The anterior tibial recurrent artery is an artery that connects with the genicular network after coursing cranially through the leg. It forms the patellar plexus through anastomozation with the highest geincular artery and the genicular branches of the popliteal artery. The anterior tibial recurrent artery branches off of the anterior tibial artery in the interosseous place. It is ramified on the front and sides of the joint of the knee. It also serves as a secondary blood supply to the knee. The anterior tibial recurrent artery ascends in the tibialis anterior. In a fracture of the tibial tubercle, the tendon insertion may become avulsed with the anterior tibial recurrent artery. This may lead to compartment syndrome. Compartment syndrome symptoms include disproportional pain, pain due to passive stretching of the ankle, and tense lower extremities. The most common treatment for compartment syndrome is emergent fasciotomy of all four compartments. Treatment should be treated as urgent, because a delay of more than eight hours could result in myoneural necrosis and fibrosis.