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Tibial Nerve

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Let's talk tibial nerve, and therefore,

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we're talking about the anatomy of the tarsal tunnel.

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Not the anterior tarsal tunnel,

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but the main medial tarsal.

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You can use the mnemonic Tom,

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Dick, and very nervous Harry.

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So, Tom, the tibialis posterior.

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Dick, the flexor digitorum.

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Very veins burying the posterior

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tibial artery, which is right in here.

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And then nervous, the nerve, posterior

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tibial nerve, or the tibial nerve.

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And then hairy, the flexor

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hallucis, tendon, and muscle.

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A useful, cute mnemonic.

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If we follow the tibial nerve inferiorly,

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it's gonna bifurcate into two nerves.

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Let's follow it.

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There it is bifurcated.

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It's still bifurcated into a

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medial and lateral plantar nerve.

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Right next to it is the neurovascular,

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or the vascular bundle, or pedicle.

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These are veins.

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There's the posterior tibial artery

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with a little more flow void.

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There's another vein around it.

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Let's review again.

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Tom, tibialis posterior.

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Dick, flexor digitorum.

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Harry, as an excellent landmark, for right

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behind it is the medial plantar nerve.

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Just lateral to it is the lateral plantar nerve.

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There's the posterior tibial

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artery and some surrounding veins.

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And for your pleasure, the superficial

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retinaculum, or laciniate ligament.

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Thank you.

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We're going to tackle the

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plantar nerves separately.

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Musculoskeletal (MSK)

MSK

MRI

Foot & Ankle

Acquired/Developmental

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