ARTERIAL SUPPLY OF THE DORSUM OF THE FOOT Flashcards
how do the arterial supply to the dorsum of the foot lie?
plantar to the muscles and tendon
- continuation of the anterior tibial artery, courses dorsally over the medial midfoot (usually the navicular and intermediate cuneiform)
- its pulse can be palpated at this level, intermediate to the extensor hallucis longus and extensor digitorum longus muscle tendons
- it lies deep to the muscle bellies at the transverse crural ligament and passes
deep to the cruciate crural ligament
Dorsalis Pedis Artery
if the anterior tibial artery is absent, the dorsalis pedis artery arises from the?
perforating fibular artery
- branch of the dorsalis pedis artery which passes distolaterally, deep to the extensor digitorum brevis and extensor hallucis brevis muscle bellies and supplies them
- anastomoses with the arcuate artery, the lateral plantar artery and the perforating fibular artery / perforating peroneal artery -
supplies tarsal bones, extensor digitorum brevis and extensor hallucis brevis muscles, and deep soft tissue structures
- its pulse can be palpated near the proximomedial edge of the extensor digitorum brevis muscle belly
Lateral Tarsal Artery
- usually 2 or 3 small branches - anastomoses with the medial part of the malleolar arterial network and the medial plantar artery
- supplies medial tarsal bones and deep soft tissue structures
Medial Tarsal Artery
- a branch of the dorsalis pedis artery near the base of the 2nd metatarsal which
passes laterally across the bases of the metatarsal bones 2 through 5 - anastomoses with the lateral tarsal artery
- gives rise to 3 dorsal metatarsal arteries
Arcuate Artery
- arises between the 2nd and 3rd metatarsal bases and passes distally
within the 2nd intermetatarsal space (interspace), dorsally - rests on the belly of the 2nd dorsal interosseous muscle
2nd Dorsal Metatarsal Artery
- terminations of the 2nd dorsal metatarsal artery; four supplies the
lateral side of 2nd toe and five supplies the medial side of the 3rd toe
(Proper) Dorsal Digital Arteries 4 & 5
- a branch of the 2nd dorsal metatarsal artery that passes plantarly at the proximal intermetatarsal space
- provides anastomosis between the second dorsal metatarsal artery and the second plantar metatarsal artery
2nd Proximal Perforating Artery
- a branch of the second dorsal metatarsal artery which passes plantarly at the distal interspace
- provides anastomosis between the second dorsal metatarsal artery and the second plantar metatarsal artery
Second Distal Perforating Artery
- arises between the 3rd and 4th metatarsal bases and passes distally within
the intermetatarsal space, dorsally - rests on the belly of the 3rd dorsal interosseous muscle
Third Dorsal Metatarsal Artery
- terminations of the 3rd dorsal metatarsal artery; six supplies the lateral side of the 3rd toe and seven supplies the medial side of the 4th toe
(Proper) Dorsal Digital Arteries 6 & 7
- a branch of the third dorsal metatarsal artery that passes plantarly at the proximal intermetatarsal space
- provides anastomosis between the third dorsal metatarsal and third plantar metatarsal arteries
3rd proximal Perforating Artery
- arises between the 4th and 5th metatarsal bases and passes distally within
the intermetatarsal space, dorsally - rests on the belly of the 4th dorsal interosseous muscle
Fourth Dorsal Metatarsal Artery
- terminations of the 4th dorsal metatarsal artery; eight supplies the lateral side of the 4th toe and nine supplies the medial side of the 5th toe
(Proper) Dorsal Digital Arteries 8 & 9