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The anterior tibial artery is a branch of the popliteal artery. [1] It originates at the distal end of the popliteus muscle posterior to the tibia. The artery typically passes anterior to the popliteus muscle prior to passing between the tibia and fibula through an oval opening at the superior aspect of the interosseus membrane.
[26] [26] Examples include a severe crush injury or an open or closed fracture of an extremity. [26] Rarely, ACS can develop after a minor injury or another medical issue. [12] It can also affect the thigh, buttock, hand, abdomen, and foot. [19] [14] The most common cause of acute compartment syndrome is a fractured bone, usually the tibia.
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
On inspection the clinician looks for signs of: trauma; previous surgery ()muscle wasting/muscle asymmetry; edema (swelling) erythema (redness); ulcers – arterial ulcers tend to be on the borders / sides of the foot, neuropathic ulcers on the plantar surface of the foot, venous ulcers tend on be on the medial aspect of the leg superior to the medial malleolus.
It arises at the anterior aspect of the ankle joint and is a continuation of the anterior tibial artery. [1] [2] It ends at the proximal part of the first intermetatarsal space. Here, it divides into two branches, the first dorsal metatarsal artery, and the deep plantar artery. [2] It is covered by skin and fascia, but is fairly superficial. [2]
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.
An increased amount of anterior tibial translation compared with the opposite limb or lack of a firm end-point may indicate either a sprain of the anteromedial bundle or complete tear of the ACL. [2] If the tibia pulls forward or backward more than normal, the test is considered positive.
The tibialis anterior muscle is the most medial muscle of the anterior compartment of the leg. [1] [better source needed] The muscle ends in a tendon which is apparent on the anteriomedial dorsal aspect of the foot close to the ankle. [citation needed] Its tendon is ensheathed in a synovial sheath.