FREE BOOKS

Author's List




PREV.   NEXT  
|<   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   264   265   266   267   268   269  
270   271   272   273   274   275   276   277   278   >>  
ries in their upper two thirds; but as these muscles taper towards the mesial line where they end in the tendo Achillis, V V, Plate 65, they leave the posterior tibial artery, O, with its accompanying nerve and vein, uncovered in the lower part of the leg, except by the skin and the superficial and deep layers of fasciae. The peronaeal artery is deeply situated in its whole course. Soon after its origin, it passes under cover of the flexor longus pollicis, R, a muscle of large size arising from the lower three fourths of the fibula, N, and will be found overlapped by this muscle on the outer border of the tendo Achillis, as low down as the outer ankle. The two arteries are accompanied by venae comites, which, with the short saphena vein, form the popliteal vein. The posterior tibial artery is closely followed by the posterior tibial nerve. In the popliteal space, this nerve crosses to the inner side of the posterior tibial artery, where both are about to pass under the gastrocnemius muscle, to which they give large branches. Near the middle of the leg, the nerve recrosses the artery to its outer side and in this relative position both descend to a point about midway between the inner ankle and calcaneum, where they appear having the tendons of the tibialis posticus and flexor longus digitorum to their inner side and the tendon of the flexor longus pollicis on their outer side. Numerous branches are given off from the nerve and artery to the neighbouring parts in their course. The varieties of the posterior crural arteries are these--the tibial vessel, in some instances, is larger than usual, while the peronaeal is small, or absent; and, in others, the peronaeal supplies the place of the posterior tibial, when the latter is diminished in size. The peronaeal has been known to take the position of the posterior tibial in the lower part of the leg, and to supply the plantar arteries. In whatever condition the two vessels may be found, there will always be seen ramifying around the ankle-joint, articular branches, which anastomose freely with each other and with those of the anterior tibial. The popliteal artery is unfavourably circumstanced for the application of a ligature. It is very deeply situated, and the vein adheres closely to its posterior surface. Numerous branches (articular and muscular) arise from it at short intervals; and these, besides being a source of disturbance to a ligature, are liable to be injured
PREV.   NEXT  
|<   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   264   265   266   267   268   269  
270   271   272   273   274   275   276   277   278   >>  



Top keywords:

posterior

 

tibial

 

artery

 

peronaeal

 
branches
 

muscle

 

arteries

 

longus

 
flexor
 

popliteal


pollicis
 
Achillis
 

articular

 

Numerous

 

position

 

closely

 

situated

 

deeply

 

ligature

 

injured


liable
 

supplies

 

absent

 

disturbance

 

source

 

diminished

 
vessel
 
crural
 

varieties

 
instances

larger

 

neighbouring

 
plantar
 

freely

 

anastomose

 
muscular
 
surface
 

anterior

 

circumstanced

 

adheres


unfavourably

 

condition

 

vessels

 
application
 

supply

 
intervals
 

ramifying

 

relative

 

fourths

 
arising