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Table 2 Distances (mm) from the needle to the anterior or posterior neurovascular bundle assessed during dry needling approaches of the tibialis posterior muscle

From: The posterior/medial dry needling approach of the tibialis posterior muscle is an accurate and safe procedure: a cadaveric study

Anterior Approach (Upper Third of the Leg)

 Depth to TP muscle (mm)

Needle Tip-DFN (cm)

Needle Tip-VB (cm)

Needle Path-DFN (cm)

Needle Path-VB (cm)

 31.9 ± 6.2 (27.7 to 36.1 cm)

0.7 ± 0.3 (0.5 to 0.9 cm)

0.9 ± 0.35 (0.6 to 1.2 cm)

0.75 ± 0.3 (0.55 to 0.95 cm)

0.65 ± 0.3 (0.5 to 0.8 cm)

Posterior/Medial Approach (Mid-Point of the Leg)

 Depth to TP muscle (mm)

Needle Tip-TPN (cm)

Needle tip-VB (cm)

Needle Path-TPN (cm)

Needle Path-VB (cm)

 35.1 ± 4.5 (32.0 to 38.2 cm)

1.35 ± 0.7 (1.15 to 1.55 cm)

1.45 ± 0.25 (1.3 to 1.6 cm)

1.0 ± 0.3 (0.8 to 1.2 cm)

0.95 ± 0.3 (0.75 to 1.15 cm)

  1. TP Tibialis posterior, DFN Deep fibularis nerve, VB Vascular bundle, TPN Tibialis posterior nerve