• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

跗骨管内胫后动脉的分支和形态。

The bifurcation and topography of the posterior tibial artery within the tarsal tunnel.

机构信息

Department of Microbiology, Anatomy, Physiology and Pharmacology, La Trobe University, Bundoora, VIC, 3086, Australia.

出版信息

Surg Radiol Anat. 2023 May;45(5):611-622. doi: 10.1007/s00276-023-03115-w. Epub 2023 Mar 13.

DOI:10.1007/s00276-023-03115-w
PMID:36912942
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10130123/
Abstract

PURPOSE

The tarsal tunnel (TT) is a fibro-osseous anatomical space coursing from the medial ankle to the medial midfoot. This tunnel acts as a passage for both tendinous and neurovascular structures, including the neurovascular bundle containing the posterior tibial artery (PTA), posterior tibial veins (PTVs) and tibial nerve (TN). Tarsal tunnel syndrome (TTS) is the entrapment neuropathy that describes the compression and irritation of the TN within this space. Iatrogenic injury to the PTA plays a significant role in both the onset and exacerbation of TTS symptoms. The current study aims to produce a method to allow clinicians and surgeons to easily and accurately predict the bifurcation of the PTA, to avoid iatrogenic injury during treatment of TTS.

METHODS

Fifteen embalmed cadaveric lower limbs were dissected at the medial ankle region to expose the TT. Various measurements regarding the location of the PTA within the TT were recorded and multiple linear regression analysis performed using RStudio.

RESULTS

Analysis provided a clear correlation (p < 0.05) between the length of the foot (MH), length of hind-foot (MC) and location of bifurcation of the PTA (MB). Using these measurements, this study developed an equation (MB = 0.3MH + 0.37MC - 28.24 mm) to predict the location of bifurcation of the PTA within a 23° arc inferior to the medial malleolus.

CONCLUSIONS

This study successfully developed a method whereby clinicians and surgeons can easily and accurately predict the bifurcation of the PTA, to avoid iatrogenic injury that would previously lead to an exacerbation of TTS symptoms.

摘要

目的

跗管（TT）是一个纤维骨性解剖空间，从内踝延伸到内中足。这个隧道是肌腱和神经血管结构的通道，包括包含后胫动脉（PTA）、后胫静脉（PTV）和胫神经（TN）的神经血管束。跗管综合征（TTS）是描述 TN 在这个空间内受压和受刺激的嵌压性神经病。医源性 PTA 损伤在 TTS 症状的发作和加重中起着重要作用。本研究旨在提供一种方法，使临床医生和外科医生能够轻松、准确地预测 PTA 的分叉，以避免在治疗 TTS 时发生医源性损伤。

方法

在 15 具防腐的下肢标本的内踝区域进行解剖，以暴露 TT。记录了 PTA 在 TT 内的位置的各种测量值，并使用 RStudio 进行了多元线性回归分析。

结果

分析提供了一个明确的相关性（p<0.05），即足部长度（MH）、后足长度（MC）和 PTA 分叉的位置（MB）之间的相关性。使用这些测量值，本研究开发了一个方程（MB=0.3MH+0.37MC-28.24 毫米），以预测 PTA 分叉的位置在距内踝下 23°的弧形内。

结论

本研究成功地开发了一种方法，使临床医生和外科医生能够轻松、准确地预测 PTA 的分叉，以避免医源性损伤，从而导致 TTS 症状加重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/c8511c99ba7e/276_2023_3115_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/877afb01c6d2/276_2023_3115_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/0e5f96b3b782/276_2023_3115_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/46dc5173885f/276_2023_3115_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/99af3c77c6e9/276_2023_3115_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/b9f0d66ba58a/276_2023_3115_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/2830c12d77fd/276_2023_3115_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/d456d0a5a6ca/276_2023_3115_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/ef6d40f4dded/276_2023_3115_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/4b5976788b9b/276_2023_3115_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/e6ba53a0316f/276_2023_3115_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/c8511c99ba7e/276_2023_3115_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/877afb01c6d2/276_2023_3115_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/0e5f96b3b782/276_2023_3115_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/46dc5173885f/276_2023_3115_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/99af3c77c6e9/276_2023_3115_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/b9f0d66ba58a/276_2023_3115_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/2830c12d77fd/276_2023_3115_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/d456d0a5a6ca/276_2023_3115_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/ef6d40f4dded/276_2023_3115_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/4b5976788b9b/276_2023_3115_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/e6ba53a0316f/276_2023_3115_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a2/10130123/c8511c99ba7e/276_2023_3115_Fig11_HTML.jpg

