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The anterior tibial artery is a branch of the popliteal artery. [1] It originates at the distal end of the popliteus muscle posterior to the tibia. The artery typically passes anterior to the popliteus muscle prior to passing between the tibia and fibula through an oval opening at the superior aspect of the interosseus membrane.
It supplies a perforating branch to both the lateral and anterior compartments of the leg; it also provides a nutrient artery to the fibula. Some sources claim that the fibular artery arises directly from the posterior tibial artery, but vascular and plastic surgeons note the clinical significance of the tibial-fibular trunk. [2]
The nutrient artery (arteria nutricia, or central artery), usually accompanied by one or two nutrient veins, enters the bone through the nutrient foramen, runs obliquely through the cortex, sends branches upward and downward to the bone marrow, which ramify in the endosteum–the vascular membrane lining the medullary cavity–and give twigs to the adjoining canals.
The lower leg is divided into four compartments by the interosseous membrane of the leg, the anterior intermuscular septum, the transverse intermuscular septum and the posterior intermuscular septum. [1] Each compartment contains connective tissue, nerves and blood vessels.
The anterior compartment of the leg is a fascial compartment of the lower leg. It contains muscles that produce dorsiflexion and participate in inversion and eversion of the foot, as well as vascular and nervous elements, including the anterior tibial artery and veins and the deep fibular nerve .
The tibia (/ ˈ t ɪ b i ə /; pl.: tibiae / ˈ t ɪ b i i / or tibias), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle.
The tibiofibular trunk terminates by bifurcating into two terminal branches: the posterior tibial artery, and the fibular artery. This is the most common configuration of the origins of these arteries, however, many other anatomical variations exist. [1]
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.)