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Venous Leg Ulcers

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3 Diagnosis Table 2. Standardized Venous Anatomy Nomenclature of the Leg Superficial venous system Deep venous system Perforating venous system • Superficial inguinal veins • External pudendal vein • Superficial circumflex iliac vein • Superficial epigastric vein • Superficial dorsal vein (clitoris/penis) • Anterior labial veins • Anterior scrotal veins • Great saphenous vein • Saphenofemoral junction • Terminal valve • Preterminal valve • Anterior accessory great saphenous vein • Posterior accessory great saphenous vein • Superficial accessory great saphenous vein • Anterior thigh circumflex vein • Posterior thigh circumflex vein • Small saphenous vein • Saphenopopliteal junction • Terminal valve • Preterminal valve • Cranial extension of small saphenous vein • Superficial accessory small saphenous vein • Intersaphenous veins • Lateral venous system • Dorsal venous network of the foot • Dorsal venous arch of the foot • Superficial metatarsal veins (dorsal/plantar) • Plantar venous subcutaneous network • Superficial digital veins (dorsal/plantar) • Lateral marginal vein • Medial marginal vein • Common femoral vein • Femoral vein • Deep femoral vein • Medial circumflex femoral vein • Lateral circumflex femoral vein • Deep femoral communicating veins • Sciatic vein • Popliteal vein • Genicular venous plexus • Anterior tibial veins • Posterior tibial veins • Fibular or peroneal veins • Sural veins ▶ Soleal veins ▶ Gastrocnemius veins » Medial » Lateral » Intergemellar • Medial plantar veins • Lateral plantar veins • Deep plantar venous arch • Deep metatarsal veins (plantar/dorsal) • Deep digital veins (plantar/dorsal) • Pedal vein • Gluteal perforators ▶ Superior gluteal ▶ Midgluteal ▶ Lower gluteal • Thigh perforators ▶ Medial thigh » Femoral canal » Inguinal ▶ Anterior thigh ▶ Lateral thigh ▶ Posterior thigh » Posteromedial » Sciatic » Posterolateral ▶ Pudendal • Knee perforators ▶ Medial knee ▶ Suprapatellar ▶ Lateral knee ▶ Infrapatellar ▶ Popliteal fossa • Leg (calf ) perforators ▶ Medial leg » Paratibial » Posterior tibial ▶ Anterior leg ▶ Lateral leg ▶ Posterior leg » Medial gastrocnemius » Lateral gastrocnemius » Intergemellar » Para-achillean • Ankle perforators ▶ Medial ankle ▶ Anterior ankle ▶ Lateral ankle • Foot perforators ▶ Dorsal foot ▶ Medial foot ▶ Lateral foot ▶ Plantar foot Modified from Caggiati A, Bergan JJ, Gloviczki P, Eklof B, Allegra C, Partsch H. Nomenclature of the veins of the lower limb: Extensions, refinements, and clinical application J Vasc Surg 2005;41:719-24.

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