相似文献

1
The bifurcation and topography of the posterior tibial artery within the tarsal tunnel.跗骨管内胫后动脉的分支和形态。
Surg Radiol Anat. 2023 May;45(5):611-622. doi: 10.1007/s00276-023-03115-w. Epub 2023 Mar 13.
2
Fine dissection of the tarsal tunnel in 60 cases.60 例跗管精细解剖。
Sci Rep. 2017 Apr 11;7:46351. doi: 10.1038/srep46351.
3
Tarsal Tunnel Syndrome跗管综合征
4
Tortuosity and Pulsatility of the Tibial Artery - Two Case Reports of a Rare Etiology of Tarsal Tunnel Syndrome.胫动脉的迂曲和搏动性——跗管综合征罕见病因的两例报告。
5
Impact of Dynamic Change of Meandering of Parallel Artery to the Idiopathic Tarsal Tunnel Syndrome.并行动脉迂曲动态变化对特发性跗管综合征的影响。
Neurol Med Chir (Tokyo). 2023 Apr 15;63(4):165-171. doi: 10.2176/jns-nmc.2022-0112. Epub 2023 Mar 1.
6
Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note.特发性跗管综合征的神经血管减压术：技术说明
J Neurol Neurosurg Psychiatry. 2000 Jul;69(1):87-90. doi: 10.1136/jnnp.69.1.87.
7
Artery Transposition Using Indocyanine Green for Tarsal Tunnel Decompression.经吲哚菁绿引导的动脉移位术在跗管减压术中的应用。
World Neurosurg. 2020 Sep;141:142-148. doi: 10.1016/j.wneu.2020.06.042. Epub 2020 Jun 12.
8
Tarsal Tunnel Syndrome Caused by an Occult Schwannoma of the Posterior Tibial Nerve: Avoidance of Delay in Diagnosis.由胫后神经隐匿性神经鞘瘤引起的跗管综合征：避免诊断延误。
J Am Podiatr Med Assoc. 2021 Feb 1;111(1). doi: 10.7547/18-068.
9
Tarsal tunnel syndrome associated with a perforating branch from posterior tibial artery: a case report.与胫后动脉穿支相关的跗管综合征：一例报告
Foot Ankle Surg. 2015 Mar;21(1):e21-2. doi: 10.1016/j.fas.2014.09.003. Epub 2014 Sep 16.
10
Effect of foot and ankle position on tarsal tunnel compartment volume.足踝位置对跗管间隙容积的影响。
Foot Ankle Int. 2006 Jun;27(6):431-7. doi: 10.1177/107110070602700608.

引用本文的文献

1
Age-related traumatic anatomy and personalized medial incision design for calcaneal fractures in older adults using three-dimensional mapping.基于三维映射的老年人跟骨骨折的年龄相关性创伤解剖学及个性化内侧切口设计
J Orthop Surg Res. 2025 May 30;20(1):546. doi: 10.1186/s13018-025-05934-6.

本文引用的文献

1
The Course of Tarsal Tunnel Syndrome after Ultrasound-Guided Injections.超声引导注射后跗管综合征的病程
Orthop Rev (Pavia). 2022 May 31;14(4):35455. doi: 10.52965/001c.35455. eCollection 2022.
2
The injection site in the tarsal tunnel to minimize neurovascular injury for heel pain: an anatomical study.为了减轻足跟痛神经血管损伤，在跗管内注射：一项解剖学研究。
Surg Radiol Anat. 2020 Jun;42(6):681-684. doi: 10.1007/s00276-019-02411-8. Epub 2020 Jan 14.
3
Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome-Part II.
超声引导下跗骨管减压手术：一种治疗近端跗骨管综合征的新技术——第二部分
Surg Radiol Anat. 2019 Jan;41(1):43-51. doi: 10.1007/s00276-018-2127-9. Epub 2018 Oct 31.
4
Fine dissection of the tarsal tunnel in 60 cases.60 例跗管精细解剖。
Sci Rep. 2017 Apr 11;7:46351. doi: 10.1038/srep46351.
5
Tarsal tunnel syndrome-A narrative literature review.跗管综合征——文献综述
Foot (Edinb). 2015 Dec;25(4):244-50. doi: 10.1016/j.foot.2015.08.008. Epub 2015 Sep 12.
6
Topography of human ankle joint: focused on posterior tibial artery and tibial nerve.人体踝关节的局部解剖：聚焦于胫后动脉和胫神经。
Anat Cell Biol. 2015 Jun;48(2):130-7. doi: 10.5115/acb.2015.48.2.130. Epub 2015 Jun 26.
7
Iatrogenic nerve injuries: prevalence, diagnosis and treatment.医源性神经损伤：患病率、诊断和治疗。
Dtsch Arztebl Int. 2014 Apr 18;111(16):273-9. doi: 10.3238/arztebl.2014.0273.
8
Tarsal tunnel syndrome: A literature review.跗管综合征：文献综述。
Foot Ankle Surg. 2012 Sep;18(3):149-52. doi: 10.1016/j.fas.2011.10.007. Epub 2011 Dec 21.
9
Neuroanatomical basis for the tarsal tunnel syndrome.跗管综合征的神经解剖学基础。
Foot Ankle Int. 2012 Jun;33(6):513-8. doi: 10.3113/FAI.2012.0513.
10
The triple compression stress test for diagnosis of tarsal tunnel syndrome.用于诊断跗管综合征的三压迫应力试验。
Foot (Edinb). 2012 Sep;22(3):146-9. doi: 10.1016/j.foot.2012.02.002. Epub 2012 Mar 8.