Comparison of Ultrasound-Guided Anterior and Posterior Approaches for Needle Insertion into the Tibialis Posterior in Hemiplegic Children with Spastic Cerebral Palsy

Abstract

Ultrasonographic guidance is a useful, safe, and accurate tool for needle insertion into the tibialis posterior. Considering the safety window width, this study suggests needle placement at the upper third point of the tibia for the anterior approach and at the midpoint for the posterior approach.