AnatoMemory

Muscle

Tibialis posterior

Chief invertor, supports arch

Lower limbMuscular system

High-yield

Prime invertor and arch support; tibial nerve. Dysfunction → acquired flatfoot (pes planus).

Overview

The deepest posterior leg muscle, the main invertor of the foot and a key support of the medial longitudinal arch.

Reference facts

Origin
Interosseous membrane and adjacent posterior tibia and fibula
Insertion
Navicular tuberosity, cuneiforms, cuboid, and bases of metatarsals 2-4
Action
Inverts the foot and plantarflexes the ankle; supports the medial longitudinal arch
Innervation
Tibial nerve (L4, L5)
Blood supply
Posterior tibial / fibular arteries

Frequently asked questions

What does the tibialis posterior do?

The tibialis posterior inverts the foot and plantarflexes the ankle; supports the medial longitudinal arch.

What nerve innervates the tibialis posterior?

The tibialis posterior is innervated by the tibial nerve (L4, L5).

Where does the tibialis posterior attach?

The tibialis posterior originates from the interosseous membrane and adjacent posterior tibia and fibula and inserts on the navicular tuberosity, cuneiforms, cuboid, and bases of metatarsals 2-4.

What is the blood supply of the tibialis posterior?

The tibialis posterior is supplied by the posterior tibial / fibular arteries.