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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Lower Limb: Tibialis Posterior Artery

Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Lower Limb

Tibialis Posterior Artery

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed

The posterior tibial may be absent (Quain, 1844), rudimentary, or replaced by the peroneal artery.

It may supply all the common digital arteries.

On occasion, it pierces the interosseous membrane to join the anterior tibial.

It may turn anteriorly (in the distal quarter of the leg) to replace the anterior tibial. The peroneal in such cases provides the medial and lateral plantar arteries.

The peroneal is sometime absent or enhanced by a branch from the posterior tibial.

The great saphenous artery may arise from the posterior tibial artery.

The posterior tibial may be replaced by the peroneal or the saphenous artery, as these are united by an anastomosis in an early stage of development.

The irregular plantar distribution of the posterior tibial was reported as early as 1822 by Tiedemann.

The posterior tibial may, in conjunction with the lateral plantar and deep plantar, form a superficial plantar arch, analogous to the superficial palmar arch in the palm of the hand.

Image 47

Deep Plantar

See Image 47


Anson, B.J., Ed. (1966) Morris' Human Anatomy, The Blakiston Division, McGraw-Hill book Company, New York.

Bergman, R.A., Thompson, S.A., Afifi, A.K. and F.A. Saadeh. (1988) Compendium of Human Anatomic Variation: Catalog, Atlas and World Literature. Urban & Schwarzenberg, Baltimore and Munich.

Dubrevil-Chambardel, L. (1925) Variations des Artères du Pelvis et du Membre Inferieur. Masson, Paris.

Gruber, W. (1878) Hohe Theilung der Arteria poplitea in die A. Tibialis postica und in den Truncus communis für die A. peronea und die A. tibialis antica, mit Endigung der A. tibialis postica als A. plantaris interna und der A. peronea als A. plantaris externa. Arch. Pathol. Anat. Physiol. Klin. Med. 74:438-443.

Latarjet, A. (1948) Testut's Traite d'Anatomie Humaine. 9th ed., G. Doin & Cie, Paris.

Schaefer, E.A., Symington, J. and T.H. Bryce, Eds. (1915) Quain's Anatomy, 11 th ed. Longmans, Green and Co., London.

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