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The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg . Posterior tibial tendonitis
Tibialis posterior muscle: Interosseous membrane; posterior surface of tibia inferior to soleal line; posterior surface of fibula: Tuberosity of navicular, cuneiform, cuboid, and sustentaculum tali of calcaneus; bases of 2nd, 3rd, and 4th metatarsals
The septa are formed from the fascia which is made up of a strong type of connective tissue. The fascia also separates the skeletal muscles from the subcutaneous tissue. [2] Due to the great pressure placed on the leg, from the column of blood from the heart to the feet, the fascia is very thick in order to support the leg muscles. [3]
The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially.
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 posterior tibial forms a direct continuation of the popliteal artery which enters the flexor compartment of the lower leg to descend behind the medial malleolus where it divides into the medial and lateral plantar arteries, of which the posterior branch gives rise to the fibular artery.
The soleal line marks the lower limit of the insertion of the popliteus muscle. [2] It is the attachment of the fascia covering this muscle. It is the origin of part of soleus muscle (along with a triangular area above it), [3] flexor digitorum longus muscle, and tibialis posterior muscle.
The posterior compartment is a fascial compartment bounded by fascia. It is separated from the anterior compartment by two folds of deep fascia, known as the medial intermuscular septum and the lateral intermuscular septum. [1] The muscles of the posterior compartment of the thigh are the: [2] [3]