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Posterior Tibial Artery
The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot. It branches from the popliteal artery via the tibial-fibular trunk. Structure The posterior tibial artery arises from the popliteal artery in the popliteal fossa. 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. It passes into the foot deep to the flexor retinaculum of the foot. It runs through the tarsal tunnel. Branches The posterior tibial artery gives rise to: * medial plantar artery. * lateral plantar artery. * fibular artery, which is said to rise from the bifurcation of the tibial-fibular trunk and the posterior tibial artery. * calcaneal branch to the medial aspect of the calcaneus. Function The posterior tibial artery supplies oxygenated blood to the posterior compartment of the leg and t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Popliteal Artery
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior tibial artery, anterior and Posterior tibial artery, posterior tibial arteries. The deepest (most anterior) structure in the fossa, the popliteal artery runs close to the joint capsule of the knee as it spans the Intercondylar fossa of femur, intercondylar fossa. Five genicular branches of the popliteal artery supply the capsule and ligaments of the knee joint. The genicular arteries are the superior lateral, superior medial, middle, inferior lateral, and inferior medial genicular arteries. They participate in the formation of the periarticular genicular anastomosis, a network of vessels surrounding the knee that provides collateral circulation capable of maintaining blood supply to the leg during full knee flexion, which ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medial Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with ''mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior bo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tibial Nerve
The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus. Structure Popliteal fossa The tibial nerve is the larger terminal branch of the sciatic nerve with root values of L4, L5, S1, S2, and S3. It lies superficial (or posterior) to the popliteal vessels, extending from the superior angle to the inferior angle of the popliteal fossa, crossing the popliteal vessels from lateral to medial side. It gives off branches as shown below: * Muscular branches - Muscular branches arise from the distal part of the popliteal fossa. It supplies the medial and lateral heads of gastrocnemius, soleus, plantaris and popliteus muscles. Nerve to popliteus crosses the popliteus muscle, runs downwards and laterally, winds around the lower border of the popliteus to supply the deep (or anterior) surface of the popliteus. This nerve also supplies the tibialis posterior muscle, superior tibiofibular joint, tibia bone, intero ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pimenta's Point
Pimenta's point is an anatomical landmark for easy location of the posterior tibial artery The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot. It branches from the popliteal artery via the tibial-fibular trunk. Structure The posterior ... or tibialis posterior artery (a peripheral pulse on the inside of your ankle). An imagined line is drawn between the bony prominence of the medial malleolus and the insertion of the achilles tendon. At the exact midpoint of this line place three fingers parallel to the leg and you will either feel the posterior tibial pulsation (normal) or will not (peripheral vascular disease or calcification, anatomical variant). See also * List of human anatomical parts named after people References {{Reflist * Oxford Handbook for Medical School. Kapil Sugand, Miriam Berry, Imran Yusuf, Aisha Janjua, Chris Bird, David Metcalfe, Harveer Dev, Sri Thrumurt ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Peripheral Vascular Disease
Peripheral artery disease (PAD) is an abnormal narrowing of arteries other than those that supply the heart or brain. When narrowing occurs in the heart, it is called coronary artery disease, and in the brain, it is called cerebrovascular disease. Peripheral artery disease most commonly affects the legs, but other arteries may also be involved – such as those of the arms, neck, or kidneys. The classic symptom is leg pain when walking which resolves with rest, known as intermittent claudication. Other symptoms include skin ulcers, bluish skin, cold skin, or abnormal nail and hair growth in the affected leg. Complications may include an infection or tissue death which may require amputation; coronary artery disease, or stroke. Up to 50% of people with PAD do not have symptoms. The greatest risk factor for PAD is cigarette smoking. Other risk factors include diabetes, high blood pressure, kidney problems, and high blood cholesterol. The most common underlying mechanism of peri ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Clinician
A clinician is a health care professional typically employed at a skilled nursing facility or clinic. Clinicians work directly with patients rather than in a laboratory or as a researcher. A clinician may diagnose, treat, and otherwise care for patients. For example, psychologists, clinical pharmacists, clinical scientists, nurses, physiotherapists, dentists, optometrists, physician assistants and physicians can be considered clinicians. Many clinicians take comprehensive exams to be licensed and some complete graduate degrees (master's or doctorates) in their field of expertise. A main function of a clinician is to manage a sick person in order to cure the effects of their illness. The clinician can also consider the impact of illness upon the patient and his or her family, as well as other social factors. See also * List of healthcare occupations A listing of health care professions by medical discipline. Anesthesiology * Anesthesiologist * Anesthesiology Fellow * Certifi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Palpation
