It is the key stabilizing muscle of the lower leg.
The tendon of tibialis posterior descends posterior to the medial malleolus and to the plantar surface of the foot where it inserts on to the tuberosity of the navicular, the first and third cuneiforms, the cuboid and the second, third and fourth metatarsals.
Tibialis posterior also has a major role in supporting the medial arch of the foot and therefore dysfunction can lead to flat feet in adults (as well as unopposed eversion as inversion is lost, leading to a valgus deformity).