Hypoplastic Anterior Tibial Artery Associated with Continuation of Fibular (Peroneal) Artery as Dorsalis Pedis Artery: A Case Report

Shetty, Surekha D; Nayak, Satheesha B.; Kumar, Naveen; Abhinitha, P

doi:10.4067/s0717-95022013000100022

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…El-Saeed et al (2008) recorded a variation in the origin of the DPA where the peroneal artery gave rise to the DPA. This variation has been recorded by many authors (Vijayalakshmi et al;Kulkarni & Ramesh;Rajeshwari et al;Shetty et al, 2013;Kumari & Bharti;Cheung et al, 2017).…”

Section: Introductionsupporting

confidence: 66%

Anatomy of the Dorsalis Pedis Artery

et al. 2018

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The dorsalis pedis artery (DPA) is the largest blood vessel distal to the ankle joint. It is the continuation of the anterior tibial artery (ATA) and runs along the dorsum of the foot until the 1 st intermetatarsal space. The DPA gives rise to five branches, viz. medial tarsal, lateral tarsal, arcuate, deep plantar and dorsal metatarsal arteries. Given the vast blood supply provided by the DPA, in the current era of microvascular surgery, the anatomy of the DPA is of increasing interest to anatomists, surgeons and angiographers. The aim of this study was to outline the course, origin, branching patterns and possible variations of the DPA. The present study included the dissection of forty (n=40) cadaveric specimens of the lower limb region (Left: 25; Right: 15). The origin, course and branching patterns of the artery were studied. These morphological parameters were further analysed with regard to laterality to determine if a correlation existed. The Pearson Chi-square test was employed and a p value of less than 0.05 was deemed statistically significant. Although the DPA was present in 97.5 % of cases, it followed the standard anatomical description in only 42.5 % of cases. The DPA originated from the peroneal artery in 5 % of cases. In 25 % of cases, DPA deviated laterally. Variation in the branching pattern of the DPA, which was recorded in 50 % of cases, was further classified according Types 1 to 6. The findings of this study correlated closely with most previous studies. However, the incidence of lateral deviation of the DPA was higher in this study as well as the incidence of Type 1 variation in branching pattern. Additionally, this study proposes a novel variation in branching pattern which has been termed Type 6, which displays a recurrent branch of the Type 5 variation. The DPA has an important role in a clinical setting since the DPA flap is employed in reconstructive surgeries and peripheral circulation may be assessed by the palpation of the DPA pulse. Therefore, a thorough understanding of the anatomy of the DPA is of prime importance to podiatrists, surgeons, anatomists and angiographers.

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Section: Introductionsupporting

confidence: 66%

Anatomy of the Dorsalis Pedis Artery

et al. 2018

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“…The condition of hypoplastic anterior tibial artery or variation, associated with continuation of fibular (peroneal) artery as dorsalis pedis artery, was also reported by Shetty et al [ 10 ].…”

Section: Discussionmentioning

confidence: 62%

The Changed Route of Anterior Tibial Artery due to Healed Fracture

Gökkuş

Sağtaş

Comert

et al. 2016

Case Reports in Vascular Medicine

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“…Huber had observed six such cases (3%), Vijayalakshmi et al, had such four cases (8%) and Lappas et al, had three such cases (1.5%) in their dissection studies. Proportions of 7.1% (Adachi 1928), 24 5% (Keen 1961), 25 6% (Lippert 1985) 26 have also been reported in literature. Shetty et al, and Vaishnavi et al, also have reported one case each.…”

Section: Embryological Correlationmentioning

confidence: 59%

Variations in the origin of dorsalis pedis artery

George¹,

Alex²,

George³

2021

IJCAP

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Background: The dorsalis pedis artery poses a wide range of anatomical variations. Their embryological dimensions along with clinical importance cater the interest of anatomists on the artery. The available literature lacks in giving a proper insight into their development. Aims: The present study aimed at studying the variations in the origin of dorsalis pedis artery by cadaveric dissection and to provide an embryological basis for them. Materials and Methods: Dissection was conducted on fifty free lower limbs of formalin fixed cadavers. Variations in the origin of the artery were noted. The variations were embryologically correlated and their clinical relevance were reviewed. Results: Of the 50 limbs dissected, normal origin of dorsalis pedis artery was found in 46 limbs (ie:92%). In three cases (6%) the artery originated from one among the other leg arteries. In one specimen the dorsalis pedis artery (DPA)was absent. The variations were correlated with the embryological development of axis and femoral artery branches. The variations were also classified under the standardized popliteal artery variants. Conclusions: The arterial variations are embryological imprints. Knowing them provides great help for vascular surgeries, flap procedures, managing ischemic or diabetic foot, club foot correction etc. Imaging the vessels before surgery is always advocated.

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Hypoplastic Anterior Tibial Artery Associated with Continuation of Fibular (Peroneal) Artery as Dorsalis Pedis Artery: A Case Report

Cited by 8 publications

References 10 publications

Anatomy of the Dorsalis Pedis Artery

Anatomy of the Dorsalis Pedis Artery

The Changed Route of Anterior Tibial Artery due to Healed Fracture

Variations in the origin of dorsalis pedis artery

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