Posterior tibial artery

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Posterior tibial artery
Gray1247.png
Back of left lower extremity, showing surface markings for bones, vessels, and nerves (posterior tibial artery labeled at bottom right).
Details
Source Popliteal artery
Branches Fibular artery, medial plantar artery, lateral plantar artery
Vein Posterior tibial vein
Identifiers
Latin arteria tibialis posterior
TA98 A12.2.16.055
TA2 4721
FMA 43895
Anatomical terminology

The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot. It branches from the popliteal artery via the tibial-fibular trunk.

Contents

Structure

The posterior tibial artery arises from the popliteal artery in the popliteal fossa. [1] It is accompanied by a deep vein, the posterior tibial vein, along its course. It passes just posterior to the medial malleolus of the tibia, but anterior to the Achilles tendon. [1] It passes into the foot deep to the flexor retinaculum of the foot. [1] It runs through the tarsal tunnel. [2]

Branches

The posterior tibial artery gives rise to:

Function

The posterior tibial artery supplies oxygenated blood to the posterior compartment of the leg and the plantar surface of the foot. [1]

Clinical significance

Palpation of the posterior tibial artery pulse

The posterior tibial artery pulse can be readily palpated halfway between the posterior border of the medial malleolus and the Achilles tendon. [1] It is often examined by clinicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals. [3] In a study of 547 healthy individuals, only one person did not have a palpable posterior tibial artery. [3] It is easily palpated over Pimenta's Point.

Nerve block

The posterior tibial artery is used as a landmark for the tibial nerve as both structures enter the foot. [4] Local anaesthetic is injected either side of the artery distal to the flexor retinaculum of the foot, close to the calcaneus. [4]

Additional images

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

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.

<span class="mw-page-title-main">Fibularis longus</span> Superficial muscle in the lateral compartment of the leg

In human anatomy, the fibularis longus is a superficial muscle in 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.

<span class="mw-page-title-main">Ulnar nerve</span> Nerve which runs near the ulna bone

In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.

<span class="mw-page-title-main">Tibia</span> Leg bone in vertebrates

The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body.

<span class="mw-page-title-main">Ankle</span> Region where the foot and the leg meet

The ankle, the talocrural region or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. The movements produced at this joint are dorsiflexion and plantarflexion of the foot. In common usage, the term ankle refers exclusively to the ankle region. In medical terminology, "ankle" can refer broadly to the region or specifically to the talocrural joint.

<span class="mw-page-title-main">Popliteal artery</span> Continuation of the femoral artery that supplies the lower leg

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

<span class="mw-page-title-main">Tibialis posterior muscle</span> Muscle in the most central of all the leg muscles

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.

<span class="mw-page-title-main">Popliteal vein</span> Large leg vein

The popliteal vein is a vein of the lower limb. It is formed from the anterior tibial vein and the posterior tibial vein. It travels medial to the popliteal artery, and becomes the femoral vein. It drains blood from the leg. It can be assessed using medical ultrasound. It can be affected by popliteal vein entrapment.

<span class="mw-page-title-main">Posterior tibial vein</span> Vein of the leg that drains the posterior compartment of the leg and the plantar surface of the foot

The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein.

The anterior tibial artery is an artery of the leg. It carries blood to the anterior compartment of the leg and dorsal surface of the foot, from the popliteal artery.

In human anatomy, the dorsalis pedis artery is a blood vessel of the lower limb. It arises from the anterior tibial artery, and ends at the first intermetatarsal space. It carries oxygenated blood to the dorsal side of the foot. It is useful for taking a pulse. It is also at risk during anaesthesia of the deep peroneal nerve.

<span class="mw-page-title-main">Tibial nerve</span> Branch of the sciatic nerve

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.

<span class="mw-page-title-main">Fibularis brevis</span> Shorter and smaller of the fibularis (peroneus) muscles

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.

A peripheral vascular examination is a medical examination to discover signs of pathology in the peripheral vascular system. It is performed as part of a physical examination, or when a patient presents with leg pain suggestive of a cardiovascular pathology.

<span class="mw-page-title-main">Anterior superior iliac spine</span> Bony projection of the iliac bone

The anterior superior iliac spine (ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the inguinal ligament, and the sartorius muscle. The tensor fasciae latae muscle attaches to the lateral aspect of the superior anterior iliac spine, and also about 5 cm away at the iliac tubercle.

<span class="mw-page-title-main">Pubic tubercle</span> Bone

The pubic tubercle is a prominent tubercle on the superior ramus of the pubis bone of the pelvis.

The flexor retinaculum of foot is a strong fibrous band in the foot.

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.

<span class="mw-page-title-main">Tarsal tunnel</span> Canal in the ankle area

The tarsal tunnel is a passage found along the inner leg underneath the medial malleolus of the ankle.

<span class="mw-page-title-main">Fibular artery</span>

In anatomy, the fibular artery, also known as the peroneal artery, supplies blood to the lateral compartment of the leg. It arises from the tibial-fibular trunk.

References

  1. 1 2 3 4 5 6 Jacob, S. (2008-01-01), Jacob, S. (ed.), "Chapter 6 - Lower limb", Human Anatomy, Churchill Livingstone, pp. 135–179, doi:10.1016/b978-0-443-10373-5.50009-9, ISBN   978-0-443-10373-5 , retrieved 2021-02-21
  2. Minieka, Michael; Nishida, Takashi (2005-01-01), Benzon, Honorio T.; Raja, Srinivasa N.; Molloy, Robert E.; Liu, Spencer S. (eds.), "Chapter 54 - Entrapment Neuropathies", Essentials of Pain Medicine and Regional Anesthesia (Second Edition), Philadelphia: Churchill Livingstone, pp. 426–432, doi:10.1016/b978-0-443-06651-1.50058-7, ISBN   978-0-443-06651-1 , retrieved 2021-02-21
  3. 1 2 Robertson GS, Ristic CD, Bullen BR. The incidence of congenitally absent foot pulses. Ann R Coll Surg Engl. 1990 Mar;72(2):99-100. PMID   2185683.
  4. 1 2 Doty, Robert; Sukhani, Radha (2005-01-01), Benzon, Honorio T.; Raja, Srinivasa N.; Molloy, Robert E.; Liu, Spencer S. (eds.), "Chapter 78 - Ankle Block", Essentials of Pain Medicine and Regional Anesthesia (Second Edition), Philadelphia: Churchill Livingstone, pp. 672–676, doi:10.1016/b978-0-443-06651-1.50082-4, ISBN   978-0-443-06651-1 , retrieved 2021-02-21