Anatomic study of blood supply of the dorsum of the foot and ankle

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Teresa VazquezJose Sanudo

Abstract

This project was to study the different patterns of the anterior tibal and dorsalis pedis arteries in relation to the blood supply of the dorsum of the foot and ankle. A reliable sample of 150 human embalmed cadavers was dissected. Four different patterns were identified. The dorsalis pedis artery was most frequently (287 cases, 95.7%) found to be the continuation of the anterior tibial artery distal to the ankle, and lay between the tendon of extensor hallucis and the first tendon of extensor digitorum longus. The other 13 cases (4.3%) showed 3 variant patterns of the anterior tibial-dorsalis pedis vascular axis: the anterior tibial artery took a more lateral course, passing in front of the lateral malleolus (6 cases, 2%); the perforating branch of the peroneal artery assumed the expected course of the dorsalis pedis artery (4 cases, 1.3%); the anterior tibal artery gave a lateral branch that replaced the perforating branch of the peroneal artery to supply the lateral aspect of the ankle (3 cases, 1%). Arterial variations of the anterior tibial-dorsalis pedis axis occurred in almost 5% of cases. An awareness of the existence of such variations is helpful during a preoperative assessment and could prevent injury during surgery.

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Citations

Nov 28, 2013·Plastic and Reconstructive Surgery·Zhidian HouShizhen Zhong
Apr 27, 2013·AJR. American Journal of Roentgenology·Michael G FoxMark W Anderson
Jun 7, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maartje Zengerink, C Niek van Dijk
Mar 5, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Natsuki SugimuraToshikazu Tani
Feb 1, 2011·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·T H Lui
May 21, 2015·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Ji-Yin HeHuey Tien
Mar 3, 2015·Foot and Ankle Clinics·David M EpsteinSeth L Sherman
Sep 29, 2009·Vascular Medicine·Anna MyredalMats Johansson
May 13, 2010·Foot & Ankle International·Nathan J FanterAngus M McBryde
Aug 21, 2014·Circulation. Cardiovascular Interventions·Osami KawaradaHisao Ogawa
May 24, 2013·Journal of the American Podiatric Medical Association·BiBi N SinghAnnabelle Santos-Dookie
Jul 1, 2016·Jornal Vascular Brasileiro·Pedro Oliveira PortilhoCarlos Alberto Araujo Chagas
Feb 9, 2017·Journal of Orthopaedic Surgery·Nathan J FanterChristopher W Beiser
Feb 15, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Osami KawaradaPeter J Fitzgerald

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