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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.
The anterior compartment of the leg is supplied by the deep fibular nerve (deep peroneal nerve), a branch of the common fibular nerve. The nerve contains axons from the L4, L5, and S1 spinal nerves. Blood for the compartment is supplied by the anterior tibial artery, which runs between the tibialis anterior and extensor digitorum longus muscles.
The three tendons, from front to back, that conjoin to form the pes anserinus come from the sartorius muscle, the gracilis muscle, and the semitendinosus muscle. [1] [2] It inserts onto the proximal anteromedial surface of the tibia. [2] The pes anserinus is around 5 cm below the medial tibial joint line. [2]
Between it and the tibialis anterior are the upper portions of the anterior tibial vessels and deep peroneal nerve. The muscle passes under the superior and inferior extensor retinaculum of foot in company with the fibularis tertius , and divides into four slips, which run forward on the dorsum of the foot, and are inserted into the second and ...
The muscle ends as a tendon of insertion. The tendon passes through a distinct compartment in the inferior extensor retinaculum of foot. It crosses anterior tibial vessels lateromedially near the bend of the ankle. [citation needed] In the foot, its tendon is situated at along the medial side of the dorsum of the foot. [1]
Three muscles attach to the first metatarsal bone: the tibialis anterior, fibularis longus and first dorsal interosseus. [3] The tibialis anterior inserts at the basis of the bone, while the fibularis longus inserts at the tuberosity. The lateral part of the first dorsal interosseus muscle originates from the medial side of the bone.
The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. [1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures. [2]
A tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location. Tendon transfer involves redistribution of muscle power, not recreation. Tendons are transferred at the distal attachment from lesser to more important functions so that the overall function is improved.