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Flexor tendons – transverse

Patient Positioning

Patient lies supine with a small pillow under the dorsal aspect of the ankle or legs in "frog-like" position. The ankle is lying on its lateral aspect.

Probe Positioning

Place the transducer with its anterior part over dorsal aspect of medial malleolus. Dorsal to it, the flexor tendons  can be seen.

Foot Ankle medial flexor tendons transverse
Foot Ankle medial flexor tendons transverse

A: posterior tibial artery
V: posterior tibial veins
FDL: flexor digitorum longus tendon
TP: tibialis posterior tendon

Note: Follow each tendon from the myotendinous junction to its insertion distally as far as possible on short axis planes around the medial malleolus.

Foot Ankle medial flexor tendons flexor hallucis retinaculum transverse
Foot Ankle medial flexor tendons flexor hallucis retinaculum transverse

FHL: flexor hallucis longus tendon

Foot Ankle medial distal flexor hallucis longus transverse
Foot Ankle medial distal flexor hallucis longus transverse

A: posterior tibial artery
N: tibial nerve
FHL: flexor hallucis longus tendon

Foot Ankle medial flexor tendons flexor hallucis longus transverse
Foot Ankle medial flexor tendons flexor hallucis longus transverse

A: posterior tibial artery
V: posterior tibial veins
N: tibial nerve
FHL: flexor hallucis longus tendon