Ismailoglu Abdul Veli, Sehirli Umit Suleyman, Ayingen Dilruba, Bayramoglu Alp, Savasan Cemre, Kocaoglu Baris
From the Department of Anatomy, School of Medicine, Marmara University, Basibuyuk Yolu, Maltepe, Istanbul, Turkey (Dr. Ismailoglu, Dr. Sehirli, and Dr. Ayingen); the Department of Anatomy, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Atasehir, Istanbul, Turkey (Dr. Bayramoglu and Dr. Savasan); and the Department of Orthopedic Surgery, Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Atasehir, Istanbul, Turkey (Dr. Kocaoglu).
J Am Acad Orthop Surg Glob Res Rev. 2025 Jan 7;9(1). doi: 10.5435/JAAOSGlobal-D-24-00339. eCollection 2025 Jan 1.
The surgical approach for midfoot injuries classically requires dual dorsal incision and identification of the neurovascular structures that are susceptible to injury during the surgery. The aim of this study was to map the topographic anatomy of the dorsum of the foot along with tarsal joints for the dorsal approach of midfoot surgery that would facilitate the surgery and minimize the risk of neurovascular injuries for surgeons who specially focus on foot and ankle injuries.
The dorsum of the foot was evaluated in 12 feet injected with latex containing a red colorant to visualize the arterial vessels. The navicular line, originating from the navicular tuberosity (NT) and passing over the dorsum of the foot, was used as a reference line. Dorsal foot neurovascular structures including cutaneous branches and muscles were mapped with respect to the tarsal joints and navicular line.
The deep peroneal nerve and dorsalis pedis artery were coursing between the base of the first and second metatarsal bones over which the tendon of the extensor hallucis brevis muscle was passing. The tendon of extensor hallucis brevis was crossing over the deep peroneal nerve and dorsalis pedis artery 55.2 mm superior and 45.0 mm lateral, respectively, from the NT.
This cadaver study supplies a detailed topographic map of the dorsum of the foot using the tarsal joints and NT as landmarks for protecting the neurovascular structures to facilitate midfoot surgeries for sports medicine surgeons who specially focus on foot and ankle injuries.
中足损伤的手术入路传统上需要双背侧切口，并识别手术中易受损伤的神经血管结构。本研究的目的是绘制足背以及跗关节的局部解剖图，用于中足手术的背侧入路，这将有助于手术操作，并将专门专注于足踝损伤的外科医生的神经血管损伤风险降至最低。
对12只足的足背进行评估，这些足注射了含有红色染料的乳胶以显示动脉血管。以源自舟骨粗隆（NT）并越过足背的舟骨线作为参考线。相对于跗关节和舟骨线绘制足背神经血管结构，包括皮支和肌肉。
腓深神经和足背动脉走行于第1和第2跖骨基底之间，短伸肌肌腱从其上穿过。短伸肌肌腱分别在距NT上方55.2 mm和外侧45.0 mm处越过腓深神经和足背动脉。
这项尸体研究提供了一份详细的足背局部解剖图，以跗关节和NT作为保护神经血管结构的标志，便于专门专注于足踝损伤的运动医学外科医生进行中足手术。
