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Home › Body Atlas › Fascia & Spaces › Anterior Tarsal Tunnel
Fascia or Space Foot & Ankle

Anterior Tarsal Tunnel

Anterior tarsal tunnel

The anterior tarsal tunnel is the fibro-osseous space under the inferior extensor retinaculum at the front of the ankle. The deep fibular nerve and dorsalis pedis artery pass through it with the long extensor tendons, lying on the talus and navicular.

Anatomical Data

Boundaries & Contents

LocationFront of the ankle and dorsum of the midfoot.
Boundaries
  • Inferior extensor retinaculum anteriorly
  • Talus and navicular posteriorly (floor)
  • Medial and lateral malleolar regions at the sides
Contents
  • Deep fibular nerve
  • Dorsalis pedis artery and veins
  • Tibialis anterior, extensor hallucis longus and extensor digitorum longus tendons
Biomechanics

Function & Actions

Keeps the extensor tendons and the deep fibular neurovascular bundle close to the ankle during dorsiflexion.

Clinical Relevance

Clinical Notes

Compression of the deep fibular nerve here causes anterior tarsal tunnel syndrome, with pain on the top of the foot and numbness in the first web space. Tight shoe laces, ski boots, high heels, dorsal bone spurs and ganglion cysts are common causes.

Pathology

Common Injuries & Conditions

Anterior Tarsal Tunnel Syndrome

Entrapment of the deep fibular nerve under the inferior extensor retinaculum, causing dorsal foot pain and numbness between the first and second toes.

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