Dorsal venous arch of the foot | |
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Details | |
Source | Dorsal metatarsal veins |
Drains to | Great saphenous vein |
Artery | Arcuate artery of the foot |
Identifiers | |
Latin | arcus venosus dorsalis pedis |
TA98 | A12.3.11.012 |
TA2 | 5088 |
FMA | 44356 |
Anatomical terminology |
The dorsal venous arch of the foot is a superficial vein that connects the small saphenous vein and the great saphenous vein. Anatomically, it is defined by where the dorsal veins of the first and fifth digit, respectively, meet the great saphenous vein and small saphenous vein.
It is usually fairly easy to palpate and visualize (if the patient is barefoot). It lies superior to the metatarsal bones approximately midway between the ankle joint and metatarsal phalangeal joints.
The foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws and/or nails.
The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.
The great saphenous vein (GSV) or long saphenous vein is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle.
The metatarsal bones or metatarsus are a group of five long bones in the midfoot, located between the tarsal bones and the phalanges (toes). Lacking individual names, the metatarsal bones are numbered from the medial side : the first, second, third, fourth, and fifth metatarsal. The metatarsals are analogous to the metacarpal bones of the hand. The lengths of the metatarsal bones in humans are, in descending order, second, third, fourth, fifth, and first. A bovine hind leg has two metatarsals.
The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg.
The small saphenous vein is a relatively large superficial vein of the posterior leg.
The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.
In human anatomy, the dorsal interossei of the foot are four muscles situated between the metatarsal bones.
The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg.
In human anatomy, the fibularis brevis is a muscle that lies underneath the fibularis longus within the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to extend the foot downward away from the body at the ankle.
The superficial fibular nerve is a mixed nerve that provides motor innervation to the fibularis longus and fibularis brevis muscles, and sensory innervation to skin over the antero-lateral aspect of the leg along with the greater part of the dorsum of the foot.
The tarsometatarsal joints are arthrodial joints in the foot. The tarsometatarsal joints involve the first, second and third cuneiform bones, the cuboid bone and the metatarsal bones. The eponym of Lisfranc joint is 18th–19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin.
On the dorsum of the foot the dorsal digital veins receive, in the clefts between the toes, the intercapitular veins from the plantar venous arch and join to form short common digital veins which unite across the distal ends of the metatarsal bones in a dorsal venous arch.
The saphenous nerve is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve. The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial leg.
The four plantar metatarsal veins run backward in the metatarsal spaces, communicate, by means of perforating veins, with the veins on the dorsum of the foot, and unite to form the plantar venous arch which lies alongside the plantar arterial arch.
A malleolus is the bony prominence on each side of the human ankle.
The plantar metatarsal veins run backward in the metatarsal spaces, collect blood from digital veins and communicate, by means of perforating veins, with the veins on the dorsum of the foot, and unite to form the deep plantar venous arch which lies alongside the plantar arterial arch.
The following outline is provided as an overview of and topical guide to human anatomy:
The medial marginal vein is a continuation of the dorsal venous arch of the foot and is the origin of the great saphenous vein.
Ultrasonography of suspected or previously confirmed chronic venous insufficiency of leg veins is a risk-free, non-invasive procedure. It gives information about the anatomy, physiology and pathology of mainly superficial veins. As with heart ultrasound (echocardiography) studies, venous ultrasonography requires an understanding of hemodynamics in order to give useful examination reports. In chronic venous insufficiency, sonographic examination is of most benefit; in confirming varicose disease, making an assessment of the hemodynamics, and charting the progression of the disease and its response to treatment. It has become the reference standard for examining the condition and hemodynamics of the lower limb veins. Particular veins of the deep venous system (DVS), and the superficial venous system (SVS) are looked at. The great saphenous vein (GSV), and the small saphenous vein (SSV) are superficial veins which drain into respectively, the common femoral vein and the popliteal vein. These veins are deep veins. Perforator veins drain superficial veins into the deep veins. Three anatomic compartments are described, (N1) containing the deep veins, (N2) containing the perforator veins, and (N3) containing the superficial veins, known as the saphenous compartment. This compartmentalisation makes it easier for the examiner to systematize and map. The GSV can be located in the saphenous compartment where together with the Giacomini vein and the accessory saphenous vein (ASV) an image resembling an eye, known as the 'eye sign' can be seen. The ASV which is often responsible for varicose veins, can be located at the 'alignment sign', where it is seen to align with the femoral vessels.