In some cases the actual gangrene is determined by thrombosis of the popliteal or tibial arteries, which are already narrowed by obliterating endarteritis.
Partial division is more common than complete, and it is noteworthy that the fibres destined for the peroneal nerve are more often and more severely injured than those for the tibial (internal popliteal).
Pressure on the tibial and common peroneal nerves gives rise to severe pain, muscular cramp, and weakness of the leg.
The legs of such birds as yellow-legs may be stitched together at the tibial joint, then bent toward the sides, and the toes stitched to the skin.
With the thumb-nail, nip off the extreme tip of the tibial bone, and strip the flesh off the remainder of the bone by a downward pull; then give the whole a twist, and cut all the tendrils at once.
I divided the posterior tibial nerve, and she went back to work moving sound, and continued to work sound up to her death from one of the regularly fatal bowel lesions twist or rupture.
We may add that in the dog and the cat the posterior tibial remains independent of this latter, but that in the pig, ox, and horse the posterior tibial is united to the preceding to form with them the deep flexor muscle.
On account of their different insertions these two parts receive the names of the patellar sartorius and tibial sartorius respectively.
The external tuberosity is more prominent than the internal; in it is found a groove for the passage of the anterior tibial muscle.
We should remember, nevertheless, that certain authors consider as representing it the tendinous portion of the anterior tibial of the horse, or the corresponding portion now fleshy, of the same muscle in the pig and the ox.
Bradypus and Ornithorhynchus, the knee is divided into three parts, two condylo-tibial and one trochleo-patellar, by synovial folds which in Man are represented by the ligamentum mucosum.
The tibial surfaces, to which the eruption is often limited; not infrequently, however, other parts may be involved, more especially the arms and forearms.
The tendon of the posterior tibial muscle may be cut most advantageously about two inches above and behind the internal malleolus.
The operation is conducted upon the same principles as in the preceeding case, and the only particular caution to be observed is to avoid the posterior tibial artery and nerve, which might be endangered by carrying the knife too deeply.
The amputation below thetibial tuberosity being the most frequently required, will, with propriety, be described first.
The immediate cause of the deformity seems to be a contraction of the anterior tibial muscle and of the extensor of the great toe, assisted occasionally by that of the common extensor of the foot.
In arthritis deformans, however, the ilio-tibial band of the fascia lata is not relaxed as it is in fracture.
On applying the various tests, the great trochanter is found to be displaced upwards, there is some antero-posterior broadening of the trochanteric region, and the ilio-tibial band is relaxed.
As the tibial collateral ligament suffers most frequently, the most tender spot is usually over its attachment to the medial aspect of the head of the tibia--less frequently over the medial condyle of the femur.
In typical cases this results from poliomyelitis affecting the tibial muscles.
The tibial fracture is readily recognised by detecting an irregularity on running the fingers along the crest of the shin, and at this point abnormal mobility, tenderness, and crepitus can usually be elicited.
The epiphysial cartilage at the lower end of the fibula lies on the level of the talo-tibial articulation, while that of the tibia is about half an inch higher (Fig.
The popliteal artery lies on the back of the lateral condyle instead of in the hollow between the condyles, and the tibial (internal popliteal) nerve is displaced even farther outwards.
The condition of the fibula is usually to be inferred by noting the amount of displacement and the extent of mobility of the tibial fragments.
The treatment consists in reinforcing the paralysed tibial muscles by attaching the peronei, or a strip of the tendo Achillis, to the scaphoid, or in bringing about an ankylosis of the joints above and in front of the talus.
If, on the other hand, by some alteration of the boot, the foot is maintained in the attitude of inversion, the weakened or paralysed tibial muscles are placed in a much more favourable condition for recovery.
In the foot is the plantar arch, formed by branches of the posterior and anterior tibial arteries, which send out branches to each toe.
The vessels starting at the foot are the anterior and posteriortibial veins, which unite just below the knee to form the popliteal vein, in the popliteal space.
One is in the leg, the deep femoral artery, and the anastomotica magna coming off of the femoral artery and anastomosing with the recurrent anterior and posterior tibial arteries.
The anterior tibial artery, as it passes through the instep is known as the large dorsal artery and further on is known as the small dorsal artery.
Gray)] Coming off the femoral are the deep femoral and the anastomotica magna arteries, which anastomose and form collateral circulation to the foreleg by means of the recurrent anterior and posterior tibial arteries.
