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腓浅神经在小腿筋膜近端束带处的卡压:一例尸体病例报告

Entrapment of the Superficial Peroneal Nerve at a Band Proximal to the Crural Fascia: A Cadaveric Case Report.

作者信息

Lyrtzis Christos, Tsiantas Christos, Prinos Apostolos, Tzika Maria, Paraskevas George

机构信息

Department of Anatomy and Surgical Anatomy, Aristotle University of Thessaloniki, Thessaloniki, GRC.

School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.

出版信息

Cureus. 2025 May 8;17(5):e83734. doi: 10.7759/cureus.83734. eCollection 2025 May.

Abstract

The superficial peroneal nerve (SPN), a branch of the common peroneal nerve, typically courses through the anterolateral compartment of the leg and emerges by piercing the crural fascia in the distal third of the leg. Although rare, entrapment of the SPN may occur at its fascial exit point and can lead to sensory symptoms in its cutaneous distribution. According to existing literature, entrapment sites are usually located 50-100 mm proximal to the lateral malleolus. In this dissection report, we present a case of SPN entrapment in a 75-year-old male, observed 47 mm proximal to the lateral malleolus, where the nerve was compressed beneath a fibrous band at its point of emergence through the crural fascia. The precise location of SPN compression is clinically significant for the accurate diagnosis of entrapment syndromes and for guiding surgical intervention. Awareness of such topographical variants is essential in the evaluation and management of chronic lower leg pain.

摘要

腓浅神经(SPN)是腓总神经的一个分支,通常走行于小腿前外侧肌间隔,并在小腿远端三分之一处穿出小腿筋膜。虽然罕见,但腓浅神经卡压可能发生在其筋膜穿出点,并可导致其皮肤分布区域出现感觉症状。根据现有文献,卡压部位通常位于外踝近端50-100毫米处。在本解剖报告中,我们呈现了一例75岁男性的腓浅神经卡压病例,观察到卡压部位在外踝近端47毫米处,此处神经在穿出小腿筋膜的部位被一条纤维带压迫。腓浅神经卡压的确切位置对于准确诊断卡压综合征及指导手术干预具有临床意义。了解此类解剖变异对于评估和处理慢性小腿疼痛至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa3/12061001/2a4743dd4061/cureus-0017-00000083734-i01.jpg

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