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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/874cf423604d4addbf697525fcc213ed
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spelling	oai:doaj.org-article:874cf423604d4addbf697525fcc213ed2021-12-02T00:38:44ZUltrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle2159-2896https://doaj.org/article/874cf423604d4addbf697525fcc213ed2021-12-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/29854-ultrasonographic-validation-for-needle-placement-in-the-tibialis-posterior-muscle.pdfhttps://doaj.org/toc/2159-2896# 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 2bStephanie R. AlbinLarisa R. HoffmanCameron W. MacDonaldMicah BoriackLauren HeynKaleb SchulerAnnika TaylorJennie WalkerShane L. KoppenhaverMark F. ReinkingNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 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
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
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
title	Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle
title_short	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_sort	ultrasonographic validation for needle placement in the tibialis posterior muscle
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/874cf423604d4addbf697525fcc213ed
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Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle

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