If the body is already dressed and the hands or feet need to be re-injected, the radial or posterior tibial likely will be most convenient as their use will not necessitate the removal or cutting of the clothing.
Starting also at the foot and running into the posterior tibial vein is the peroneal vein.
Owing to the intimate association between the proximal parts of the tibial and peroneal nerves, the true relationship may be difficult to determine.
The short, slender, ossified tendon becomes flexible and passes through the canal in the tibial cartilage that lies medial to the canal for M.
A branch of the middle tibial division of the sciatic nerve passes deep to both heads of M.
The posterior division of the tibial nerve passes between the medial heads of Mm.
IV, flexor hallucis brevis, and adductor digiti II (which are typically supplied by the paraperoneal branch of the tibial nerve).
The paraperoneal branch of the tibial nerve gives one or two twigs to the proximal part of the muscle.
Semidiagrammatic drawing of the distal part of the paraperoneal branch of the tibial nerve of Pedioecetes phasianellus jamesi 2L, showing the distribution of the branches.
Those findings should be viewed with suspicion until verified, because the proximal parts of the tibial and peroneal nerves are intimately associated and their relationship is easily misinterpreted.
Fisher's postfibular branch of the peroneal nerve, which supplies the latter three muscles, apparently represents the paraperoneal branch of the tibial nerve.
Wilcox did not distinguish tibial and peroneal components in the thigh.
A branch of the middletibial division of the sciatic nerve enters the substance of M.
The large middle tibial division soon subdivides into two branches that pass posterodistally lateral to M.
The palpi are bright orange yellow, with the tibial hook black and a black spot on the inner side of each joint.
Tibial joint of male Amaurobius ferox for comparison with that of Amaurobius sylvestris (fig.
The upper tibial process is a simple point extending along the outer side of the tarsus for a quarter of its length.
The patient was kept at rest in the supine position for three weeks, during which time the tibial pulses gradually returned.
The right anterior tibial and musculo-cutaneous groups of muscles reacted to the strongest faradic current, not to any galvanic current below 20-25 m.
In the anterior tibial and peroneal groups the faradic irritability is much diminished, that in the peroneus longus being the lowest of all.
Three weeks later there was still some swelling of the calf, the posterior tibial pulse was imperceptible, the anterior very small.
Secondary hæmorrhage from the anterior tibial artery necessitated exploration of the wound and ligature of the vessel (Mr. Carré).
In one instance of ligature of the anteriortibial artery for such hæmorrhage three-quarters of the whole lumen of the vessel had been devitalised.
Six weeks later sensation was still diminished in the anterior tibial and musculo-cutaneous nerve areas, and marked foot-drop, little improved, persisted.
In one case in my experience the posterior tibial was cut down upon, when the varix was probably peroneal in situation.
Another point of interest was the maintenance of pulsation in the tibial vessels, in spite of complete solution of continuity in the parent trunk.
One week later no pulse was palpable in either anterior or posterior tibial arteries at the ankle, and pulsation which was strong in the common femoral artery was very weak in the superficial femoral.
There was anæsthesia in the area of distribution of the posteriortibial nerve.
In the Urodela (Goette) the ulnar and fibular sides are primitively dorsal, and the radial and tibial ventral: in Mammalia however Koelliker states that the radial and tibial edges are from the first anterior.
These discs surround the tibial spine and are otherwise shaped to fit perfectly between the articular portions of the femur and tibia.
The legs may be enlarged from the extremity to the body, but ordinarily the affection does not extend higher than the hock or the mid-tibial region.
Prediction of the outcome in tibial fracture is somewhat presumptuous, but in the majority of cases in mature subjects fatality results.
The chief articulating parts are the tibia with the tibial tarsal bone (astragulus).
Fracture of the tibial tarsal bone (astragalus) is to be observed as a complication in luxations of the tarsal joint and, according to Cadiot, the other tarsal bones may likewise suffer fracture in luxations of the hock.
The theca through which the deep digital flexor (perforans) plays in the tarsal region, begins about three inches above the inner tibial malleolus and extends about one-fourth of the way down the metatarsus.
In the meanwhile, cases are to be handled as though tibialfracture certainly existed.
The femoro-tibial capsule and most of the lateral patellar ligament are removed.
