Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle
# Background The tibialis posterior (TP) muscle plays an important role in normal foot function. Safe, efficacious therapeutic approaches addressing this muscle are necessary; however, the location of the muscle in the deep posterior compartment can create challenges. # Purpose The purpose of...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2021-12-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.29854 |
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| _version_ | 1825197023130812416 |
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| author | Stephanie R. Albin Larisa R. Hoffman Cameron W. MacDonald Micah Boriack Lauren Heyn Kaleb Schuler Annika Taylor Jennie Walker Shane L. Koppenhaver Mark F. Reinking |
| author_facet | Stephanie R. Albin Larisa R. Hoffman Cameron W. MacDonald Micah Boriack Lauren Heyn Kaleb Schuler Annika Taylor Jennie Walker Shane L. Koppenhaver Mark F. Reinking |
| author_sort | Stephanie R. Albin |
| collection | DOAJ |
| description | # Background
The tibialis posterior (TP) muscle plays an important role in normal foot function. Safe, efficacious therapeutic approaches addressing this muscle are necessary; however, the location of the muscle in the deep posterior compartment can create challenges.
# Purpose
The purpose of this study was to assess the accuracy of needle placement in the TP muscle and determine the needle placement in relation to the neurovascular structures located within the deep compartment.
# Design
Cross Sectional Study.
# Methods
Needle placement and ultrasound imaging were performed on 20 healthy individuals. A 50 mm or 60 mm needle was inserted between 30 - 50% of the tibial length measured from the medial tibiofemoral joint. The needle was inserted in a medial to lateral direction into the right extremity with the patient in right side lying. Placement of the needle into the TP muscle was verified with ultrasound imaging, and the shortest distance from the needle to the posterior tibial artery and tibial nerve was measured. The depth from the skin to the superficial border of the TP muscle was also measured.
# Results
Ultrasonography confirmed the needle filament was inserted into the TP muscle in all 20 individuals and did not penetrate the neurovascular bundle in any individual. The mean distance from the needle to the tibial nerve and posterior tibial artery was 10.0 + 4.7 mm and 10.2 + 4.7 mm respectively. The superficial border of the TP muscle from the skin was at a mean depth of 25.8 + 4.9 mm.
# Conclusion
This ultrasound imaging needle placement study supports placement of a solid filament needle into the TP muscle with avoidance of the neurovascular structures of the deep posterior compartment when placed from a medial to lateral direction at 30-50% of the tibial length.
# Level of Evidence
2b |
| format | Article |
| id | doaj-art-874cf423604d4addbf697525fcc213ed |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-874cf423604d4addbf697525fcc213ed2025-02-11T20:28:01ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-12-01166Ultrasonographic Validation for Needle Placement in the Tibialis Posterior MuscleStephanie R. AlbinLarisa R. HoffmanCameron W. MacDonaldMicah BoriackLauren HeynKaleb SchulerAnnika TaylorJennie WalkerShane L. KoppenhaverMark F. Reinking# Background The tibialis posterior (TP) muscle plays an important role in normal foot function. Safe, efficacious therapeutic approaches addressing this muscle are necessary; however, the location of the muscle in the deep posterior compartment can create challenges. # Purpose The purpose of this study was to assess the accuracy of needle placement in the TP muscle and determine the needle placement in relation to the neurovascular structures located within the deep compartment. # Design Cross Sectional Study. # Methods Needle placement and ultrasound imaging were performed on 20 healthy individuals. A 50 mm or 60 mm needle was inserted between 30 - 50% of the tibial length measured from the medial tibiofemoral joint. The needle was inserted in a medial to lateral direction into the right extremity with the patient in right side lying. Placement of the needle into the TP muscle was verified with ultrasound imaging, and the shortest distance from the needle to the posterior tibial artery and tibial nerve was measured. The depth from the skin to the superficial border of the TP muscle was also measured. # Results Ultrasonography confirmed the needle filament was inserted into the TP muscle in all 20 individuals and did not penetrate the neurovascular bundle in any individual. The mean distance from the needle to the tibial nerve and posterior tibial artery was 10.0 + 4.7 mm and 10.2 + 4.7 mm respectively. The superficial border of the TP muscle from the skin was at a mean depth of 25.8 + 4.9 mm. # Conclusion This ultrasound imaging needle placement study supports placement of a solid filament needle into the TP muscle with avoidance of the neurovascular structures of the deep posterior compartment when placed from a medial to lateral direction at 30-50% of the tibial length. # Level of Evidence 2bhttps://doi.org/10.26603/001c.29854 |
| spellingShingle | Stephanie R. Albin Larisa R. Hoffman Cameron W. MacDonald Micah Boriack Lauren Heyn Kaleb Schuler Annika Taylor Jennie Walker Shane L. Koppenhaver Mark F. Reinking Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle International Journal of Sports Physical Therapy |
| title | Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle |
| title_full | Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle |
| title_fullStr | Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle |
| title_full_unstemmed | Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle |
| title_short | Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle |
| title_sort | ultrasonographic validation for needle placement in the tibialis posterior muscle |
| url | https://doi.org/10.26603/001c.29854 |
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