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The dorsalis pedis artery pulse can be palpated readily lateral to the extensor hallucis longus tendon (or medially to the extensor digitorum longus tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation. [3]
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). [2] [1 ...
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 is commonly taken at the wrist (radial artery). Alternative sites include the elbow (brachial artery), the neck (carotid artery), behind the knee (popliteal artery), or in the foot (dorsalis pedis or posterior tibial arteries). [11]
If the femoral pulse is strong, but the popliteal pulse is weak, this can indicate atherosclerosis of the vessels in the thigh. [2] Finally, the posterior tibial and dorsalis pedis arteries provide a good indicator of circulation to the extremities. These can be palpated just behind the ankle and on the top of the foot, respectively. [3]
Where P Leg is the systolic blood pressure of dorsalis pedis or posterior tibial arteries and P Arm is the highest of the left and right arm brachial systolic blood pressure The ABPI test is a popular tool for the non-invasive assessment of Peripheral vascular disease (PVD).
The arcuate artery of the foot gives off the second, third, and fourth dorsal metatarsal arteries, which run forward upon the corresponding Interossei dorsales; in the clefts between the toes, each divides into two dorsal digital branches for the adjoining toes.
Anterior tibial artery, dorsalis pedis artery and the muscles and bones of the leg - anterior view. (Medial tarsal visible but not labeled, at bottom right.) (Medial tarsal visible but not labeled, at bottom right.)