00:01
Now let's look at the
blood supply to the foot.
00:05
If we carry on with the
anterior tibial artery,
we see it supplies the
dorsum of the foot.
00:11
Halfway between
the two malleoli,
the anterior tibial artery as it
then crosses over the tassel bones,
supplies the dorsal
pedis artery.
00:19
As it does this, it gives rise to a
lateral and a medial tarsal artery
that goes on to
supply the tarsals
and the joint capsules
around all of those bones.
00:28
From the medial tarsal artery,
there's a connection to
the lateral tarsal artery,
which forms this
anastomotic loop.
00:35
This is known as
the arcuate artery.
00:37
And this forms a nice anastomoses
between these two blood vessels.
00:40
Again, ensuring if there's redundancy,
you have that compensation there.
00:45
The dorsalis pedis
artery continues forward
running alongside the lateral
aspect of the first metatarsal
as the deep plantar artery.
00:54
There's also the first
dorsal metatarsal artery
that runs within
this space similarly.
00:59
But coming forward from
the arcuate arteries,
there's then a series
of metatarsal arteries
that run to the second, third,
and fourth dorsal metatarsals.
01:08
And these arteries run in this
direction distally towards the digits.
01:13
We also have a series
of perforating arteries
that run deep through the
substance of the muscles,
the interossei muscles that
align between these metatarsals,
and they'll form an
important anastomotic loop
as we'll see in a moment.
01:27
Coming from these though, we
also have dorsal digital arteries
that supply the dorsal
surface of our distal digits.
01:35
If we then turn to look
at the sole of the foot,
we can see we have our
posterior tibial artery,
which is now entering from this
medial aspect, the sole of the foot.
01:44
And it gives rise to both the medial
and the lateral plantar arteries.
01:48
Here we can see connecting those
two is another anastomotic loop
similar to the arcuate
artery we saw a moment ago,
and this is the
deep plantar arch.
01:58
The deeper plantar arch will give
rise to the deep plantar artery
that goes forwards
towards the great toe.
02:04
Then we've got a series of plantar
metatarsal arteries that come off it
to supply the sole surface
of these metatarsals.
02:11
We then have the various digital
branches that supply the digits.
02:16
Importantly, we have those
perforating arteries,
which are now consistent with
those perforating arteries
that come from the
dorsum of the foot
to form this anastomotic loop of
blood vessels supplying the foot,
both from the sole and
from the dorsal aspect.
02:31
So there's lots of blood vessels that
form a couple of complicated anastomoses
around the posterior thigh, the
gluteal region and the hip joint,
and also around the
foot and the knee.
02:41
So make sure you're familiar
with the blood distribution
around the lower limb.