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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]
The posterior tibial recurrent artery, an inconstant branch, is given off from the anterior tibial before that vessel passes through the gap between superior tibio-fibular joint and upper border of interosseous membrane.
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 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]
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]
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.
Superficial fibular (peroneal) nerve and fibular artery: Deep posterior compartment: Tibialis posterior; Flexor hallucis longus; Flexor digitorum longus; Popliteus; Tibial nerve, posterior tibial artery and posterior tibial vessels such as the fibular artery: Superficial posterior compartment: Gastrocnemius; Soleus; Plantaris; Tibial nerve
The circumflex fibular artery (circumflex fibular branch, circumflex branch of posterior tibial artery, or circumflex peroneal branch of posterior tibial artery) is a branch of the posterior tibial artery which supplies blood to the knee.