ArticleJournal of foot and ankle research2022
Relationship between attachment site of tibialis anterior muscle and shape of tibia: anatomical study of cadavers.
Article in Journal of foot and ankle research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- In vivo tibialis anterior muscle mechanics through force estimation using ankle joint moment and shear wave elastography.Scientific reports · 2025Article
- Association Between Stiffness of the Deep Fibres of the Tibialis Anterior Muscle andJournal of functional morphology and kinesiology · 2025Article
- 3D finite element models reveal regional fatty infiltration modulates tibialis anterior force generating capacity in FSHD.PloS one · 2025Article
- Measuring Surface Electromyography with Textile Electrodes in a Smart Leg Sleeve.Sensors (Basel, Switzerland) · 2024Article
- Architectural anatomy of the human tibialis anterior presents morphological asymmetries between superficial and deep unipennate regions.Journal of anatomy · 2023Article
- Anatomical study of type classification and surface area of attachment sites for tibialis anterior tendon.BMC musculoskeletal disorders · 2023Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundTibialis anterior (TA) muscle is the largest dorsiflexor of the ankle joint and plays an important role during gait movement. However, descriptions of the TA attachment site are inconsistent even among major anatomy textbooks, and its origin, especially the attachment site for the tibia, has not been reported in detail. This study is the first experimental attempt to investigate the origin of the TA in detail, paying particular attention to the relationship with the shape of the tibia, including sex differences.
methodsForty legs (20 males, 20 females) from twenty Japanese cadavers were examined. Gross anatomical examination of the TA's attachment site to the tibia and the tibia's shape was performed.
resultsThe location of the distal end of the TA's attachment on tibia was significantly more distal in males than in females (p < 0.01). The anterior border of the tibia had a gentle S-like curve, with a medially convex curve in the proximal region and a laterally convex curve in the distal region in frontal plane. The most protruding point of the distal curve of the anterior border located significantly more proximal in females than in males (p = 0.02).
conclusionsThere were sex differences in the distal end of the attachment site on tibia of the TA and the shape of the tibia. Consequently, the variations in the attachment site of TA were considered to provide for differences in function of TA. In males, the TA may enable advantageous power exertion, whereas in females it may work efficiently for dorsiflexion of ankle, respectively. Sex differences in TA's attachment site and the shape of the tibia may be involved in gait movement as well as frequency of lower leg disorders such as chronic exertional compartment syndrome.
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