Tarsal tunnel

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Tarsal tunnel
Medial view of the ankle. The structures within the tarsal tunnel are depicted.
Dissection video (1 min 55 s)
Details
Identifiers
Latincanalis tarsi
Anatomical terminology

The tarsal tunnel is a passage found along the inner leg underneath the medial malleolus of the ankle.

Structure

The roof of the tarsal tunnel is formed by the

medial malleolus and the calcaneus.[1]

Contents

The tibial nerve, posterior tibial artery, posterior tibial vein, and flexor tendons travel in a bundle along this pathway through the tarsal tunnel, in the following order from anteromedial to posterolateral:

In the tunnel, the tibial nerve splits into three different paths.[3] The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the foot.[3]

Clinical significance

Tarsal tunnel syndrome

Tinel sign
at the tunnel. There is no tenderness present on the plantar foot, though this is typically the primary site of complaint.

Additional images

  • The mucous sheaths of the tendons around the ankle. Medial aspect. The flexor retinaculum is labelled as laciniate lig.
    The mucous sheaths of the tendons around the ankle. Medial aspect. The flexor retinaculum is labelled as laciniate lig.
  • Dissection image. Around the medial malleolus seeing from below.
    Dissection image. Around the medial malleolus seeing from below.
  • Dissection video (41 s)

See also

References

External links