Dissection vs AxP Anatomy: Tibialis Anterior (L)

Compare dissection anatomy and soft tissue therapy anatomy: The left-sided tibialis anterior inverts the “frontal ankle,” is a single-complex muscle, has one single-complex synergist, two single-complex antagonists, three multi-complex synergists, and one multi-complex antagonist.

Written by

Willem Kramer

Published on

July 1, 2025

Anatomy by Planes

FRONTAL ANKLE COMPLEX (F3)

Plane
Frontal plane.

Complex 
Frontal ankle, F3.

Joints
Talocalcenal joint.
Transverse tarsal joints.

Motions
15 - 50 degrees eversion.
25 - 70 degrees inversion.

Dermatomes
T11 - S2.

Indirect Motion
None.

Reciprocal Relationships
Frontal hip, F5.
Frontal knee, F4. #
Frontal ankle, F3.
Frontal lesser toes, F2. #
Frontal big toe, F1. #

# passive complex

LEFT-SIDE TIBIALIS ANTERIOR

Motion
Inversion (and adduction).

Muscles
Tibialis anterior.

Single-Complex
Ankle.

Depth of Muscle
Level 1, just under the skin.

Single-Complex Synergists (1)
Tibialis posterior.

Single-Complex Antagonists (2)
Peroneus longus & brevis.
Peroneus tertius.

Multi-Complex Synergists (3)
Extensor hallucis longus.
Flexor digitorum longus.
Flexor hallucis longus.

Multi-Complex Antagonists (1)
Extensor digitorum longus.

Traditional Anatomy

Proximal attachments
The tibialis anterior connects with the upper half to two-thirds of the lateral tibia, from its lateral condyle on down, the interosseous membrane, the fascia cruris, and the intermuscular septum between it and the extensor digitorum longus.

Distal attachment
The tibialis anterior connects with the medial and plantar surfaces of the medial cuneiform and the medial surface of the base of the first metatarsal bone.

Location
Located just lateral to the anterior border of the tibia, directly under the skin. It has a long tendon that starts around the lower third of the tibia. Passing underneath the superior and inferior extensor retinaculae, the tendon crosses the distal tibia, moving from the lateral to the medial side of the leg.

Innervation
Deep peroneal nerve.

Vascular Supply
Medial and anterior branches of the anterior tibial artery and the anterior tibial recurrent artery.

The tendon is supplied by the anterior medial malleolar, the dorsalis pedis artery, the medial tarsal arteries, and the medial malleolar and calcaneal branches of the posterior tibial artery.

Motion
Dorsiflexion.
Inversion.

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Author

Willem is a Netherlands-educated physiotherapist and a US-licensed massage therapist with over thirty years of experience working with professional athletes, entertainers, and executives. He presents a unique approach that questions the reliance on dissection anatomy in the education of soft-tissue therapists. Willem advocates for a holistic understanding of the body, emphasizing that all organ systems are interconnected and interdependent. His insights offer both practitioners and enthusiasts a fresh perspective on musculoskeletal health.

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Dissection vs AxP Anatomy: Latissimus Dorsi (R)

Compare dissection anatomy and soft tissue therapy anatomy: The right-sided latissimus right rotates the “transverse thoracic,” moves five complexes in total, has three single-complex synergists and antagonists, five multi-complex synergists, and six multi-complex antagonists.
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