Atlas of Human Anatomy by Netter

(Darren Dugan) #1
Supplies muscles of anterior compartment of the leg
Descends on interosseous membrane and becomes dorsalis pedis artery
Posterior tibial artery
Larger of two terminal branches of popliteal
Supplies muscles of posterior compartment
Gives off fibular artery
Descends deep to soleus
Provides main blood supply to foot, after passing inferior to medial malleolus
Palpable behind the medial malleolus
Gives off nutrient artery to the tibia
Circumflex fibular artery
Arises from origin of anterior or posterior tibial
Passes over neck of fibula to anastomosis around knee
Fibular artery
Largest branch of posterior tibial
Supplies muscles of lateral compartment of the leg
Begins below tendinous arch of soleus
Gives off nutrient artery to the fibula
Pierces interosseous membrane to reach dorsum of foot
Dorsalis pedis
Continuation of the anterior tibial artery
Palpable between the first and second metatarsal heads
Divides into plantar and arcuate arteries
Supplies muscles on dorsum of foot
Pierces first dorsal interosseous muscle as deep plantar artery of foot (plantar arterial arch)
Medial plantar artery
Smaller of two terminal branches of posterior tibial artery
Supplies muscles of great toe, skin on medial side of sole
Gives off plantar digital arteries
Lateral plantar artery
Larger than medial
Accompanies lateral plantar nerve
Arches medially across foot, beginning at base of fifth metatarsal as deep plantar arch
Gives off four plantar metatarsal arteries
Joins branches of medial plantar to form plantar digital arteries to toes

Vascular Supply: Veins
page 271
page 272


Lower limb has superficial and deep venous systems with perforating veins communicating between them
Veins have valves
Veins of foot
Superficial
Metatarsal veins merge to form dorsal venous arch
Communicates with plantar arch
Both drain medially to great saphenous vein and laterally to small saphenous vein
Deep
Begin as dorsal digital and plantar digital veins
Merge to deep veins accompanying arteries in leg and thigh
Superficial veins of leg and thigh
Great saphenous vein
Courses along medial side of dorsum of the foot
Passes in front of medial malleolus (location for venous cut down for emergency IV access here)
Anastomoses freely with small saphenous vein
Ascends medial side of leg, then posterior to the knee
Ascends along medial thigh to saphenous hiatus in fascia lata
Traverses hiatus to empty into femoral vein
Has many valves
Small saphenous vein
Runs behind the lateral malleolus
Ascends along lateral border of calcaneal tendon
Pierces the deep fascia
Ascends between heads of gastrocnemius
Empties into popliteal vein
Accompanied by the sural nerve
Deep veins of leg and thigh
Accompany all major arteries (venae comitantes)
Are usually paired
Are variable and anastomose freely
Unite to form the popliteal vein and ascend as femoral vein
Perforating veins
Penetrate deep fascia
Connect superficial and deep veins
Have valves

Lymphatics

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