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

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Author(s)
Deog-Im KimYi-Suk KimSeung-Ho Han
Keimyung Author(s)
Kim, Deog Im
Department
Dept. of Nursing (간호학)
Journal Title
Anatomy & Cell Biology
Issued Date
2015
Volume
48
Issue
2
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
Keimyung Author(s)(Kor)
김덕임
Publisher
College of Nursing
Citation
Deog-Im Kim et al. (2015). Topography of human ankle joint: focused on posterior tibial artery and tibial nerve. Anatomy & Cell Biology, 48(2), 130–137. doi: 10.5115/acb.2015.48.2.130
Type
Article
ISSN
2093-3665
DOI
10.5115/acb.2015.48.2.130
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34958
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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