In human anatomy, the adductor hiatus also known as hiatus magnus is a

hiatus Hiatus may refer to: *Hiatus (anatomy), a natural fissure in a structure * Hiatus (stratigraphy), a discontinuity in the age of strata in stratigraphy *''Hiatus'', a genus of picture-winged flies with sole member species '' Hiatus fulvipes'' * Gl ...

(gap) between the

adductor magnus Adductor may refer to: * One of the anatomical terms of motion Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminolo ...

muscle and the

femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates wit ...

that allows the passage of the femoral vessels from the anterior thigh to the posterior thigh and then the

popliteal fossa The popliteal fossa (also referred to as hough, .html" ;"title="/sup>">/sup> or kneepit in analogy to the cubital fossa) is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia ...

. It is the termination of the

adductor canal The adductor canal, also known as the subsartorial canal or Hunter’s canal, is an aponeurotic tunnel in the middle third of the thigh. It extends from the apex of the femoral triangle to the adductor hiatus. Structure The adductor canal exte ...

and lies about 8–13.5 cm. superior to the adductor tubercle.

Structure

Kale et al. classified the adductor hiatus according to its shape and the structures surrounding. An adductor hiatus is described as oval or bridging depending on the shape of the upper boundary. It can also be described as

muscular Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscle ...

fibrous Fiber or fibre (from la, fibra, links=no) is a #Natural fibers, natural or Fiber#Artificial fibers, artificial substance that is significantly longer than it is wide. Fibers are often used in the manufacture of other materials. The stronge ...

depending on whether the structure surrounding is the muscular part or the tendinous part of the adductor magnus muscle. For example, the top drawing on the right shows an oval fibrous type of adductor hiatus, and the bottom one shows a bridging muscular adductor hiatus. Four structures are associated with the adductor hiatus. However, only two structures enter and then leave through the hiatus; namely the

femoral artery The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery or profunda femoris artery and descends along the anteromedial part of the thigh in the f ...

and

femoral vein In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal vein. It ends a ...

. Those vessels become the popliteal vessels (

popliteal artery The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branche ...

and

popliteal vein The popliteal vein is a vein of the lower limb. It is formed from the anterior tibial vein and the posterior tibial vein. It travels medial to the popliteal artery, and becomes the femoral vein. It drains blood from the leg. It can be assess ...

) immediately after they leave the hiatus, where they form a network of

anastomoses An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be norm ...

called the genicular vessels. The genicular vessels supply the knee joint. The other two structures that are associated with the adductor hiatus are the

saphenous branch of descending genicular artery The descending genicular artery (highest genicular artery) arises from the femoral artery just before it passes through the adductor hiatus. It immediately divides into two branches: * a saphenous branch, which classically joins with the medial i ...

and the

saphenous nerve The saphenous nerve (long or internal saphenous nerve) is the largest cutaneous branch of the femoral nerve. It is a strictly sensory nerve, and has no motor function. Structure It is purely a sensory nerve. The saphenous nerve is the largest ...

. The saphenous nerve does not leave through the adductor hiatus but penetrates superficially halfway through the

Clinical significance

Fracture of distal femur

Fracture at the supracondylar area of femur, where the adductor part of the adductor magnus attaches, will most likely cause damage to the femoral artery and may cause impairment of the blood supply to the lower leg. Popliteal artery can also be damaged by the fracture of distal femur.

Popliteal artery entrapment syndrome

Abnormality Abnormality refers to any deviation from the normal, the noun form of the adjective ''abnormal''. Abnormality may refer to: __NOTOC__ Medicine and physiology *Chromosome abnormality, atypical number of chromosomes or a structural abnormality in ...

in the relationship between the adductor hiatus and the popliteal artery can also contribute to a condition called

popliteal artery entrapment syndrome The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. This results in claudication and chronic leg ischemia. This co ...

Additional images

File:Thigh arteries schema.svg, Schema of the arteries arising from the external iliac and femoral arteries. File:Adductor magnus.gif, Adductor hiatus is seen as hole in the adductor magnus.

References

{{Authority control Human anatomy