Representación gráfica del aporte vascular intraóseo y extraóseo del astrágalo. Anatomía ilustrada

Abstract

BackgroundThe vascular anatomy of the talus attracts intense research being not always easy to understand.The high intraosseous variability together with the anatomical characteristics makes some areas of the talus more prone to vascular compromise.The aim of this study is to describe the vascularization of the talus, both intraosseous and extraosseous. Material and methodsFrom the literature reviewed, we have developed a graphic scheme that allows easy observation of the irrigation distribution. To this end, nineteen anatomical dissections of human cadaveric feet have been carried out. Fifteen fresh-frozen slices have been cut in different planes and prepared using the modified Spalteholz technique and latex injection with blue and black ink to visualize the vascular network. In addition, the study has been complemented with a comprehensive literature review on this subject. ResultsThe findings allowed us to conclude that the posterior tibial artery provides the most important blood supply to the neck and body of the talus through the tarsal canal artery and the deltoid branch.The anterior tibial artery splits in the dorsal pedis artery, for the head and neck, and the lateral tarsal artery which throughout anastomoses breeds the tarsal sinus artery. The perforating peroneal artery branches out from the peroneal artery, creating an intraosseous anastomosis for the body and the posterior process. ConclusionThe results obtained have contributed to develop a graphical representation that we present in this study, which allows a simple understanding of the intraosseus and extraosseus vascularization of the talus.