Department of Anatomy, All India Institute of Medical Sciences, New Delhi, 110029, India.
Department of Anatomy, All India Institute of Medical Sciences, Patna, India.
Surg Radiol Anat. 2024 Oct;46(10):1749-1752. doi: 10.1007/s00276-024-03448-0. Epub 2024 Aug 2.
The saphenous nerve is a predominantly sensory nerve. It is the longest nerve of the body which supplies the skin of the medial side of the leg and foot as far as the ball of the great toe. We present here an unusual motor branch of the saphenous nerve to the sartorius muscle.
Institutional guidelines for use of human cadaver were followed. Routine dissection of the lower limbs for undergraduate medical teaching was performed in a 67 years old female cadaver employing standard methods. Relevant gross features of the variations were photographed. H&E staining of relevant structure was done and photomicrographed.
The unusual motor branch to Sartorius was observed in the right thigh. The branch was given off in the lower third of the thigh after the saphenous nerve exited the adductor canal. The branch was distinctly seen entering the substance of the sartorius. The structure was confirmed to be a peripheral nerve by histological examination. The saphenous nerve then descended between the sartorius and gracilis tendons, pierced the fascia lata and became cutaneous.
The motor branch to the sartorius muscle is a very rare branch whose knowledge is important for clinicians as it can get damaged during arthroscopy and other knee surgery or during adductor canal block.
隐神经主要是感觉神经。它是人体最长的神经,支配小腿和足部内侧皮肤,直至大脚趾球。我们在此介绍隐神经至缝匠肌的不常见运动支。
遵循机构使用人体尸体的指南。在一名 67 岁女性尸体上,采用标准方法进行下肢本科医学教学的常规解剖。拍摄相关变异的大体特征照片。对相关结构进行 H&E 染色并拍摄显微照片。
在右大腿观察到不常见的缝匠肌运动支。该支在隐神经离开收肌管后于大腿中下 1/3 处发出。该支明显进入缝匠肌实质。组织学检查证实该结构为周围神经。隐神经然后在缝匠肌和股薄肌肌腱之间下降,穿过阔筋膜并成为皮支。
缝匠肌运动支是一种非常罕见的分支,其知识对临床医生很重要,因为它可能在关节镜检查和其他膝关节手术或收肌管阻滞期间受损。