The femoral sheath (also called the crural sheath) is a funnel-shaped downward extension of
abdominal fascia within which 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 and descends along the anteromedial part of the thigh in the femoral triangle. It enters ...
and
femoral vein
In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal v ...
pass between the
abdomen
The abdomen (colloquially called the gut, belly, tummy, midriff, tucky, or stomach) is the front part of the torso between the thorax (chest) and pelvis in humans and in other vertebrates. The area occupied by the abdomen is called the abdominal ...
and the
thigh. The femoral sheath is subdivided by two vertical partitions to form three compartments (medial, intermediate, and lateral); the medial compartment is known as the
femoral canal
The femoral canal is the medial (and smallest) compartment of the three compartments of the femoral sheath. It is conical in shape. The femoral canal contains lymphatic vessels, and Adipose tissue, adipose and loose connective tissue, as well as - ...
and contains
lymphatic vessels and a
lymph node
A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that includ ...
, whereas the intermediate canal and the lateral canal accommodate the femoral vein and the femoral artery (respectively). Some neurovascular structures perforate the femoral sheath. Topographically, the femoral sheath is contained within the
femoral triangle.
Structure
The femoral sheath is funnel-shaped
fascial structure,
with the wide end directed superior-ward. The femoral sheath is formed by an inferior-ward prolongation - posterior to the
inguinal ligament
The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may ...
- of
abdominal fascia, with
transverse fascia being continued down anterior to the femoral vessels, and
iliac fascia posterior to these. The femoral sheath is strengthened anteriorly by the
iliopubic tract.''
'' The narrowed inferior/distal end of the femoral sheath concludes by blending with the
tunica adventitia
The tunica externa (Neo-Latin "outer coat"), also known as the tunica adventitia (Neo-Latin "additional coat"), is the outermost tunica (layer) of a blood vessel, surrounding the tunica media. It is mainly composed of collagen and, in arteries, i ...
of the femoral vessels
about 4 cm inferior to the
inguinal ligament
The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may ...
.''
''
The lateral wall of the sheath is vertical and is perforated by the
lumboinguinal nerve; the medial wall is directed/oriented obliquely inferolaterally and is perforated by the
great saphenous vein
The great saphenous vein (GSV; ) or long saphenous vein is a large, subcutaneous, superficial vein of the human leg, leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, human leg, le ...
, and by
lymphatic vessel
The lymphatic vessels (or lymph vessels or lymphatics) are thin-walled vessels (tubes), structured like blood vessels, that carry lymph. As part of the lymphatic system, lymph vessels are complementary to the cardiovascular system. Lymph vessel ...
.
The femoral sheath is contained in the
femoral triangle.
Compartments and contents
The sheath is divided by two vertical partitions which stretch between its anterior and posterior walls:
* The (smallest) medial compartment is named the
femoral canal
The femoral canal is the medial (and smallest) compartment of the three compartments of the femoral sheath. It is conical in shape. The femoral canal contains lymphatic vessels, and Adipose tissue, adipose and loose connective tissue, as well as - ...
, and contains some lymphatic vessels and a lymph gland embedded in a small amount of
areolar tissue.
* The intermediate compartment contains the
femoral vein
In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal v ...
.
* The lateral compartment contains 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 and descends along the anteromedial part of the thigh in the femoral triangle. It enters ...
.
Function
The femoral sheath allows for 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 and descends along the anteromedial part of the thigh in the femoral triangle. It enters ...
and the
femoral vein
In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal v ...
to pass between the abdomen and the thigh.
Additional Images
File:Slide8GGGGG.JPG, Femoral sheath
References
External links
Photo and overview at gla.ac.uk*
{{Portal bar, Anatomy
Lower limb anatomy