Lower limb venous anatomy terminology

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Overview

This pages provides an overview of the international consensus of lower limb venous antomy terminology which recently updated venous anatomical terminology

It is relevant to ultrasound, angiograhy CT MRI and venography plain film radiography.

Over many years, lower limb venous anatomical terminology has been the subject of much controversy and disagreement.
The international union of Phlebogology (IUP) met and produced a consensus statement on venous nomenclature at a meeting held in Rome, Italy, in 2001 to update existing terminology from Terminologia Anatomica (which is the international standard on human anatomic terminology.)

They wanted to produce:an“internationally acceptable venous anatomical terminology that would satisfy both anatomists and clinicians”
  • universal terminology for the saphenous veins
  • to avoid the myriad of eponyms of perforators
  • Remove "superficial" femoral vein when talking about a deep vein of the thigh.

Anatomy

Venous Anatomy Divided into 3 groups:

  • Superficial (dermis > Muscular Fascia)
  • Deep (deep to muscular fascia)
  • Perforating veins

New anatomic names: Deep veins thigh

  • Common femoral vein, CFV
    • The common femoral vein runs from the confluence of the femoral vein and the deep femoral vein to the external iliac vein at the inguinal ligament
  • Femoral vein, FV (replaces superficial femoral vein)
    • The femoral vein replaces superficial femoral originates from the popliteal vein at the upper margin of the popliteal fossa and courses in the femoral canal.
  • Deep femoral vein, DFV(replaces profunda femorus vein)
    • The deep femoral vein replaces profunda vein originates from the confluence of veins draining the muscles of the posterior and lateral thigh, the deep femoral communicating veins
  • Deep femoral communicating veins (accompanying veins of perforating arteries)
  • Medial circumflex femoral vein
  • Lateral circumflex femoral vein
  • Sciatic vein

Deep veins knee

  • Popliteal vein
  • Genicular venous plexus

Deep Veins of lower limb

  • Posterior tibial veins
  • peroneal Veins
  • Anterior Tibial veins

Superficial veins

  • Great saphenous vein GSV (replaces term long saphenous vein)
  • Sapheno-femoral Junction SFJ
  • External pudendal vein
  • Superficial circumflex iliac vein
  • Superficial epigastric vein
  • Anterior accessory of the great saphenous vein
  • Posterior accessory of the great saphenous vein
  • Superficial accessory of the great saphenous vein
  • Anterior thigh circumflex vein
  • Posterior thigh circumflex vein
  • Intersaphenous veins
  • Lateral venous system
  • Dorsal venous network of the foot
  • Dorsal venous arch of the foot
  • Superficial metatarsal veins (dorsal and plantar)
  • Plantar venous subcutaneous network
  • Superficial digital veins (dorsal and plantar)Lateral marginal vein
  • Medial marginal vein

Posterior lower leg


  • Small saphenous vein (replaces short saphenous vein)
  • Sapheno-popliteal junction
  • Cranial extension of the small saphenous vein
  • Superficial accessory of the small saphenous vein

Perforator veins

Ankle perforators

  • Medial ankle PV
  • Anterior ankle PV
  • Lateral ankle PV

Lower Leg perforators

  • Medial leg PV
  • Paratibial PV
  • Posterior tibial PV
  • Anterior leg PV
  • Lateral leg PV
  • Posterior leg PV
  • Medial gastrocnemius PV
  • Lateral gastrocnemius PV
  • Intergemellar PVPara-Achillean PV

Knee perforators

  • Medial knee PV
  • Suprapatellar PV
  • Lateral knee PV
  • Infrapatellar PV
  • Popliteal fossa PV

Thigh perforators

  • Medial thigh Pv
  • PV of the femoral canal
  • Inguinal PV
  • Anterior thigh PV
  • Lateral thigh PV
  • Posterior thigh PV
  • Postero-medial
  • Sciatic PV
  • Posterolateral
  • Pudendal PV