Nerve:  Tibial
 
Compartment:  Posterior of the leg
 
Skeletal muscles:  Gastrocnemeus and soleus are superficial, while the popliteus, plantaris, tibialis posterior, and flexors hallicus and digitorium longus are deep
 
Cutaneous distribution:  The skin along the posterior calf and the sole of the foot
 
Neuromuscular deficit:  The foot is positioned into severe dorsiflexion. Patients are unable to stand on their toes, because plantar flexion is impaired at the ankle joint. Walking is with a characteristic “peg-leg” gait.  However, since ambulation with a dorsiflexed foot is highly inefficient, patients compensate by rotating the lower limb laterally to limit dorsiflexion during the gait cycle. Weakness/paralysis is accompanied by cutaneous deficit along the posterior leg and the plantar surface of the foot.
 
 
Tibial
Created by the Neurobiology and Anatomy Department:
F. Reilly, Ph.D., B. Palmer, P. Klinkhachorn, Ph.D., H. Ressetar, Ph.D.