scholarly journals Morphometric Study of Dorsalis Pedis Artery and Variation in its Branching Pattern: A Cadaveric Study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chandni Gupta ◽  
Rakesh Kumar ◽  
Vikram Palimar ◽  
Sneha Guruprasad Kalthur
Keyword(s):  
Average Length ◽  
Lateral Malleolus ◽  
Lower Limbs ◽  
Morphometric Study ◽  
Medial Malleolus ◽  
Branching Pattern ◽  
Peripheral Vascular ◽  
Medical College ◽  
Dorsalis Pedis Artery ◽  
Arcuate Artery

Introduction: Dorsalis pedis artery (DPA) is the chief artery that supplies the dorsum of the foot. Palpation of DPA at the dorsum of the foot is important in case of atherosclerotic disease. A sound knowledge of DPA like its branching pattern is essential for the ankle surgeries as well as its presence or absence in case of peripheral vascular disease. Material and methods: 30 Lower limbs of unknown age and sex were dissected in the department of Anatomy, Kasturba Medical College, Manipal. The skin and fascia were removed.The measurement of Dorsalis pedis artery till its termination, Length from medial malleolus, Length from lateral malleolus and branching pattern of Dorsalis pedis artery was studied. Results: In this study, the average length of dorsalis pedis artery was found 7.8cm, average length from medial malleolus was 3.9cm and average length from lateral malleolus was 4.5cm.The normal branching pattern of medial tarsal artery was noticed in 53% and lateral tarsal artery in 63% cases. The arcuate artery was absent in 3% of cases. Conclusion: The knowledge of the variation of DPA is helpful during various foot surgeries. Knowledge of the variation will be useful in deciding whether the absence of the pulse in DPA is due to thrombosis of the vessel or its abnormal course or absence. DPA does not always lie at mid -malleolar point.

scholarly journals Anatomical study of dorsalis pedis artery

2020 ◽  
Vol 10 (1) ◽  
pp. 24-26
Author(s):  
Ajeevan Gautam ◽  
Chandan Sintakala
Keyword(s):  
Anatomical Variation ◽  
Anatomical Study ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Cross Sectional ◽  
Medical College ◽  
Dorsalis Pedis Artery ◽  
Distal Branch ◽  
Arcuate Artery ◽  
Important Branch

Background: The dorsalis pedis artery is the dorsal artery of the foot. The knowledge of any variation in the course and distribution of the artery is clinically important and it is used to record peripheral pulsation. The aim of this study was to study origin, course, relation and branches of the artery. The length and diameter of surgically important branch were recorded. Methods: An observational cross-sectional study was conducted at dissection hall of anatomy department at Chitwan medical college. Thirty lower limbs from fifteen cadavers were dissected for the study. Photographs were taken at different site of dissection and on finding anomalies. Newborn specimens and Conical enlargements if present were excluded. Results: The diameter of the artery ranged from 3.0 to 4.6mm and its length ranged between 5.6cm to 8.4cm.The length of deep plantar artery was between 5.6cm to 8.4cm. Double lateral tarsal artery was found in (24)80% of the studied specimen and (6)20% were with single lateral tarsal artery. In 90% of the specimen medial tarsal artery originated as proximal and distal branch form medial aspect of dorsalis pedis. The arcuate artery emerged directly from dorsalis pedis artery in (100%) all studied specimen. The 2nd ,3rd and 4th metatarsal artery were placed on their corresponding intermetatarsal space. Conclusions: Awareness of anatomical variation of vasculature of foot is important for the vascular surgeons, angiographers and reconstruction surgeons. Dorsalis pedis artery is excellent for the revascularization since it is the largest artery below the ankle joint.

scholarly journals VARIATIONS IN DORSALIS PEDIS ARTERY

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Rashi Nigam ◽  
Saurabh Kulshretha ◽  
Raj Kumar Srivastava ◽  
BR Ramesh
Keyword(s):  
Vascular Surgery ◽  
Lower Limbs ◽  
Peroneal Artery ◽  
Diabetic Patients ◽  
Branching Pattern ◽  
Cadaveric Dissection ◽  
Dorsalis Pedis Artery ◽  
Dorsum Of Foot

Introduction: Dorsalis pedis artery is the chief artery of the dorsum of foot and is the artery of choice for grafting in vascular surgery of ischemic lower limbs in diabetic patients. Material & Methods: Dorsalis pedis artery was dissected and traced during routine cadaveric dissection in 41 foots. Observation & Results: We observed origin of dorsalis pedis artery from peroneal artery in 2.44% cases. Five branches from dorsalis pedis artery were observed in 2.44% and 6 branches in 2.44% cases. Conclusion: Study of variation in origin and branching pattern of dorsalis pedis artery is helpful in delimiting the graft

scholarly journals Variations in the origin, course and branching pattern of dorsalis pedis artery with clinical significance

