Prevalence and characteristics of the aberrant anterior tibial artery: a single-center magnetic resonance imaging study and scoping review

Abstract

Background Planning surgical procedures of the lower leg benefits from considering the possibility of an aberrant anterior tibial artery (AATA), but previously published data on the frequency of this anatomic variant shows heterogeneity. We assessed the prevalence of AATA in a Latin American cohort using magnetic resonance imaging (MRI) and compared these with other studies reported in the literature. Methods We retrospectively included consecutive patients who had undergone multiplanar knee MRI at a radiology department in Lima, Peru. The MRI protocol included coronal T1 weighted, axial, sagittal and coronal proton density fat-saturated (PDFS) and sagittal T2 weighted images. Two experienced radiologists assessed all images and were blinded to each other’s findings. The frequency of the AATA was compared to previous cohorts. A scoping review was undertaken to provide an overview of previously published data on the prevalence of ATAA. Results We analyzed 280 knee MRI examinations of 253 patients (median age 41 years (IQR 31–52), 53.8% male). The aberrant anterior tibial artery variant was present in 8 of 280 (2.9%) evaluated knees, resulting in a prevalence of 3.2% in our study population. The PDFS sequence in the axial or sagittal orientation was most effective to identify AATA. The frequency of AATA in the reviewed literature using different radiological modalities ranged from 0.4 to 6% (median 1%, IQR (0.5–2.3%). Conclusions The AATA is a frequent vascular variant that can be detected by MRI in the preparation of invasive interventions of the lower leg.

Anomalous Posterior Tibial Artery Course—Anatomic Considerations for the Posterolateral Ankle Approach

“…The largest branch is characteristically the posterior tibial artery, beginning at the lower border of the popliteus muscle and coursing distally in the deep posterior compartment of the lower leg. Several previous investigations have discussed aberrant courses of the anterior tibial and peroneal branches of the popliteal artery [12][13][14] . To date, few studies have discussed atypical variations of the posterior tibial artery.…”