Tibialis posterior muscle

Last updated
Tibialis posterior muscle
Gray442.png
The mucous sheaths of the tendons around the ankle. Medial aspect. (Tibialis posterior labeled at top center.)
Details
Origin Tibia and fibula
Insertion Navicular and medial cuneiform bone
Artery Posterior tibial artery
Nerve Tibial nerve
Actions Inversion of the foot and plantar flexion of the foot at the ankle
Antagonist Fibularis brevis and longus, antagonist to the inversion.
Identifiers
Latin Musculus tibialis posterior
TA98 A04.7.02.051
TA2 2666
FMA 51099
Anatomical terms of muscle

The tibialis posterior is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg.

Contents

It is the key stabilizing muscle of the lower leg.

Blood is supplied to the muscle by the posterior tibial artery, and innervation is via the tibial nerve.

Structure

The tibialis posterior muscle originates on the inner posterior borders of the tibia and fibula. It is also attached to the interosseous membrane, which attaches to the tibia and fibula.

The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus and terminates by dividing into plantar, main, and recurrent components. The main portion inserts into the tuberosity of the navicular and the plantar surface of the medial cuneiform. The plantar portion inserts into the bases of the second, third and fourth metatarsals, the intermediate and lateral cuneiforms and the cuboid. The recurrent portion inserts into the sustentaculum tali of the calcaneus.

Function

As well as being a key muscle and tendon for stabilization, the tibialis posterior also contracts to produce inversion and assists in the plantar flexion of the foot at the ankle. The tibialis posterior has a major role in supporting the medial arch of the foot. Dysfunction of the tibialis posterior, including rupture of the tibialis posterior tendon, can lead to flat feet in adults, as well as a valgus deformity due to unopposed eversion when inversion is lost.

Additional images

Related Research Articles

Foot Anatomical structure found in vertebrates

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 or nails.

Human leg

The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh and even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus. Legs are used for standing, and all forms of locomotion including recreational such as dancing, and constitute a significant portion of a person's mass. Female legs generally have greater hip anteversion and tibiofemoral angles, but shorter femur and tibial lengths than those in males.

Peroneus longus Superficial muscle in the lateral compartment of the leg

In human anatomy, the peroneus longus is a superficial muscle in the lateral compartment of the leg, and acts to evert and plantarflex the ankle.

Tibia

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, and it connects the knee with the ankle bones. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane or centre-line. The tibia is connected to the fibula by the interosseous membrane of the 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 next to the femur. The leg bones are the strongest long bones as they support the rest of the body.

Fibula

The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the slenderest of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.

Ankle Region where the foot and the leg meet

The ankle, or the talocrural region, is the region 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.

Extensor hallucis longus muscle A thin muscle, situated between the tibialis anterior and the extensor digitorum longus

The extensor hallucis longus is a thin muscle, situated between the tibialis anterior and the extensor digitorum longus, that functions to extend the big toe and dorsiflects the foot, and assists with foot eversion and inversion.

Tibialis anterior muscle Muscle in humans that originates along the upper two-thirds of the lateral surface of the tibia

The tibialis anterior is a muscle in humans that originates along the upper two-thirds of the lateral (outside) surface of the tibia and inserts into the medial cuneiform and first metatarsal bones of the foot. It acts to dorsiflex and invert the foot. This muscle is mostly located near the shin.

Gastrocnemius muscle Calf muscle

The gastrocnemius muscle is a superficial two-headed muscle that is in the back part of the lower leg of humans. It runs from its two heads just above the knee to the heel, a three joint muscle. The muscle is named via Latin, from Greek γαστήρ (gaster) 'belly' or 'stomach' and κνήμη (knḗmē) 'leg', meaning 'stomach of leg'.

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

Tibial 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.

Flexor hallucis longus muscle One of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe

The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus and tibialis posterior; the tibialis posterior is the most powerful of these deep muscles. All three muscles are innervated by the tibial nerve which comprises half of the sciatic nerve.

Flexor digitorum longus muscle Muscle located on the tibial side of the leg

The flexor digitorum longus is situated on the tibial side of the leg. At its origin it is thin and pointed, but it gradually increases in size as it descends. This muscle serves to curl the second, third, fourth, and fifth toes.

Extensor digitorum longus muscle A pennate muscle, situated at the lateral part of the front of the leg

The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg.

Popliteus muscle Muscle responsible for unlocking the knees during walking

The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the gait cycle. In open chain movements, the popliteus muscle medially rotates the tibia on the femur. It is also used when sitting down and standing up. It is the only muscle in the posterior (back) compartment of the lower leg that acts just on the knee and not on the ankle. The gastrocnemius muscle acts on both joints.

Peroneus brevis Shorter and smaller of the peroneus muscles

The peroneus brevis muscle lies under cover of the peroneus longus, and is the shorter and smaller of the peroneus muscles.

Deep peroneal nerve

The deep peroneal nerve begins at the bifurcation of the common peroneal nerve between the fibula and upper part of the peroneus longus, passes infero-medially, deep to extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.

The flexor retinaculum of foot is a strong fibrous band, extending from the bony ankle prominence (malleolus) above, to the margin of the heelbone (calcaneus) below, converting a series of bony grooves in this situation into canals for the passage of the tendons of the flexor muscles and the posterior tibial vessels and tibial nerve into the sole of the foot.

Malleolus

A malleolus is the bony prominence on each side of the human ankle.

Tarsal tunnel Canal in the ankle area

The tarsal tunnel is found along the inner leg posterior to the medial malleolus.