Nerve:  Tibial


Compartment:  Posterior of the leg


Skeletal muscles:  Gastrocnemeus and soleus are superficial, while the popliteus, plantaris, tibialis posterior, and flexors hallicus and digitorium longus are deep


Cutaneous distribution:  The skin along the posterior calf and the sole of the foot


Neuromuscular deficit:  The foot is positioned into severe dorsiflexion. Patients are unable to stand on their toes, because plantar flexion is impaired at the ankle joint. Walking is with a characteristic “peg-leg” gait.  However, since ambulation with a dorsiflexed foot is highly inefficient, patients compensate by rotating the lower limb laterally to limit dorsiflexion during the gait cycle. Weakness/paralysis is accompanied by cutaneous deficit along the posterior leg and the plantar surface of the foot.

 

Tibial

Created by the Neurobiology and Anatomy Department:
F. Reilly, Ph.D., B. Palmer, P. Klinkhachorn, Ph.D., H. Ressetar, Ph.D.http://anatomy.hsc.wvu.edu/