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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.

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

1 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 (February 2010) DOI: /j.apmr Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

2 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  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

3 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  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

4 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  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

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