León-Andrino Alejandro, Noriega David C, Lapuente Juan P, Pérez-Valdecantos Daniel, Caballero-García Alberto, Herrero Azael J, Córdova Alfredo
Department of Orthopedic Surgery, Clinic University Hospital of Valladolid, 47005 Valladolid, Spain.
Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Medicine, University of Valladolid, 47005 Valladolid, Spain.
J Clin Med. 2022 May 16;11(10):2804. doi: 10.3390/jcm11102804.
The external popliteal sciatic nerve (EPSN) is the nerve of the lower extremity most frequently affected by compressive etiology. Its superficial and sinuous anatomical course is closely related to other rigid anatomical structures and has an important dynamic neural component. Therefore, this circumstance means that this nerve is exposed to multiple causes of compressive etiology. Despite this fact, there are few publications with extensive case studies dealing with treatment. In this review, we propose to carry out a narrative review of the neuropathy of the EPSN, including an anatomical reminder, its clinical presentation and diagnosis, as well as its surgical and biological approach. The most novel aspect we propose is the review of the possible role of biological factors in the reversal of this situation.
腓总坐骨神经(EPSN)是下肢最常受压迫病因影响的神经。其表浅且蜿蜒的解剖路径与其他坚硬的解剖结构密切相关,并且具有重要的动态神经成分。因此,这种情况意味着该神经易受多种压迫病因的影响。尽管如此,很少有涉及广泛病例研究的治疗相关出版物。在本综述中,我们建议对EPSN神经病变进行叙述性综述,包括解剖学提示、其临床表现和诊断,以及手术和生物学治疗方法。我们提出的最新颖的方面是对生物因素在扭转这种情况中可能作用的综述。