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The patellar network (circulatory anastomosis around the knee-joint, patellar anastomosis, genicular anastomosis, articular vascular network of knee [1] or rete articulare genus [2]) is an intricate network of blood vessels around and above the patella, and on the contiguous ends of the femur and tibia, forming a superficial and a deep plexus.
In circulatory anastomoses, many arteries naturally anastomose with each other; for example, the inferior epigastric artery and superior epigastric artery, or the anterior and/or posterior communicating arteries in the Circle of Willis in the brain. The circulatory anastomosis is further divided into arterial and venous anastomosis.
In the cases of veins or arteries, traumatic fistulas usually occur between artery and vein. Portacaval anastomosis , by contrast, is a veno-venous anastomosis between a vein of the portal circulation and a vein of the systemic circulation , which allows blood to bypass the liver in patients with portal hypertension , often resulting in ...
The second perforating artery (a. perforans secunda), larger than the first, pierces the tendons of the adductores brevis and magnus, and divides into ascending and descending branches, which supply the posterior femoral muscles, anastomosing with the first and third perforating. The second artery frequently arises in common with the first.
Five genicular arteries branch from the popliteal artery to form a network around the knee, the genicular anastomosis. The anastomosis provides collateral circulation in the event of damage to the region. [1] Inferior or distal to the origin of the descending genicular artery are two superior genicular arteries: Medial superior genicular artery
A tendon is a tough, flexible band of fibrous connective tissue that connects muscles to bones. [12] The extra-cellular connective tissue between muscle fibers binds to tendons at the distal and proximal ends, and the tendon binds to the periosteum of individual bones at the muscle's origin and insertion. As muscles contract, tendons transmit ...
The fusion of several small vessels can also generate large vessels in areas of the vascular tree where blood pressure and flow rate are larger. [10] Murray's law is a relation between the radius of parent vessels to the radius of branches which holds true for the circulatory system.
The palmar carpal branch of ulnar artery (volar carpal branch) is a small vessel which crosses the front of the carpus beneath the tendons of the Flexor digitorum profundus, and anastomoses with the corresponding branch of the radial artery.