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足部背侧腓浅神经异常及腓肠神经皮支变异:一例报告

Anomalous superficial peroneal nerve and variant cutaneous innervation of the sural nerve on the dorsum of the foot: a case report.

作者信息

Nagabhooshana Somayaji, Vollala Venkata Ramana, Rodrigues Vincent, Rao Mohandas

机构信息

Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, India.

出版信息

Cases J. 2009 Nov 18;2:197. doi: 10.1186/1757-1626-2-197.

Abstract

BACKGROUND

The superficial peroneal nerve is a branch of common peroneal nerve. There are reports about the variant course and distribution of this nerve. The sural nerve arises from the tibial nerve in the popliteal fossa. The variations of the above nerves described here are unique and provide significant information to surgeons dissecting lower limb.

CASE PRESENTATION

The present case is about some important anatomic variations observed in left lower limb of approximately 55-year-old male cadaver. The variations were; high division of superficial peroneal nerve into medial and lateral branches, lateral branch descending in the anterior intermuscular septum in a peroneal tunnel before piercing the deep fascia and variant distribution of sural nerve on the dorsum of the foot. The probable clinical significances of the variation are discussed.

CONCLUSION

Awareness of anatomical variations of superficial peroneal and sural nerves such as those presented here becomes important to avoid injury in real clinical situations.

摘要

背景

腓浅神经是腓总神经的一个分支。有关于该神经变异走行和分布的报道。腓肠神经起自腘窝处的胫神经。此处描述的上述神经变异是独特的,为解剖下肢的外科医生提供了重要信息。

病例报告

本病例是关于在一名约55岁男性尸体的左下肢观察到的一些重要解剖变异。变异情况为:腓浅神经高位分为内侧支和外侧支,外侧支在腓骨隧道内的肌间隔前方下行,然后穿深筋膜,以及腓肠神经在足背的变异分布。讨论了该变异可能的临床意义。

结论

了解腓浅神经和腓肠神经的解剖变异,如本文所述的变异,对于在实际临床情况中避免损伤很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a37b/2783149/c87a8df1ab60/1757-1626-2-197-1.jpg

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