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胫神经的解剖变异及其临床关联。

Anatomical variations of the tibial nerve and their clinical correlation.

作者信息

Soetoko Anita Soraya, Fatmawati Dina

机构信息

Departement of Anatomy, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia.

Departement of Biology, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia.

出版信息

Anat Cell Biol. 2023 Dec 31;56(4):415-420. doi: 10.5115/acb.23.065. Epub 2023 Sep 11.

DOI:10.5115/acb.23.065
PMID:37694293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10714088/
Abstract

The tibial nerve is a branch of the sciatic nerve, which innervates the legs and feet. Anatomical variations of this nerve at the ankle are commonly found. The variation of the tibial nerve in its branching point and cross-sectional area (CSA) at the ankle is commonly related to clinical condition such as foot neuropathy. Knowledge of these variations can support the clinician in making appropriate clinical decisions. This review aims at providing knowledge on the anatomical variations of tibial nerve at ankle, as well as its clinical correlation. This review outlined the variation of the terminal branching point and CSA of the tibial nerve at the ankle in cadaveric and clinical studies.

摘要

胫神经是坐骨神经的一个分支,支配腿部和足部。该神经在踝关节处的解剖变异很常见。胫神经在踝关节处的分支点和横截面积(CSA)的变异通常与足部神经病变等临床情况有关。了解这些变异有助于临床医生做出恰当的临床决策。本综述旨在提供有关胫神经在踝关节处的解剖变异及其临床相关性的知识。本综述概述了尸体研究和临床研究中胫神经在踝关节处的终末分支点和CSA的变异情况。

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本文引用的文献

1
Reference Values for the Cross Sectional Area of Normal Tibial Nerve on High-resolution Ultrasonography.正常胫神经高分辨率超声横截面积的参考值
J Ultrason. 2022 Sep 1;22(90):e144-e152. doi: 10.15557/jou.2022.0024. eCollection 2022 Sep.
2
Prevalence of Work-Related Musculoskeletal Disorders: Psychological and Physical Risk Factors.工作相关肌肉骨骼疾病的流行:心理和生理危险因素。
Int J Environ Res Public Health. 2021 Sep 4;18(17):9361. doi: 10.3390/ijerph18179361.
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Cross-sectional area reference values for peripheral nerve ultrasound in adults: A systematic review and meta-analysis-Part II: Lower extremity nerves.成人周围神经超声横截面积参考值:系统评价和荟萃分析-第二部分:下肢神经。
Eur J Neurol. 2021 Jul;28(7):2313-2318. doi: 10.1111/ene.14850. Epub 2021 May 7.
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High resolution ultrasonography of peripheral nerves in diabetic patients to evaluate nerve cross sectional area with clinical profile.糖尿病患者外周神经的高分辨率超声检查,评估临床特征下的神经截面积。
Br J Radiol. 2021 May 1;94(1121):20200173. doi: 10.1259/bjr.20200173. Epub 2021 Mar 18.
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An MRI study of the tibial nerve in the ankle canal and its branches: a method of multiplanar reformation with 3D-FIESTA-C sequences.踝关节管内胫神经及其分支的 MRI 研究:一种应用 3D-FIESTA-C 序列进行多平面重建的方法。
BMC Med Imaging. 2021 Mar 17;21(1):51. doi: 10.1186/s12880-021-00582-8.
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Variable Branching Pattern of Tibial Nerve in the Tarsal Tunnel: A Gross Anatomical Study With Clinical Implications.跗管内胫神经的可变分支模式:一项具有临床意义的大体解剖学研究
Cureus. 2021 Mar 6;13(3):e13729. doi: 10.7759/cureus.13729.
7
Anatomical study and branching point of neurovascular structures at the medial side of the ankle.踝关节内侧神经血管结构的解剖学研究及分支点
Anat Cell Biol. 2020 Dec 31;53(4):422-434. doi: 10.5115/acb.20.087.
8
Comparison of the histological structure of the tibial nerve and its terminal branches in the fresh and fresh-frozen cadavers.新鲜和新鲜冷冻尸体胫骨神经及其终末支的组织学结构比较。
Folia Morphol (Warsz). 2021;80(3):542-548. doi: 10.5603/FM.a2020.0088. Epub 2020 Aug 13.
9
Can the axial cross-sectional area of the tibial nerve be used to diagnose tarsal tunnel syndrome? An ultrasonography study.胫神经的轴向横截面积能否用于诊断跗管综合征?一项超声研究。
Orthop Traumatol Surg Res. 2021 Oct;107(6):102630. doi: 10.1016/j.otsr.2020.02.021. Epub 2020 Jul 15.
10
Dimensional Changes of the Tibial Nerve and Tarsal Tunnel in Different Ankle Joint Positions in Asymptomatic Subjects.无症状受试者在不同踝关节位置时胫神经及跗管的维度变化
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