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hemamalini ◽  
H. N. Manjunatha
Keyword(s):  
Clinical Significance ◽  
Lower Limbs ◽  
Peroneal Artery ◽  
Thromboangiitis Obliterans ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Dorsalis Pedis Artery ◽  
Peripheral Arterial Diseases ◽  
Peripheral Arterial

AbstractPulsations of the dorsalis pedis artery are commonly used to evaluate the peripheral arterial diseases like thromboangiitis obliterans (TAO) or Buerger’s disease, in lower limbs. Dorsalis pedis artery is a direct extension from the anterior tibial artery and major vascular supply for the dorsum of the foot. But arterial variations in lower limbs are common due to rich distal anastomoses around the ankle joint. Absence of dorsalis pedis arterial pulse does not indicate peripheral arterial disease always as it is sometimes replaced by the enlarged perforating branch of peroneal artery, it may be absent or very thin, deviate laterally on the dorsum of foot. Aim of the present study is to observe the variations in origin, course and branching pattern of dorsalis pedis artery because of its clinical significance. During routine dissection of lower limbs for undergraduates we came across rare variations in the dorsalis pedis artery in its origin, course and branching pattern. Normal anatomic description was found in 27 limbs. In 13 specimens we noted variations, includes bilateral anomalous origin of dorsalis pedis artery, bilateral lateral deviation of dorsalis pedis artery, double dorsalis pedis artery, trifurcation of dorsalis pedis artery and absence of arcuate artery. Knowledge about the arterial variations around the ankle is important to orthopaedic, vascular surgeons and radiologists to prevent complications during surgical interventions.

scholarly journals Branching pattern of tibial nerve in the tarsal tunnel - a cadaveric study

2017 ◽  
Vol 06 (02) ◽  
pp. 120-125
Author(s):  
Kalpana Ramadoss ◽  
Komala Nanjundaiah
Keyword(s):  
Tibial Nerve ◽  
Lower Limbs ◽  
Medial Malleolus ◽  
Tarsal Tunnel ◽  
Terminal Branch ◽  
Type I ◽  
Medical College ◽  
Lateral Plantar Nerve ◽  
Tarsal Bones ◽  
The Mean

Abstract Background and aims: Tibial nerve is the larger terminal branch of sciatic nerve, ends by dividing into medial and lateral plantar nerves beneath the flexor retinaculum [Tarsal tunnel]. The level of bifurcation of the tibial nerve is differently quoted in text books and articles. The aim of the present study is to localize the level of bifurcation of tibial nerve. Materials and methods: 50 lower limbs from 25 cadavers available in the Department of anatomy, M.S. Ramaiah medical college and Bangalore medical college were used for the study. A reference line of 1 cm width ‘Medio Malleolar Calcaneal axis’ [MMC axis] made with OHP sheet was placed from tip of the medial malleolus of tibia to the medial tubercle of calcaneus and used as grid to classify the level of bifurcation of tibial nerve into 3 types. Type I, II, III represented the bifurcation proximal to, deep to and distal to this axis respectively. Results: Tibial nerve bifurcation was found to be type I in 92%, type II in 6%, type III in 2% of specimens. Most of the cases [32.6%] bifurcated between 5.1 to 10 mm proximal to MMC axis. The median distance of medial plantar nerve from medial malleolus was 21.28mm on left side and 20.735mm on right side. The mean of lateral plantar nerve from medial tubercle of calcaneus was 29.61mm on left side, and 28.6mm on right side. Conclusion: Detailed anatomical knowledge of tibial nerve prevents the damage to tibial nerve during various surgical procedures like fixation of fractures with external nailing of tarsal bones, medial displacement osteotomies and in tarsal tunnel surgeries.

scholarly journals Morphometric Study of Height of Medial Malleolus of Fully Ossified Dry Human Left Tibia

2021 ◽  
Vol 3 (Number 1) ◽  
pp. 7-9
Author(s):  
Mahbuba Akter ◽  
Jubaida Gulshan Ara ◽  
Lutfun Nahar ◽  
Khandaker Nadia Afreen ◽  
Fahmida Zaman ◽  
...  
Keyword(s):  
Morphometric Study ◽  
Morphometric Parameter ◽  
Medial Malleolus ◽  
Imaging Diagnosis ◽  
Left Tibia ◽  
Medical College ◽  
Below The Knee ◽  
Orthopedic Surgeons ◽  
The Mean ◽  
One Year

