Clendenen Steven R, Whalen Joseph L
Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, USA.
Local Reg Anesth. 2013 Mar 6;6:13-6. doi: 10.2147/LRA.S42603. Print 2013.
The distal saphenous nerve is commonly known to provide cutaneous innervation of the medial side of the ankle and distally to the base of the great toe. We hypothesize that the saphenous nerve innervates the periosteum of the medial malleolus and joint capsule.
Five fresh limbs were dissected and the saphenous nerve was traced distally with magnification. The medial malleolus, talus, and soft tissue were fixed in formaldehyde, decalcified, and embedded in paraffin and sectioned. Histologic slides were then prepared using S100 antibody nerve stains.
Histologic slides were examined and myelinated nerves could be observed within the medial capsule and periosteum in all the specimens.
We have demonstrated that the saphenous nerve innervates the periosteum of the medial malleolus and joint capsule.
隐神经远端通常为踝关节内侧及远至拇趾基部提供皮肤神经支配。我们推测隐神经支配内踝骨膜和关节囊。
解剖5条新鲜肢体,在放大条件下向远端追踪隐神经。将内踝、距骨和软组织固定于甲醛中,脱钙,石蜡包埋并切片。然后使用S100抗体神经染色制备组织学切片。
检查组织学切片,所有标本的关节囊内侧和骨膜内均可观察到有髓神经。
我们已证明隐神经支配内踝骨膜和关节囊。