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The posterior ligament of the lateral malleolus (posterior tibiofibular ligament, posterior inferior ligament) is smaller than the anterior ligament of the lateral malleolus and is disposed in a similar manner on the posterior surface of the syndesmosis. It connects the tibia and fibular on the inferior part of both bones.
The posterior border is broad and presents the shallow malleolar sulcus, for the passage of the tendons of the peronæi longus and brevis. The summit is rounded and gives attachment to the calcaneofibular ligament. A major structure that is located between the lateral malleolus and the Achilles tendon is the sural nerve.
The tibial malleolar sulcus, also known as the malleolar groove, is the smooth, vertical depression found on the posterior aspect of the medial malleolus. [1] [2] [3] This groove is traversed by the tendons of the tibialis posterior and flexor digitorum longus muscles. [1] [4] There are two malleolar sulci, medial and lateral. [2]
The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. [2] It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. [2] The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. [2]
The tibial nerve, posterior tibial artery, posterior tibial vein, and flexor tendons travel in a bundle along this pathway through the tarsal tunnel, in the following order from anteromedial to posterolateral: Tibialis posterior tendon. [2] Flexor digitorum longus tendon. [2] Posterior tibial artery. [2] Posterior tibial vein. [1] Tibial nerve. [2]
The muscle ends in a long tendon, which runs behind the lateral malleolus of the ankle in a groove that it shares with the tendon of the fibularis brevis; the groove is converted into a canal by the superior fibular retinaculum, and the tendons in it are contained in a common mucous sheath. [2]
The fibers end in a tendon, which runs nearly the whole length of the posterior surface of the muscle. This tendon passes behind the medial malleolus, in a groove, common to it and the tibialis posterior, but separated from the latter by a fibrous septum, each tendon being contained in a special compartment lined by a separate mucous sheath.
The flexor retinaculum of foot extends from the medial malleolus to the medical process of the calcaneus, and the following structures in order from medial to lateral: the tendon of the tibialis posterior muscle, the tendon of the flexor digitorum longus muscle, the posterior tibial artery and vein, the tibial nerve, and the tendon of the ...