Tibia is the larger and stronger of the two bones in the leg below the knee in vertebrates. The objective of this study was to determine the morphometry of the height of medial malleolus of fully ossified dry human left tibia and this morphometric parameter also clinically important in imaging diagnosis of fractures of the medial malleolus. This analytical type of study was done on two hundred (200) fully ossified dry human left tibia conducted in the Department of Anatomy at Sir Salimullah Medical College, Dhaka, Bangladesh from July 2014 to June 2015 for a period of one year. From the result of the present study it can be concluded that the mean (±SD) value of height of medial malleolus of tibia was greater in male than that of female which was statistically significant (p<0.01). The results of this study will be useful for Orthopedic surgeons while making implants for the lower end of tibia.

scholarly journals A morphological study on variation in branching pattern of dorsalis pedis artery and its clinical perspectives

2020 ◽  
Vol 7 (10) ◽  
pp. 1594
Author(s):  
B. Vengadesan
Keyword(s):  
Peroneal Artery ◽  
Lateral Side ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Text Book ◽  
Classical Text ◽  
Medical College ◽  
Tibial Artery ◽  
Dorsalis Pedis Artery ◽  
Anterior Tibial

Background: The study of dorsalis pedis artery and variations in its branching pattern has been reported sporadically. The purpose of this study was to evaluate the arterial. Supply on the dorsum of the foot. Methods: The study was carried out of forty dissected limbs of unknown sex and age from the department of Anatomy, Aarupadai veedu Medical College, Pondicherry.Results and Discussion: The incidence of classical text-book description was found to be very less in present study. In 5% of cases the dorsalis pedis artery was replaced by the peroneal artery. In 5% of cases the anterior tibial artery was found on lateral side of leg, dorsalis pedis artery is a continuation of the anterior tibial artery seen passing above lateral malleolus and then it passes forwards along the lateral side of the dorsum of the foot.Conclusion: The findings suggest that the lateral aspect of the dorsum of the foot has a poor nourishment. 

scholarly journals Variation in Branching Pattern of Dorsalis Pedis Artery- A Cadaveric Study

2020 ◽  
Vol 6 (2) ◽  
pp. 50-52
Author(s):  
T Sadeesh ◽  
G Prabavathy
Keyword(s):  
Type A ◽  
Common Type ◽  
Cadaveric Study ◽  
Lower Limbs ◽  
Branching Pattern ◽  
Dorsalis Pedis Artery ◽  
Branching Patterns ◽  
The Difference

Background: The present study was conducted to assess the variation of the branching pattern of the dorsalis pedis artery. Subjects and Methods: The present cadaveric study was conducted on 46 lower limbs of both genders. Dorsalis pedis artery was identified and tracked down, the origin, branching pattern and the course were noted. Results: Out of 46 limbs, 26 were of males and 20 were of males. Type A was seen in 24, B in 8, C in 3, D in 3, E in 2, F in 1, G in 1, H in 1, I in 1 and J in 2 cases. The difference was significant (P< 0.05). Conclusion: Authors found that the Dorsalis pedis artery has variations in branching patterns. The most common type identified was typed A.

scholarly journals Cadaveric Study of Angiosomes of Anterior Tibial and Dorsalis Pedis Artery

2018 ◽  
Vol 35 (01) ◽  
pp. 17-24
Author(s):  
V. Paranjape ◽  
J. Kulkarni ◽  
P.V. Swamy ◽  
S. Shevade
Keyword(s):  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Arterial Tree ◽  
Tibial Artery ◽  
Dorsalis Pedis Artery ◽  
Doppler Study ◽  
Anterior Tibial ◽  
Peripheral Pulse ◽  
Arcuate Artery

Introduction Angiosome formed by Anterior tibial artery and dorsalis pedis artery supply the ankle and the dorsum of foot. Both the vessels shows variation in termination and branching pattern. Materials and Methods 50 free formalin preserved limbs were dissected for the study. Results and Conclusion Anterior tibial artery showed variation in termination in 16%, most common of them was formation of loop with perforating branch of peroneal artery in 10%, bifurcation in to medial and lateral tarsal artery in 4% and trifutcation in 2%. Branching pattern of dorsalis pedis artey was variable in 18%, medial and lateral tarsal arteries were not branches of dorsalis pedis artery in 14% and 16% respectively. Arcuate artery was absent in 10%, when present it was branch of dorsalis pedis artery in 96%, perforating branch of peroneal artery in 2% and loop of medial and lateral tarsal artery in 2%. First dorsal metatarsal artery was not branch of dorsalis pedis artery in 4%. Lateral tarsal artery was constantly found in all the dissected limbs. Thorough knowledge of variation about branching pattern of arterial tree is clinically important for accuracy in interpretation of angiographs, Doppler study of lower limb vessels and optimum use of vascular pedicle for myocutaneous flaps. Importance of palpation of peripheral pulse in lateral tarsal artery is discussed in the study.

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