Johnson Melinda, Lavanga Elizabeth A, Aziz Faisal
Anatomy, Penn State College of Medicine, Hershey, USA.
Vascular Surgery, Penn State College of Medicine, Hershey, USA.
Cureus. 2023 Aug 13;15(8):e43414. doi: 10.7759/cureus.43414. eCollection 2023 Aug.
In normal anatomy, the anterior tibial artery is typically the first branch of the popliteal artery before it becomes the tibioperoneal trunk. The normal course of the anterior tibial artery includes piercing through the interosseus membrane and continuing through the anterior compartment. It then continues onto the dorsum of the foot as the dorsalis pedis artery at the level of the malleoli. We describe a unique case of an anomalous origin of the dorsalis pedis artery from the peroneal artery. It is important for vascular surgeons to be aware of this variant while interpreting arteriograms of the lower extremity. It can be easily misinterpreted as an occluded distal anterior tibial artery with reconstitution of the dorsalis pedis artery from the collaterals.
在正常解剖结构中,胫前动脉通常是腘动脉在形成胫腓干之前的第一分支。胫前动脉的正常走行包括穿经骨间膜并继续走行于小腿前侧间室。然后在踝关节水平延续为足背动脉至足背。我们描述了一例足背动脉起源于腓动脉的独特病例。血管外科医生在解读下肢动脉造影片时,了解这种变异情况很重要。它很容易被误诊为胫前动脉远端闭塞,而足背动脉由侧支血管重建供血。