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Topography of human ankle joint: focused on posterior tibial artery and tibial nerve

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Author(s)
김덕임
Alternative Author(s)
Kim, Deog Im
Publication Year
2015
Abstract
Most of foot pain occurs by the entrapment of the tibial nerve and its branches. Some studies have reported the
location of the tibial nerve; however, textbooks and researches have not described the posterior tibial artery and the relationship
between the tibal nerve and the posterior tibial artery in detail. The purpose of this study was to analyze the location of
neurovascular structures and bifurcations of the nerve and artery in the ankle region based on the anatomical landmarks.
Ninety feet of embalmed human cadavers were examined. All measurements were evaluated based on a reference line.
Neurovascular structures were classified based on the relationship between the tibial nerve and the posterior tibial artery. The
bifurcation of arteries and nerves were expressed by X- and Y-coordinates. Based on the reference line, 9 measurements were
examined. The most common type I (55.6%), was the posterior tibial artery located medial to the tibial nerve. Neurovascular
structures were located less than 50% of the distance between M and C from M at the reference line. The bifurcation of
the posterior tibial artery was 41% in X-coordinate, -38% in Y-coordinate, and that of the tibial nerve was 48%, and -10%,
respectively. Thirteen measurements and classification showed statistically significant differences between both sexes (P<0.05).
It is determined the average position of neurovascular structures in the human ankle region and recorded the differences
between the sexes and amongst the populations. These results would be helpful for the diagnosis and treatment of foot pain.
Key words: Tibial nerve, Posterior tibial artery, Medial calcaneal branch, Foot pain, Coordinate
Department
Dept. of Nursing (간호학)
Publisher
College of Nursing
Citation
Anatomy & Cell Biology, Vol.48(2) : 130-137, 2015
Type
Article
ISSN
2093-3665
DOI
10.5115/acb.2015.48.2.130
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34958
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