Tibialis posterior muscle
Citation, DOI, disclosures and article data
Citation:
Jones J, Le L, Al Kabbani A, et al. Tibialis posterior muscle. Reference article, Radiopaedia.org (Accessed on 27 Mar 2025) https://doi.org/10.53347/rID-6026
Permalink:
rID:
6026
Article created:
Disclosures:
At the time the article was created Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Arlene Campos had no financial relationships to ineligible companies to disclose.
View Arlene Campos's current disclosures
Revisions:
14 times, by
9 contributors -
see full revision history and disclosures
Systems:
Sections:
Tags:
Synonyms:
- Tibialis posterior
- Posterior tibialis tendon (PTT)
- Tibialis posterior (TP) muscle
The tibialis posterior muscle is one of the small muscles of the deep posterior compartment of the leg.
Summary
origin: upper half of posterior shaft of the tibia and upper half of fibula between the medial crest and interosseous border, and adjacent interosseous membrane.
-
insertion: navicular and medial cuneiform
-
the tendon splits into two slips after passing inferior to the plantar calcaneonavicular ligament
-
superficial slip inserts on the tuberosity of the navicular bone and sometimes medial cuneiform
this is the main slip, accounting anterior two-thirds of the tendon
deeper slip divides again into slips and has variable insertions onto the plantar surfaces of metatarsals 2 - 4, intermediate cuneiform, cuboid, sustentaculum tali
-
-
action: plantarflexion and inversion of the foot
arterial supply: posterior tibial artery
innervation: tibial nerve
antagonist: tibialis anterior
-
variants:
insertion into accessory navicular
Related pathology
References
- 1. Susan Standring. Gray's Anatomy. (2008) ISBN: 9780443066849 - Google Books
- 2. Flores D, Mejía Gómez C, Fernández Hernando M, Davis M, Pathria M. Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings. Radiographics. 2019;39(5):1437-60. doi:10.1148/rg.2019190046 - Pubmed
Incoming Links
Articles:
- Deep posterior compartment of the leg
- Duchenne muscular dystrophy
- Medioplantar oblique ligament
- Sciatic nerve motor distribution
- Lateral ankle sprain
- Fibular artery
- Cuboid
- Tendon instability
- Muscles of the lower limb
- Metatarsal
- Inferoplantar longitudinal ligament
- Intermediate cuneiform
- Tibia
- Ankle joint
- Tibialis posterior dysfunction
- Transverse arch of the foot
- MRI of the ankle (an approach)
- Cuboideonavicular joint
- Fibula
- Superomedial calcaneonavicular ligament
Cases:
- Posterior tibialis tendon dislocation
- Partial tear of the posterior tibial tendon
- Tibialis posterior dysfunction
- Foreign body - foot
- Tibialis posterior calcific tendinosis
- Plantar ligaments of the foot (Gray's illustration)
- Spring ligament injury
- Tibialis posterior tenosynovitis
- Tibialis posterior tendon rupture
- Tibialis posterior tenosynovitis
- Navicular fracture
- Tibialis posterior tear
- Tibialis posterior tendon anatomy: diagram
- Foot muscle insertions (Gray's anatomy illustration)
- Lateral extra-articular hindfoot impingement with posterior tibial tendon split tear
- Tibialis posterior tendon rupture
- Tibialis posterior tendon tear
Multiple choice questions:
Related articles: Anatomy: Lower limb
- skeleton of the lower limb
- joints of the lower limb
-
hip joint
- ligaments
- muscles
- additional structures
- hip joint capsule
- zona orbicularis
- iliotibial band
-
hip bursae
- anterior
- iliopsoas bursa (iliopectineal bursa)
- lateral
- subgluteal bursae
- greater trochanteric bursa (subgluteus maximus bursa)
- subgluteus medius bursa
- subgluteus minimus bursa
- gluteofemoral bursa
- subgluteal bursae
- postero-inferior
- anterior
- ossification centres
-
knee joint
- ligaments
- anterior cruciate ligament
- posterior cruciate ligament
- medial collateral ligament
- lateral collateral ligament
- meniscofemoral ligament (mnemonic)
-
posterolateral ligamentous complex
- arcuate ligament
- patellar tendon and quadriceps tendon
- anterolateral ligament
- posterior oblique ligament
- oblique popliteal ligament
- medial patellofemoral ligament
- additional structures
- extensor mechanism of the knee
- groove for the popliteus tendon
- knee bursae
- anterior bursae
- medial bursae
- lateral bursae
- posterior bursae
- knee capsule
- lateral patellar retinaculum
- medial patellar retinaculum
- menisci
- pes anserinus (mnemonic)
- ossification centres
- ligaments
- tibiofibular joints
-
ankle joint
- regional anatomy
- medial ankle
- lateral ankle
- anterior ankle
- ligaments
- medial collateral (deltoid) ligament
- lateral collateral ligament
- additional structures
- ankle bursae
- ossification centres of the ankle
- variants
- regional anatomy
- foot joints
- subtalar joint
- mid-tarsal (Chopart) joint
-
tarsometatarsal (Lisfranc) joint
- ligaments
- intermetatarsal joint
- metatarsophalangeal joint
- interphalangeal joint
- ossification centres
-
hip joint
- spaces of the lower limb
-
muscles of the lower limb
- muscles of the pelvic group
- muscles of the thigh
- muscles of the leg
- anterior compartment of the leg
- posterior compartments of the leg
- lateral compartment of the leg
- muscles of the foot
- dorsal muscles
- plantar muscles
- 1st layer
- 2nd layer
- 3rd layer
- 4th layer
- accessory muscles of the lower limb
- accessory gluteal muscles
-
accessory muscles of the ankle
- accessory peroneal muscles
- accessory flexor digitorum longus muscle
- accessory soleus muscle
- peroneocalcaneus internus muscle
- tibiocalcaneus internus muscle
- extensor hallucis capsularis tendon
- anterior fibulocalcaneus muscle
- accessory extensor digiti secundus muscle
- tibioastragalus anticus of Gruber muscle
- vascular supply of the lower limb
- arterial supply of the lower limb
- venous drainage of the lower limb
- innervation of the lower limb
- lymphatic system of the lower limb
- lymphatic pathways
- anteromedial group
- anterolateral group
- posteromedial group
- posterolateral group
- lower limb lymph nodes
- lymphatic pathways
Unable to process the form. Check for errors and try again.