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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 flexor digitorum longus runs along the medial posterior side of the lower leg and aids in flexions of the toes (apart from the big toe). The flexor digitorum longus muscle arises from the posterior surface of the body of the tibia, from immediately below the soleal line to within 7 or 8 cm of its lower extremity, medial to the tibial origin of the tibialis posterior muscle.
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 soleal line, also known as the popliteal line (in older texts), is a prominent ridge on the posterior surface of the tibia.It is the site of many muscle origins and insertions, such as those of popliteus muscle, soleus muscle, flexor digitorum longus muscle, and tibialis posterior muscle.
Its plantar surface, consisting of the intermedial and lateral ligaments, is supported by the tendon of the tibialis posterior; its medial border is blended with the forepart of the deltoid ligament of the ankle-joint.
Flexor hallucis brevis muscle arises, by a pointed tendinous process, from the medial part of the under surface of the cuboid bone, from the contiguous portion of the third cuneiform, and from the prolongation of the tendon of the tibialis posterior muscle which is attached to that bone.
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 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]
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