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有孔的腘静脉被胫神经的一个分支穿过。

Fenestrated popliteal vein pierced by a branch of the tibial nerve.

作者信息

Muo Edward C, Iwanaga Joe, Cardona Juan J, Olewnik Łukasz, Dumont Aaron S, Tubbs R Shane

机构信息

Tulane University School of Medicine, New Orleans, LA, USA.

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.

出版信息

Anat Cell Biol. 2023 Dec 31;56(4):566-569. doi: 10.5115/acb.23.035. Epub 2023 Aug 8.

DOI:10.5115/acb.23.035
PMID:37558652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10714096/
Abstract

Knowledge of anatomical variations is important so as to avoid potential iatrogenic injury or misdiagnosis on imaging. Here we report an unusual finding and relationship between the tibial nerve and popliteal vein. During the routine dissection of an adult cadaver, it was noted that a branch of the tibial nerve in the popliteal fossa pierced the most distal part of the popliteal vein. This unusual finding is described and relevant reports in the literature discussed. Our hopes are that such a report might help surgeons avoid injury to such a fenestrated popliteal vein and the tibial nerve branch traveling through it therefore decreasing patient morbidity.

摘要

了解解剖变异很重要,这样可以避免在影像学检查中出现潜在的医源性损伤或误诊。在此,我们报告胫神经与腘静脉之间一个不寻常的发现及关系。在一具成年尸体的常规解剖过程中,注意到腘窝内胫神经的一个分支穿过了腘静脉的最远端部分。本文描述了这一不寻常的发现,并讨论了文献中的相关报道。我们希望这样的报告可能有助于外科医生避免损伤这种有小孔的腘静脉以及穿过它的胫神经分支,从而降低患者的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/10714096/94303e2c9d3e/acb-56-4-566-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/10714096/b244a6c4e3e4/acb-56-4-566-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/10714096/94303e2c9d3e/acb-56-4-566-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/10714096/b244a6c4e3e4/acb-56-4-566-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/10714096/94303e2c9d3e/acb-56-4-566-f2.jpg

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本文引用的文献

1
A previously unreported variant of the auriculotemporal nerve.一条尚未报道过的耳颞神经变异。
Morphologie. 2022 Dec;106(355):310-313. doi: 10.1016/j.morpho.2021.10.003. Epub 2021 Nov 17.
2
Is variation in posterior tibial veins a risk factor for deep-vein thrombosis?后胫骨静脉的变异是否是深静脉血栓形成的危险因素?
Clin Anat. 2021 Sep;34(6):829-834. doi: 10.1002/ca.23691. Epub 2020 Oct 12.
3
Acknowledging the use of human cadaveric tissues in research papers: Recommendations from anatomical journal editors.承认在研究论文中使用人体尸体组织:解剖学杂志编辑的建议。
Clin Anat. 2021 Jan;34(1):2-4. doi: 10.1002/ca.23671. Epub 2020 Sep 9.
4
Classification of Vascular Anomalies: An Update.血管异常的分类:最新进展
Semin Intervent Radiol. 2017 Sep;34(3):225-232. doi: 10.1055/s-0037-1604295. Epub 2017 Sep 11.
5
Classification and localization of the adductor hiatus: a cadaver study.内收肌裂孔的分类与定位:尸体研究。
Balkan Med J. 2012 Dec;29(4):395-400. doi: 10.5152/balkanmedj.2012.030. Epub 2012 Dec 1.
6
Anatomy and physiology of the lower-extremity deep and superficial veins.下肢深浅静脉的解剖与生理
Tech Vasc Interv Radiol. 2014 Jun;17(2):68-73. doi: 10.1053/j.tvir.2014.02.002.
7
Pelvic vascular malformations.盆腔血管畸形
Semin Intervent Radiol. 2013 Dec;30(4):364-71. doi: 10.1055/s-0033-1359730.
8
Variations in popliteal fossa venous anatomy: implications for diagnosis of deep-vein thrombosis.
Folia Morphol (Warsz). 2013 Feb;72(1):51-6. doi: 10.5603/fm.2013.0008.
9
Three-dimensional evaluation of the anatomic variations of the femoral vein and popliteal vein in relation to the accompanying artery by using CT venography.采用 CT 静脉造影术评估股静脉和腘静脉与伴行动脉的解剖变异的三维关系。
Korean J Radiol. 2011 May-Jun;12(3):327-40. doi: 10.3348/kjr.2011.12.3.327. Epub 2011 Apr 25.
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Variations in lower limb venous anatomy: implications for US diagnosis of deep vein thrombosis.下肢静脉解剖结构的变异:对超声诊断深静脉血栓形成的影响。
Radiology. 2003 Aug;228(2):443-8. doi: 10.1148/radiol.2282020411. Epub 2003 Jun 23.