Lower extremity peripheral n. approaches

Approach to Tibial Nerve at The Popliteal Fossa

Skin incision: A hockey stick type of skin incision (right side, marked in green) is made over the popliteal fossa.
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1. Tibial nerve exposure
The skin and popliteal fossa fascia is incised revealing the tibial nerve within the fat pad. The lateral and medial heads of the gastrocnemius m. are visible.
2. Tibial nerve branches
The individual nerve branches from the tibial nerve, innervating the lateral and medial heads of the gastrocnemius m. are dissected withing the fat pad and presented.