Abstract

The paper by Grier and Hartnell (1990) discusses the use of the inguinal skin crease and the site of maximal pulsation in femoral artery puncture, but omits mention of the mid-inguinal point. Defined as being “midway between the anterior superior iliac spine and the symphysis pubis”, this point is traditionally held by anatomists to be the most accurate landmark in locating the common femoral artery (Williams & Warwick, 1980). The anatomical accuracy of the mid-inguinal point was tested by studying 10 adult cadavers, using one side only on each. A tape measure was placed accurately between the two points and the exact mid-point marked on skin. (As the symphysis pubis was impossible to palpate through embalmed skin it was located by a limited dissection.)

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