Citation, DOI, disclosures and article data
Citation:
Ravutha Gounden M, Murphy A, Najjar R, Adductor hiatus. Reference article, Radiopaedia.org (Accessed on 20 Jan 2025) https://doi.org/10.53347/rID-154990
The adductor hiatus is an opening between the adductor magnus muscle and the femur. It is also known as the hiatus magnus.
Gross Anatomy
adductor hiatus represents the distal end of the adductor canal
it is the anatomical landmark where the femoral artery and vein transition to become the popliteal artery and vein, respectively
Clinical Significance
Supracondylar femoral fractures can result in femoral and/or popliteal artery damage and subsequent impairment of lower limb blood supply 1.
The majority of femoropopliteal occlusions occur at the adductor hiatus 2. One uncommon example of this is popliteal artery entrapment syndrome, which causes lower limb claudication and ischemia secondary to popliteal artery compression 3.
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1. Copley L, Dormans J, Davidson R. Vascular Injuries and Their Sequelae in Pediatric Supracondylar Humeral Fractures: Toward a Goal of Prevention. J Pediatr Orthop. 1996;16(1):99-103. doi:10.1097/00004694-199601000-00020 - Pubmed
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2. Scholten FG, Warnars GA, Mali WP, van Leeuwen MS. Femoropopliteal occlusions and the adductor canal hiatus, Duplex study. Eur J Vasc Surg. 1993 Nov;7(6):680-3. doi: 10.1016/s0950-821x(05)80716-9. PMID: 8270071.
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3. Love J & Whelan T. Popliteal Artery Entrapment Syndrome. Am J Surg. 1965;109(5):620-4. doi:10.1016/s0002-9610(65)80016-2
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