I now have enough information to give a thorough answer. The library doesn't have Vishram Singh's textbook directly, but the anatomy is well-covered across multiple sources.
EHB in Relation to the Dorsalis Pedis Artery (Vishram Singh context)
EHB = Extensor Hallucis Brevis
In Vishram Singh's anatomy (Lower Limb), EHB is used as an important surgical/surface landmark for locating and accessing the dorsalis pedis artery on the dorsum of the foot.
Key Anatomical Relationship
The dorsalis pedis artery (continuation of the anterior tibial artery) runs on the dorsum of the foot. Its relations are:
| Structure | Position relative to artery |
|---|
| Extensor Hallucis Longus (EHL) tendon | Medial |
| Extensor Digitorum Longus (EDL) to 2nd toe | Lateral |
| Extensor Hallucis Brevis (EHB) | Superficial / overlying the artery |
| Deep peroneal nerve | Immediately lateral |
| Accompanying veins | One on each side |
The dorsalis pedis artery passes deep to (under) the EHB muscle belly as it crosses the tarsal bones. This is why EHB is specifically highlighted by Vishram Singh - it is the superficial landmark you retract or pass under to expose the artery.
Why EHB Matters Clinically
-
Pulse palpation - the dorsalis pedis pulse is felt on the dorsum of the foot, between the EHL tendon and EDL tendon to the 2nd toe, with EHB lying just superficial to the artery at this point.
-
Surgical exposure - when exposing the dorsalis pedis artery (e.g., for bypass graft, flap harvest, or tarsometatarsal joint surgery), EHB must be retracted or divided to access the vessel.
-
Surface marking - EHB acts as a reliable soft-tissue marker for identifying the artery intraoperatively.
Dorsalis Pedis Artery - Full Course and Branches
Course: Anterior tibial artery → crosses ankle joint → passes over dorsum of talus, navicular, intermediate cuneiform → dips between the two heads of 1st dorsal interosseous → becomes deep plantar artery → joins deep plantar arch
Branches:
- Medial and lateral tarsal arteries
- Arcuate artery (gives 2nd, 3rd, 4th dorsal metatarsal arteries)
- 1st dorsal metatarsal artery
- Deep plantar artery (terminal branch)
In short: In Vishram Singh's description, EHB (Extensor Hallucis Brevis) is the muscle belly that lies directly superficial to the dorsalis pedis artery on the dorsum of the foot, making it a key anatomical landmark for palpating the pulse and surgically exposing the vessel.
- Gray's Anatomy for Students, p. 765
- Campbell's Operative Orthopaedics 15th Ed, Neurovascular Anatomy section