Anatomy, Abdomen and Pelvis, Adductor Canal (Subsartorial, Hunter's Canal)
Allan Migirov, Renato Carvalho Vilella
Abstract
Allan Migirov, Renato Carvalho Vilella
Abstract
The adductor canal (AC), also known as the subsartorial or Hunter's canal, is a conical musculoaponeurotic tunnel passing through the distal portion of the middle third of the thigh. It functions as a passageway for several neurovascular structures from the femoral triangle to the adductor hiatus. The adductor canal has three borders. The vastus medialis muscle forms the anterolateral border, and the adductor longus and adductor magnus muscles form the posterolateral border. Medially, the adductor canal's border is an aponeurosis - the vastoadductor membrane, which is immediately deep to the sartorius muscle. Major structures passing through the canal include the superficial femoral artery, the femoral vein, and the saphenous nerve. Other structures, such as the nerve to vastus medialis and medial femoral cutaneous nerves, have previously been described to pass through the adductor canal, but their exact locations remain controversial. In addition to functioning as a key anatomical landmark, the adductor canal is clinically relevant. It can be a site of disease or suffer damage by trauma. It is also an increasingly-common site for the administration of regional anesthetic (nerve block) for knee, ankle, and foot surgeries.
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The adductor canal (AC), also known as the subsartorial or Hunter's canal, is a conical musculoaponeurotic tunnel passing through the distal portion of the middle third of the thigh. It functions as a passageway for several neurovascular structures from the femoral triangle to the adductor hiatus. The adductor canal has three borders. The vastus medialis muscle forms the anterolateral border, and the adductor longus and adductor magnus muscles form the posterolateral border. Medially, the adductor canal's border is an aponeurosis - the vastoadductor membrane, which is immediately deep to the sartorius muscle. Major structures passing through the canal include the superficial femoral artery, the femoral vein, and the saphenous nerve. Other structures, such as the nerve to vastus medialis and medial femoral cutaneous nerves, have previously been described to pass through the adductor canal, but their exact locations remain controversial. In addition to functioning as a key anatomical landmark, the adductor canal is clinically relevant. It can be a site of disease or suffer damage by trauma. It is also an increasingly-common site for the administration of regional anesthetic (nerve block) for knee, ankle, and foot surgeries.
Key concepts: Adductor canal, Adductor muscles, Anatomy, Vastus medialis, Femoral nerve, Medicine, Medial compartment of thigh, Obturator nerve