Palpation is the process of using one's hands to check the body, especially while perceiving/diagnosing a disease or illness. Usually performed by a health care practitioner, it is the process of feeling an object in or on the body to determine its size, shape, firmness, or location (for example, a veterinarian can feel the stomach of a pregnant animal to ensure good health and successful delivery). Palpation is an important part of the physical examination; the sense of touch is just as important in this examination as the sense of sight is. Physicians develop great skill in palpating problems below the surface of the body, becoming able to detect things that untrained persons would not. Mastery of anatomy and much practice are required to achieve a high level of skill. The concept of being able to detect or notice subtle tactile signs and to recognize their significance or implications is called appreciating them (just as in general vocabulary one can speak of appreciating ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pulse
In medicine, a pulse represents the tactile arterial palpation of the cardiac cycle (heartbeat) by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck ( carotid artery), wrist (radial artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint (posterior tibial artery), and on foot (dorsalis pedis artery). Pulse (or the count of arterial pulse per minute) is equivalent to measuring the heart rate. The heart rate can also be measured by listening to the heart beat by auscultation, traditionally using a stethoscope and counting it for a minute. The radial pulse is commonly measured using three fingers. This has a reason: the finger closest to the heart is used to occlude the pulse pressure, the middle finger is used get a crude estimate of the blood pressure, and the finger most distal to the heart (usually the ring finger) is used to nullify the eff ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Posterior Compartment Of Leg
The posterior compartment of the leg is one of the fascial compartments of the leg and is divided further into deep and superficial compartments. Structure Muscles Superficial posterior compartment Deep posterior compartment Blood supply Posterior tibial artery Innervation The posterior compartment of the leg is supplied by the tibial nerve The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus. Structure Popliteal fossa The tibial nerve is the larger terminal branch of the sciatic nerve with root val .... Function * It contains the plantar flexors: Additional images File:From below - Superficial posterior compartment of leg - animation.gif, Superficial posterior compartment. Animation. File:From below - Deep posterior compartment of leg - animation.gif, Deep posterior compartment. Animation. References External links Diagram at patientcareonline.com {{DEFAULTSORT ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Calcaneus
In humans and many other primates, the calcaneus (; from the Latin ''calcaneus'' or ''calcaneum'', meaning heel) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock. Structure In humans, the calcaneus is the largest of the tarsal bones and the largest bone of the foot. Its long axis is pointed forwards and laterally. The talus bone, calcaneus, and navicular bone are considered the proximal row of tarsal bones. In the calcaneus, several important structures can be distinguished:Platzer (2004), p 216 There is a large calcaneal tuberosity located posteriorly on plantar surface with medial and lateral tubercles on its surface. Besides, there is another peroneal tubecle on its lateral surface. On its lower edge on either side are its lateral and medial processes (serving as the origins of the abductor hallucis and abductor digiti minimi). The Achilles tendon is inserted into a roughened area on its superio ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fibular Artery
In anatomy, the fibular artery, also known as the peroneal artery, supplies blood to the lateral compartment of the leg. It arises from the tibial-fibular trunk. Structure The fibular artery arises from the bifurcation of tibial-fibular trunk into the fibular and posterior tibial arteries in the upper part of the leg proper, just below the knee. It runs towards the foot in the deep posterior compartment of the leg, just medial to the fibula. 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. The fibular artery is accompanied by small veins (venae comitantes) known as fibular veins. Branches Communication branch to posterior tibial artery. Perforating branch to anterior lateral malleolar artery. A calcan ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tarsal Tunnel
The tarsal tunnel is a passage found along the inner leg underneath the medial malleolus of the ankle. Structure The roof of the tarsal tunnel is formed by the flexor retinaculum of the foot. The floor of the tarsal tunnel is formed by the medial malleolus and the calcaneus. Contents 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. * Flexor digitorum longus tendon. * Posterior tibial artery. * Posterior tibial vein. * Tibial nerve. * Flexor hallucis longus tendon. In the tunnel, the tibial nerve splits into three different paths. The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the foot. Clinical significance Tarsal tunnel syndrome Tarsal tunnel syndrome is the most commonly ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
