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Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch

Includes bibliographical references.

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Bibliographic Details
Main Author: Sadler, Maxwell Jennings
Other Authors: Louw, Graham J
Format: Thesis
Language:English
Published: Division of Anatomical Pathology 2015
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access_status_str Open Access
author Sadler, Maxwell Jennings
author2 Louw, Graham J
author_browse Louw, Graham J
Sadler, Maxwell Jennings
author_facet Louw, Graham J
Sadler, Maxwell Jennings
author_sort Sadler, Maxwell Jennings
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/13235
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:47:30.153Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Division of Anatomical Pathology
publisherStr Division of Anatomical Pathology
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/13235 Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch Sadler, Maxwell Jennings Louw, Graham J Anatomy Includes bibliographical references. This study utilized cadavers to examine the variable insertions of the tendon of tibialis posterior muscle. Both feet from 29 cadavers were dissected and six variable connections to intrinsic foot structures were documented (frequencies indicated as a per cent): sustentaculum tali (93.1%), abductor hallucis muscle (44.8%), flexor hallucis brevis muscle (22.4%), fibularis longus tendon (58.6%), plantar calcaneonavicular (spring) ligament (17.2%), and the long plantar ligament (34.5%). The frequencies for each variable insertion were also reported individually for sex and population group, as well as the most common combinations of insertions. Measurements describing the medial longitudinal arch of the feet were taken, using a soft tissue intact method (arch index) and the post-dissection method (talus-first metatarsal angle). The insertion data were then compared to the arch measurements, as well as foot side, age, sex, and population group. There was a weak negative correlation between the talus-first metatarsal angle measurement and the presence of an insertion on to sustentaculum tali, as well as a connection to the tendon of fibularis longus. Arch measurements were shown to be statistically significantly similar for left and right feet for each individual. Knowing the arch index on one side of the body allows for an accurate prediction of the arch index on the opposite side within an individual. The right arch index was larger in 55% of the sample. All other correlations were negligible, and the presence or absence of specific insertions was not an accurate predictor of either arch measure. The accumulation of multiple variable insertions did not have any impact on the arch measurements. 2015-07-01T08:59:32Z 2015-07-01T08:59:32Z 2014 Master Thesis Masters MSc (Med) http://hdl.handle.net/11427/13235 eng application/pdf Division of Anatomical Pathology Faculty of Health Sciences University of Cape Town
spellingShingle Anatomy
Sadler, Maxwell Jennings
Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
thesis_degree_str Master's
title Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
title_full Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
title_fullStr Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
title_full_unstemmed Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
title_short Variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
title_sort variations in the insertions of the tibialis posterior muscle and the structure of the medial longitudinal arch
topic Anatomy
url http://hdl.handle.net/11427/13235
work_keys_str_mv AT sadlermaxwelljennings variationsintheinsertionsofthetibialisposteriormuscleandthestructureofthemediallongitudinalarch