WordNet

located at or near or behind a part or near the end of a structure
either of two skeletal muscle in each leg arising from the tibia; provides for movement of the foot (同)tibialis muscle, musculus tibialis
relating to or located near a tibia

PrepTutorEJDIC

《名詞の前にのみ用いて》(生物学的に,位置が)後ろの,後部の / (時間・順序が)後の;(…より)後の《+『to』+『名』》(later) / しり(buttocks)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/16 23:44:54」(JST)

wiki en

The posterior tibial artery of the lower limb carries blood to the posterior compartment of the leg and plantar surface of the foot, from the popliteal artery via the tibial-fibular trunk. It is accompanied by a deep vein, the posterior tibial vein, along its course.

Branches

The PT gives rise to medial plantar artery, lateral plantar artery, and gives rise to the fibular artery. Often, the branch of the fibular artery is said to rise from the bifurcation of the tibial-fibular trunk and the posterior tibial artery.

In addition a calcaneal branch to the medial aspect of the calcaneus.

Palpation of the posterior tibial artery pulse

The posterior tibial artery pulse can be readily palpated posterior and inferior to the medial malleolus and is often examined by physicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals; in a study of 547 healthy individuals only one person did not have a palpable posterior tibial artery.^[1] It is easily palpated over Pimenta's Point.

Additional images

Cross-section through middle of leg.
Major arteries of the leg (posterior view).
The plantar arteries. Deep view.

References

^ Robertson GS, Ristic CD, Bullen BR. The incidence of congenitally absent foot pulses. Ann R Coll Surg Engl. 1990 Mar;72(2):99-100. PMID 2185683.

External links

Gray's s157 - "The Arteries of the Lower Extremity"
Gray's s95 - "Ankle joint"
Anatomy figure: 12:04-14 at Human Anatomy Online, SUNY Downstate Medical Center - "Arteries of the lower extremity shown in association with major landmarks."
Image at umich.edu - pulse
http://www.dartmouth.edu/~humananatomy/figures/chapter_15/15-10.HTM
http://www.dartmouth.edu/~humananatomy/figures/chapter_17/17-3.HTM

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. アキレス腱以外の足首の腱障害 non achilles ankle tendinopathy
2. 小児または思春期のアスリートにおける足部痛の臨床的特徴およびマネージメント clinical features and management of foot pain in the child or adolescent athlete
3. 下肢ランニング障害の概要 overview of running injuries of the lower extremity
4. 全身性エリテマトーデスの筋骨格系症状 musculoskeletal manifestations of systemic lupus erythematosus
5. 小児または思春期のアスリートにおける足首痛の臨床的特徴およびマネージメント clinical features and management of ankle pain in the child or adolescent athlete

English Journal

Bypass to the ankle and foot in the era of endovascular therapy of tibial disease. Results and factors influencing the outcome.

Gargiulo M1, Giovanetti F, Bianchini Massoni C, Freyrie A, Faggioli G, Muccini N, Stella A.
The Journal of cardiovascular surgery.J Cardiovasc Surg (Torino).2014 Jun;55(3):367-74. Epub 2012 Apr 20.
AIM: Endovascular therapy (ET) is the treatment of choice for critical limb ischemia (CLI) and tibial arteries disease (TAD) in focal lesions with restorable run-off; ankle and foot bypass (BPG) is indicated in patients unfit for ET with foot or ankle arteries suitable for surgery. The aim of this s
PMID 22522410

Percutaneous transluminal angioplasty versus primary stenting in infrapopliteal arterial disease: A meta-analysis of randomized trials.

Wu R1, Yao C1, Wang S1, Xu X1, Wang M1, Li Z1, Wang S2.
Journal of vascular surgery.J Vasc Surg.2014 Jun;59(6):1711-1720. doi: 10.1016/j.jvs.2014.03.012.
BACKGROUND: Percutaneous transluminal angioplasty (PTA) and primary stenting are commonly used endovascular therapeutic procedures for the treatment of infrapopliteal arterial occlusive disease. However, which procedure is more beneficial for patients with infrapopliteal arterial occlusive disease i
PMID 24836770

Vascular anatomy of the patella: Implications for total knee arthroplasty surgical approaches.

Lazaro LE1, Cross MB2, Lorich DG2.
The Knee.Knee.2014 Jun;21(3):655-60. doi: 10.1016/j.knee.2014.03.005. Epub 2014 Apr 2.
BACKGROUND: Iatrogenic disruption of the patellar vascular supply has been identified as a possible contributing factor to the commonly reported patellofemoral complications following total knee arthroplasty (TKA). We performed an anatomic cadaveric study evaluating the extra-osseous vascular anatom
PMID 24767718

「後脛骨動脈」

Posterior tibial artery
	Back of left lower extremity, showing surface markings for bones, vessels, and nerves (posterior tibial artery labeled at bottom right).
Details
Source	Popliteal artery
Branches	Fibular artery, medial plantar artery, lateral plantar artery
Vein	Posterior tibial vein
Identifiers
Latin	Arteria tibialis posterior
Dorlands; /Elsevier	a_61/12156400
TA	A12.2.16.055
FMA	43895
	Anatomical terminology; [edit on Wikidata]