Chompoopong S, Apinhasmit W, Sangiampong A, Amornmettajit N, Charoenwat B, Rattanathamsakul N, Supachutikul K, Sangvichien S
Department of Anatomy, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Clin Anat. 2009 Mar;22(2):256-60. doi: 10.1002/ca.20752.
The present research aims to study the anatomical relationship between the deep peroneal nerve and the neighboring structures in the proximal fibula of Thais, with special regard to define the boundaries of a "safe" area when performing a biopsy of the proximal fibula. The proximal parts of 118 legs of 59 formalin-embalmed adult cadavers (31 males, 28 females) were investigated. The distance from the apex of the fibular head to the point of origin of the deep peroneal nerve, the distance from the most lateral prominence of the fibular head to the anterior intermuscular septum, and the angle between the deep peroneal nerve and the fibula axis were measured. The results showed that the mean distances from the apex of the fibular head to the point of origin of the deep peroneal nerve was 28.4 +/- 4.8 mm and from the most lateral prominence of the fibular head to the anterior intermuscular septum was 14.9 +/- 2.0 mm. The mean angle between the deep peroneal nerve and the fibular axis was 28.1 degrees +/- 7.2 degrees . In conclusion, these findings suggest that a "safe" area for bone biopsy in the proximal fibula of Thais is palpable anterior to the fibular head and downward laterally, not lower than 28 mm or 8% of the fibular length and from the most lateral prominence transverse medially not further than 14 mm. The inferior boundary of this area is an oblique line of the deep peroneal nerve about 28 degrees from the fibular axis.
本研究旨在探讨泰国人腓骨近端深部腓总神经与邻近结构的解剖关系，特别关注在进行腓骨近端活检时确定“安全”区域的边界。对59具经福尔马林固定的成年尸体（31例男性，28例女性）的118条腿的近端部分进行了研究。测量了从腓骨头尖到深部腓总神经起点的距离、从腓骨头最外侧突出点到肌间隔前部的距离以及深部腓总神经与腓骨轴线之间的夹角。结果显示，从腓骨头尖到深部腓总神经起点的平均距离为28.4±4.8mm，从腓骨头最外侧突出点到肌间隔前部的平均距离为14.9±2.0mm。深部腓总神经与腓骨轴线之间的平均夹角为28.1°±7.2°。总之，这些发现表明，泰国人腓骨近端骨活检的“安全”区域位于腓骨头前方且向外侧下方可触及，不低于28mm或腓骨长度的8%，从最外侧突出点向内横向不超过14mm。该区域的下边界是深部腓总神经与腓骨轴线成约28°的斜线。
