Reflect the soleus muscle to expose the deep muscles of the posterior compartment.

  1. Clean the calcaneal tendon and sever it 5 cm proximal to the calcaneus. Remove and discard the portion of the gastrocnemius between the severed calcaneal tendon and the cuts made in Step 2C. (G 6.67A;N 503;Gl 32.20)
  2. Separate the soleus muscle from the underlying structures and reflect the soleus muscle in the superior-medial direction   (leave it attached at the soleal line).
  3. Clean the flexor retinaculum at the medial malleolus. (G 6.67A;N 505;Gl 31.18B)
  4. Sever the flexor retinaculum to expose the tibial artery and nerve, and the tendons of the medial malleolus. (G 6.69C;N 505;Gl 34.38)
  5. Identify the tendon of the flexor digitorum longus muscle. Trace the tendon proximally to identify the muscle belly. Identify and clean the deep fascia from the flexor digitorum longus muscle . (G 6.67C;N 505;Gl 32.24B)
  6. Identify the tendon of the tibialis posterior muscle. Trace the tendon proximally and identify and clean the belly of the tibialis posterior muscle.
  7. Identify the tendon of the flexor hallucis longus muscle. Trace the tendon proximally and identify and the clean the belly of the flexor hallucis longus muscle .
Important Relationships
Calcaneal Tendon
Reflected Soleus Muscle
Tendons at Medial Malleolus