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The distal great saphenous vein is a popular site for venous access by means of percutaneous cannulation or venous cutdown in a hemodynamically unstable patient. The aim of this study was to precisely define the surface anatomy and dimensions of the distal part of the great saphenous vein to facilitate the aforementioned procedures. Cross-sectional anatomy of the distal saphenous vein was studied in 24 cadaveric ankles sectioned at a horizontal plane across the most prominent points of the medial and lateral malleoli. The curvilinear distance from the most prominent point of the medial malleolus to the center of the saphenous vein, its widest collapsed diameter and skin depth were obtained. The great saphenous vein was located at a mean distance of 24.4 ± 7.9 mm anterior to the medial malleolus. The mean widest collapsed diameter was 3.8 ± 1.5 mm. The mean distance from the skin surface to the vein was 4.1 ± 1.2 mm. These measurements could be used to locate the saphenous vein accurately, particularly in hemodynamically unstable patients with visually indiscernible veins.

Supplemental material, Supplemental Material1 for Pigmented border as a new surface landmark for digital nerve blocks: a cross sectional anatomical study by Dimonge J Anthony, Yasith Mathangasinghe, Udagedara MJE Samaranayake, Basnayaka MOD Basnayake and Ajith P Malalasekera in Journal of Hand Surgery (European Volume)

Supplemental material, Supplemental Material3 for Pigmented border as a new surface landmark for digital nerve blocks: a cross sectional anatomical study by Dimonge J Anthony, Yasith Mathangasinghe, Udagedara MJE Samaranayake, Basnayaka MOD Basnayake and Ajith P Malalasekera in Journal of Hand Surgery (European Volume)

Supplemental material, Supplemental Material2 for Pigmented border as a new surface landmark for digital nerve blocks: a cross sectional anatomical study by Dimonge J Anthony, Yasith Mathangasinghe, Udagedara MJE Samaranayake, Basnayaka MOD Basnayake and Ajith P Malalasekera in Journal of Hand Surgery (European Volume)

Supplemental material, Supplemental Material4 for Pigmented border as a new surface landmark for digital nerve blocks: a cross sectional anatomical study by Dimonge J Anthony, Yasith Mathangasinghe, Udagedara MJE Samaranayake, Basnayaka MOD Basnayake and Ajith P Malalasekera in Journal of Hand Surgery (European Volume)