Clinical features of a rare anatomical variation of the posterior tibial and fibular arteries

Portilho, Pedro Oliveira; Leite, Túlio Fabiano de Oliveira; Cardoso, Rita; Pires, Lucas Alves Sarmento; Silva, Julio Guilherme; Chagas, C. da S.

doi:10.1590/1677-5449.003416

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Few studies have characterized aberrant pathways of the posterior tibial artery. One such case reported an atypical course of the posterior tibial artery with distal anastomosis to the fibular artery 16 . Other vascular studies have characterized several phenotypical patterns of the popliteal artery trifurcation.…”

Section: Discussionmentioning

confidence: 99%

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Perugini

Passias

Pelz

et al. 2023

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Case:We report a unique anatomical case of an anomalous course of the posterior tibial artery found on dissection during the posterolateral approach to the ankle. To the best of our knowledge, no such case has been documented.Conclusion:The vascular bundle consistent with that of the posterior tibial artery and vein was encountered in the far lateral aspect of the deep posterior compartment, which suggests physicians should proceed with caution when performing the posterolateral approach to the ankle so as to avoid iatrogenic injury of this named anatomic structure.

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Section: Discussionmentioning

confidence: 99%

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Perugini

Passias

Pelz

et al. 2023

JBJS Case Connector

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“…У літературі [7] трапляються дані щодо можливих варіантів галуження підколінної артерії із переважанням ролі однієї із гілок у забезпеченні перфузії гомілки, при цьому домінантна малогомілкова артерія виявляється у 5,2% випадків.. Значно рідше спостерігаються анастомози між дистальними частинами задньої великогомілкової та малогомілкової артерій. Описується Х-перехресний анастомоз даних артерій, перед поділом задньої великогомілкової артерії на підошвові гілки [17,18]. Дослідження пренатального морфогенезу артеріальної системи нижніх кінцівок, допоможе зрозуміти причини виникнення рідкісних патологій підколінної артерії та її гілок, таких як, синдром защемлення підколінної артерії та кістозне пошкодження артерій [5].…”

Section: анатомічна мінливість гілок системи підколінної артерії у плодів людини 4-6 місяцівunclassified

Anatomical Variability of System of Popliteal Artery Branches in the Human Fetus of 4-6 Months

Хмара¹,

Komar²

2021

Ukr. ž. med. bìol. sportu

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The study of topographical variations of the branches of the popliteal artery in human fetuses from a macroscopic point of view in modern anatomy is considered relevant and promising. The need to study the anatomy of the terminal branches of the popliteal artery in fetuses of different ages is due to the rapid development of fetal surgery and the improvement in the performance of surgical procedures on the structures of the knee and lower leg areas, since the establishment of the anatomical variability of the vessels of the lower extremities allows choosing the optimal tactics of surgical intervention. In the literature, there are fragmentary data on the fetal topography of the popliteal artery and its branches. The purpose of the study. The study aimed to establish the topographic and anatomical features of the branches of the anterior and posterior tibial arteries in human fetuses of 4-6 months. Material and methods. The study of the fetal anatomy of the popliteal artery was carried out on 34 preparations of human fetuses (81.0-230.0 mm parietococcygeal length) using the methods of anatomical preparation, vascular injection, and morphometry. Results and discussion. In 21 examined fetuses, the classic variant of the branching of the anterior and posterior tibial arteries was observed both on the right and on the left extremity. In other fetuses, atypical variants of the origin and topography of the branches of the popliteal artery were found. The most interesting, from our point of view, was the anatomical variants of the terminal branches of the popliteal artery in fetuses of 160.0, 180.0, and 195.0 mm parietococcygeal length. A high variant of the branch of the peroneal artery from the popliteal artery; a rare variant of doubling the peroneal artery is trifurcation of the popliteal artery into the anterior and posterior tibial and peroneal arteries, doubling of the branches of the tibioperoneal trunk, as well as the formation of anastomoses between them were revealed. Among the most frequent atypical variants of the onset of the peroneal artery in the studied human fetuses was its branch from the tibioperoneal trunk. Conclusion. To obtain a clear idea of the spatial orientation of the peroneal artery in human fetuses, fetal surgeons should distinguish three segments in the peroneal artery trunk: segment I of the peroneal artery (it is proximal part) is the passage of the peroneal artery trunk in the ankle-popliteal canal; segment ІІ (middle part) corresponds to the topography of the peroneal artery in the inferior muscular-peroneal canal; the third segment of the peroneal artery (distal part) is a segment of its trunk from the point of exit from the inferior muscular-peroneal canal to the level of its division into terminal branches

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“…Arterial variations are less common in the lower limbs than the upper limbs [2, 8, 13, 31, 36]. In addition, the variations that occur in the arterial network of the lower limbs are typically associated with the femoral artery and its main branches [23, 28, 33], with fewer variations being observed for the anterior and posterior tibial arteries and fibular arteries [5, 12, 19, 26, 37].…”

Section: Introductionmentioning

confidence: 99%

Variations in terminal branches of the popliteal artery: cadaveric study

et al. 2019

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IntroductionIdentifying the branching pattern of the popliteal artery (PA) is a vital step in planning radiological and surgical procedures involving the anterior and posterior tibial and fibular arteries. The aim of this study was to characterize the course and morphology of the terminal branches of the PA.Materials and methodsThe anatomical variations in the branching patterns of the anterior and posterior tibial and fibular arteries were examined in 100 lower limbs fixed in a 10% formalin solution. A dissection of the popliteal region of the leg was carried out according to a pre-established protocol, using traditional techniques. Morphometric measurements were then obtained twice by two researchers.ResultsIn most cases (72%) the PA divides to form the anterior tibial artery (ATA) and a common junction for the posterior tibial and fibular arteries (type I), which further splits into the fibular artery and the posterior tibial artery (PTA). This type was subdivided into two subgroups according to whether the ATA (subgroup a) or the common junction of the posterior tibial and fibular arteries (subgroup b) had the larger diameter. Other identified variations included division of the PA into the ATA and PTA—8% (type II), trifurcation—12% (type III), the division of the PTA into the ATA and FA—8% (type IV), and aplasia of the PTA—8% (type IV).ConclusionAlthough the typical PA branching type was observed, it can be classified further into two additional sub-types based on the diameter of the ATA and the common junction of the posterior tibial and fibular arteries.

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Clinical features of a rare anatomical variation of the posterior tibial and fibular arteries

Cited by 4 publications

References 20 publications

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

Anatomical Variability of System of Popliteal Artery Branches in the Human Fetus of 4-6 Months

Variations in terminal branches of the popliteal artery: cadaveric study

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