ARTERIAL SUPPLY OF THE DORSUM OF THE FOOT Flashcards

1
Q

how do the arterial supply to the dorsum of the foot lie?

A

plantar to the muscles and tendon

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2
Q
  • 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
A

Dorsalis Pedis Artery

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3
Q

if the anterior tibial artery is absent, the dorsalis pedis artery arises from the?

A

perforating fibular artery

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4
Q
  • 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
A

Lateral Tarsal Artery

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5
Q
  • 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
A

Medial Tarsal Artery

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6
Q
  • 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
A

Arcuate Artery

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7
Q
  • 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
A

2nd Dorsal Metatarsal Artery

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8
Q
  • 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
A

(Proper) Dorsal Digital Arteries 4 & 5

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9
Q
  • 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
A

2nd Proximal Perforating Artery

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10
Q
  • 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
A

Second Distal Perforating Artery

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11
Q
  • 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
A

Third Dorsal Metatarsal Artery

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12
Q
  • 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
A

(Proper) Dorsal Digital Arteries 6 & 7

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13
Q
  • 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
A

3rd proximal Perforating Artery

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14
Q
  • 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
A

Fourth Dorsal Metatarsal Artery

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15
Q
  • 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
A

(Proper) Dorsal Digital Arteries 8 & 9

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16
Q
  • a branch of the 4th dorsal metatarsal artery that passes plantarly at the 4th proximal intermetatarsal space
  • provides anastomosis between the 4th dorsal metatarsal artery and the
    4th plantar metatarsal artery
A

Fourth Proximal Perforating Artery

17
Q
  • a branch of the 4th dorsal metatarsal artery that passes plantarly at the distal intermetatarsal space
  • provides anastomosis between the 4th dorsal metatarsal artery and the
    4th plantar metatarsal artery
A

Fourth Distal Perforating Artery

18
Q
  • branch of the 4th dorsal metatarsal artery, courses dorsally over the 5th metatarsal and supplies the dorsolateral side of the 5th toe
  • may be a branch of the arcuate artery
A

(Proper) Dorsal Digital Artery 10

19
Q
  • terminal branch of the dorsalis pedis artery
  • passes distally within the 1st interspace, dorsally
  • rests on the dorsal surface of the 1st dorsal interosseous muscle
A

First Dorsal Metatarsal Artery

20
Q
  • terminations of the 1st dorsal metatarsal artery

- two supplies the lateral side of the hallux and three supplies the medial side of the 2nd toe

A

(Proper) Dorsal Digital Arteries 2 & 3

21
Q
  • branch of first dorsal metatarsal artery, courses dorsally over the first metatarsal and supplies the medial side of the hallux
A

(Proper) Dorsal Digital Artery 1

22
Q
  • branch of the 1st dorsal metatarsal artery that arises at the distal end of the 1st interspace and passes plantarly
  • provides anastomosis between the 1st dorsal and plantar metatarsal arteries
A

First Distal Perforating Artery

23
Q
  • passes into the lateral aspect of the metatarsal shaft near the center
  • occasionally it enters near the distal metaphysis
A

Nutrient Artery to the First Metatarsal

24
Q
  • terminal branch of the dorsalis pedis artery

- arises at the proximal end of the 1st interspace and passes plantarly to anastomose with the plantar arterial arch

A

Deep Plantar Artery / 1st Proximal Perforating Artery