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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]
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
Dorsalis pedis pulse: located on top of the foot, immediately lateral to the extensor of hallucis longus (dorsalis pedis artery). Tibialis posterior pulse: located on the medial side of the ankle, 2 cm inferior and 2 cm posterior to the medial malleolus (posterior tibial artery). It is easily palpable over Pimenta's Point.
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]
There are various pulse sites on the body: the carotid, brachial, radial, femoral, and dorsalis pedis. In children, heart rate is preferably taken apically. To count the rate, place stethoscope on the anterior chest at the fifth intercostal space in a midclavicular position. [18] Each "lub-dub" sound is one beat.
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.)
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.