Anterior cutaneous branches of the femoral nerve the saphenous, to form the patellar plexus. In the upper part of the thigh the lateral branch of the intermediate cutaneous communicates with the lumboinguinal branch of the genitofemoral nerve. The medial cutaneous nerve (internal cutaneous nerve) passes obliquely across the upper part of the sheath of the femoral artery, and divides in front, or at the medial side of that vessel, into two branches, an anterior and a posterior. The anterior branch runs downward on the sartorius, perforates the fascia lata at the lower third of the thigh, and divides into two branches: one supplies the integument as low
Ultrasonography of chronic venous insufficiency of the legs 1/3 of the thigh. It can also but rarely, drain in the vein of the semimembranosus (thigh muscle) (shown below). Usually though, it connects with a perforator vein at its middle 1/3. To check for insufficiency, the Paraná maneuver is very useful. The Giacomini vein mostly acts as a bypass between the GSV and SSV territories. Usually its flow is in the normal anterograde direction, from bottom to top. However it can become retrograde without pathology. For example, after a GSV stripping, laser ablation or after its ligation at the sapheno-femoral junction, the Giacomini vein will drain into the SSV,