Care is taken to keep the cautery-point away from the articular margin of the tibial tarsal bone about three-fourths of an inch.
Tibial and Peroneal Arteries descend behind ankle-bones; the former supplies branches, which spread out on sole of foot.
Tibial Artery descends along middle of front of leg and instep.
The astragalus is almost of normal shape; the trochlea is slightly prolonged anteriorly, especially on the inner side, from contact with the tibial articular surface.
The foot was hanging by the portion of skin corresponding to the posterior quarter of the circumference of the leg, together with the posterior tibial vessels and nerves.
A high division of the branches which afterwards become posteriortibial and peroneal.
This vessel is related on its tibial side to the tibialis anticus, and on its fibular, to the extensor longus digitorum above, and the extensor pollicis below.
The anterior tibial nerve lies first on its outer side, then crosses the artery, and eventually reaches its inner side near the foot.
The bones were then grasped with the lion-forceps and pulled forwards, while the posterior surface of the astragalus was very cautiously cleaned, so as to avoid the posterior tibial artery.
The tourniquet ought to be applied immediately above the ankle, having compresses placed over the posterior and anterior tibial arteries.
If this is done, the flap becomes unsymmetrical, too long, and also the posterior tibial artery, on which much of the vascular supply of the flap depends, is cut.
The most satisfactory operative results in this class of ulcers have been obtained by stretching the posterior tibial nerve, together with scraping the ulcer, or, better, by excising it, followed by immediate suture of the wound.
The anterior tibial pulse should also be felt for and its absence or intensity noted.
A very weak or absent anterior tibial pulse (the knack of feeling the pulse here must be acquired), or peculiar nodules about the nail grooves, are evidences of an encumbered arterial supply.
On the other side of the thigh a groove runs down which corresponds to the ilio-tibial hand, a thickening of the fascia lata or deep fascia; the lower end of this leads to the head of the fibula.
That the knee is not fully extended is shown by the exaggerated outline of the tibial head.
The tibial side of the foot lay next to the photographic plate.
The small shadows on thetibial side are not a part of the wound, but are due to opaque material caught in the dressing.
The plate exposed with the tibial side down shows the wound in the course of treatment, with a drainage tube in position after the detached fragments of several inches of the fibula have been removed on account of infection.
The tibiale lies on the tibial or pre-axial side, and the fibulare which is the larger of the two bones on the fibular or postaxial side.
Galvanization (twenty cells Daniell), from the anterior tibial region to the spine was found invariably to cut short the pain.
Near the distal end of the crus the muscle terminates in a strong tendon which passes deeply through the tibial cartilage and traverses the anteromedial canal of the hypotarsus (Fig.
Below the middle of the crus this muscle terminates in a strong tendon which perforates the tibial cartilage near its lateral edge.
The tendon perforates the posterior surface of the tibial cartilage and passes through the posteromedial canal of the hypotarsus (Fig.
Approximately half way down the crus, the three heads give rise to the tendon of insertion, the tendo achillis, which passes over and is tightly bound to the posterior surface of the tibial cartilage.
The posterior branch inserts on the proximal end of the lateral edge of the tibial cartilage.
The belly extends approximately one-fourth of the way down the crus and gives rise to the tendon of insertion which passes distally and superficially through the posterior edge of the tibial cartilage.
Near the distal end of the shank the muscle gives rise to a strong tendon which perforates the tibial cartilage along its lateral edge and passes through the anterolateral canal of the hypotarsus (Fig.
Near the distal end of the crus the muscle gives rise to the strong tendon of insertion which perforates the tibial cartilage near its lateral edge and in this region is ensheathed by the tendon of the m.
The belly extends approximately one-sixth of the way down the crus and gives rise to a long, slender tendon that inserts on the proximomedial edge of the tibial cartilage.
The tendon of insertion passes distally, perforates the tibial cartilage near its lateral edge, traverses the middle medial canal of the hypotarsus (Fig.
The origin of the posterior part is fleshy from the anterior half of the tibial head.
Post-tibial spines in pairs and not in a very close set row; head with ctenidia.
Abdominal segments with one or more ctenidia; post-tibial spines in numerous, short, close-set transverse rows on posterior border with about four spines in each row.
Post-tibial spines mostly single and in a close set row.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "tibial" in a variety of sentences. We hope that you will now be able to make sentences using this word.
