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Abstract

Open Access Research in Anatomy

The Tibal Nerve (Posterior Tibal Nerve): Anatomical Course and Relation at the Ankle

  • Open or Close Bilal Farhan and Gamal Ghoniem*

    Department of Urology, University of California, USA

    *Corresponding author: Dr. Gamal Ghoniem, MD, FACS, Professor& Vice Chair of Urology, Chief Division of Female Urology, Pelvic Reconstruction Surgery & Voiding Dysfunction, University of California, Irvine, 333 City Blvd. West, Ste. 2100, Orange, CA 92868

Submission: December 06, 2017; Published: February 23, 2018

DOI: 10.31031/OARA.2018.01.000516

ISSN: 2577-1922
Volume1 Issue4

Abstract

The Tibial nerve (TN), also known as posterior tibial nerve, the largest of the two major divisions of the sciatic nerve, is a continuation of the medial trunk of the sciatic nerve, which derives fibers from the ventral divisions of the L5, S1, and S3 roots, these nerves roots share same nerves roots to the detrusor, urinary sphincter, and pelvic floor muscles. Anatomical studies of the TN in the distal third of the leg and at the level ankle began to take more importance with the establishment and definition of course of the TN due to the wide clinical and research purposes of the TN and development of minimally invasive treatment of bladder dysfunction such as Percutaneous Tibial nerve stimulation (PTNS), nerve block and etc. [1,2]. We determined, through dissection of fresh cadaver, the neuroanatomy of the TN and its relation to the other structures at the ankle in relation to the tarsal tunnel.

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