The medial plantar nerve innervates the medial part of the sole of the foot
The lateral plantar nerve innervates the lateral part of the sole of the foot
The medial calcanean branch of the tibial nerve innervates the skin of the heel
The sole of the foot is innervated by three branches of the tibial nerve: The medial plantar nerve (MPN), the lateral plantar nerve (LPN) and the medial calcaneal nerve (MCN)
The tibial nerve runs in the posterior compartment of the leg, before it divides into the two terminal branches: the medial and the lateral plantar nerves. The two terminal branches give off cutaneous and muscular branches to the foot
Within the popliteal fossa, the tibial nerve gives off: – articular branches to the knee joint (the genicular nerves) – muscular branches to the ankle flexor muscles in the posterior compartment – a cutaneous nerve to the lateral ankle and foot – the sural nerve
In the distal part of the leg, the tibial nerve gives off: – articular branches to the ankle joint – a cutaneous nerve to the heel, the medial calcaneal nerve
The green colour depicts the tibial nerve in posterior compartment of the leg
In the popliteal fossa the sciatic nerve splits in two branches: the tibial nerve medially and the common peroneal nerve laterally
The popliteal fossa contains the tibial nerve (TN) medially and the common peroneal nerve (PN) laterally ST = semitendinosus muscle; SM = semimembranosus muscle; BF = biceps femoris muscle
Within the popliteal fossa the tibial nerve branches off the medial genicular nerves
The lateral branches come from the peroneal nerve
The genicular nerves are sensory nerves that supply the capsule and ligaments of the knee joint
A popliteal sciatic nerve block proximal to the sciatic nerve bifurcation blocks the genicular nerves branching off the tibial nerve. I.e. the tibial innervation of the knee is blocked by a popliteal sciatic nerve block
The green colour depicts the genicular nerves which branch off from the tibial nerve (to the left) and the common peroneal (to the right) and innervate the knee
In the femoral triangle and the adductor canal the femoral artery is located under the triangular sartorius muscle (SM)
The saphenous nerve (SN) is sandwiched between the femoral artery (FA), the SM and the medial vastus muscle (MVM) in the femoral triangle and the proximal end of the adductor canal (AC). In the distal end of the canal the nerve is usually medial to the artery
Use in-plane (IP) approach from the lateral end of the transducer in the midthigh midways between the anterior superior iliac spine and the base of patella which is inside the femoral triangle
Complete perineural spread of local anaesthetic usually requires only a few milliliters of local anaesthetic and the duration of anaesthesia is oftentimes very prolonged