Located above the medial condyle , it bears an elevation, the adductor tubercle , [ 1 ] which serves for the attachment of the superficial part, or "tendinous insertion", of the adductor magnus . [ 2 ]