Needle Insertion Into the Tibialis Posterior: Ultrasonographic Evaluation of an Anterior Approach Dong-Wook Rha, MD, PhD, Sang Hee Im, MD, Sang Chul.

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Needle Insertion Into the Tibialis Posterior: Ultrasonographic Evaluation of an Anterior Approach Dong-Wook Rha, MD, PhD, Sang Hee Im, MD, Sang Chul Lee, MD, PhD, Seong-Kyun Kim, MD Archives of Physical Medicine and Rehabilitation Volume 91, Issue 2, Pages 283-287 (February 2010) DOI: 10.1016/j.apmr.2009.09.024 Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Parameters measured with ultrasonography. (A) Upper third of the tibia. (B) Midpoint of the tibia. The safety window is marked by white arrows, and the depth to the tibialis posterior is marked by white lines. Abbreviations: T, tibia; TA, tibialis anterior; TP, tibialis posterior. Archives of Physical Medicine and Rehabilitation 2010 91, 283-287DOI: (10.1016/j.apmr.2009.09.024) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Confirmation of the location of the neurovascular bundle using the color Doppler mode of ultrasonography. Abbreviations: T, tibia; TA, tibialis anterior; TP, tibialis posterior. Archives of Physical Medicine and Rehabilitation 2010 91, 283-287DOI: (10.1016/j.apmr.2009.09.024) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Additional vascular bundles were observed at the level of the interosseous membrane adjacent to the lateral margin of the tibia. The flow of the vascular bundle was confirmed by the color Doppler mode of ultrasonography. Abbreviations: T, tibia; TA, tibialis anterior; TP, tibialis posterior. Archives of Physical Medicine and Rehabilitation 2010 91, 283-287DOI: (10.1016/j.apmr.2009.09.024) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions