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Pimenta's point is an anatomical landmark for easy location of the posterior tibial artery or tibialis posterior artery (a peripheral pulse on the inside of the ankle). An imagined line is drawn between the bony prominence of the medial malleolus and the insertion of the achilles tendon.
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]
Posterior tibial artery. [2] Posterior tibial vein. [1] Tibial nerve. [2] Flexor hallucis longus tendon. [2] In the tunnel, the tibial nerve splits into three different paths. [3] The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the ...
Dorsalis pedis artery pulse – on dorsal surface of the foot, running lateral to the tendon of the first toe; Posterior tibial artery pulse – posterior and inferior to the medial malleolus; Popliteal artery pulse – behind the knee, typically done with both hands
The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck (carotid artery), wrist (radial artery or ulnar artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint (posterior tibial artery), and on foot (dorsalis pedis artery).
The superficial branch then continues onto the dorsum of the foot to supply sensory fibers to the skin there. The main deep neurovascular bundle at risk is the posterior tibial artery. It lies on the posterior aspect of the tibialis posterior and flexor digitorum longus muscle, and medial to the belly of flexor hallucis longus muscle.
Draw in layers to made easy the modifications. Correction of the position of many of the arteries, veins and heart. Correction of too large abdomen and too small kidneys. Added venous sinuses. Arrows with heads, and different color to facilitate the location of the items. Colour text to improve the location of arteries and veins.
Posterior aspect of head and superior quarter of posterior surface of fibula; soleal line and middle third of medial border of tibia; and tendinous arch extending between the bony attachments: Plantarflexes ankle independent of position of knee; steadies leg on foot