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The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance.
Foot Ankle Int. 2005 Nov; 26(11):942-6.FA

Abstract

BACKGROUND

Although the sensory branches of the superficial peroneal nerve (SPN) have different anatomical variations that are of clinical importance, little is known about their anatomic courses, branching patterns, or relationships to palpable osseous landmarks.(1,3) A detailed knowledge is necessary for surgical exposures about the foot and ankle, arthroscopic procedures, ankle block anesthesia, and SPN block for leg venography.

METHODS

Thirty lower cadaver limbs were dissected to assess the anatomic properties and the variations of the sensory branches of the SPN.

RESULTS

Three distinct branch patterns were determined. In Type 1 (63.3%), the nerve penetrated the crural fascia 80.15 +/- 17.80 mm proximal to the intermalleolar line and then divided into the intermediate dorsal cutaneous nerve (IDCN) and the medial dorsal cutaneous nerve (MDCN) (classic type). In Type 2 (26.7%), the IDCN and MDCN arose independently from the SPN. In Type 3 (10%), the SPN penetrated the crural fascia 101.14 +/- 70.27 mm proximal to the intermalleolar line as a single branch. This single branch had a similar course to the MDCN. Measurements in this study were obtained from palpable bony reference landmarks.

CONCLUSION

Detailed knowledge about the SPN, IDCN, and the MDCN may decrease the damage to these nerves during operative procedures near the foot and ankle.

Authors+Show Affiliations

Medicine Faculty, Anatomy Department, 829 Sokak No:23/3, Bornova, IZMIR 35030, Turkey. hucerler1@yahoo.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16309608

Citation

Ucerler, Hulya, and 'Z Asli Aktan Ikiz. "The Variations of the Sensory Branches of the Superficial Peroneal Nerve Course and Its Clinical Importance." Foot & Ankle International, vol. 26, no. 11, 2005, pp. 942-6.
Ucerler H, Ikiz 'A. The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance. Foot Ankle Int. 2005;26(11):942-6.
Ucerler, H., & Ikiz, '. A. (2005). The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance. Foot & Ankle International, 26(11), 942-6.
Ucerler H, Ikiz 'A. The Variations of the Sensory Branches of the Superficial Peroneal Nerve Course and Its Clinical Importance. Foot Ankle Int. 2005;26(11):942-6. PubMed PMID: 16309608.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance. AU - Ucerler,Hulya, AU - Ikiz,'Z Asli Aktan, PY - 2005/11/29/pubmed PY - 2006/6/1/medline PY - 2005/11/29/entrez SP - 942 EP - 6 JF - Foot & ankle international JO - Foot Ankle Int VL - 26 IS - 11 N2 - BACKGROUND: Although the sensory branches of the superficial peroneal nerve (SPN) have different anatomical variations that are of clinical importance, little is known about their anatomic courses, branching patterns, or relationships to palpable osseous landmarks.(1,3) A detailed knowledge is necessary for surgical exposures about the foot and ankle, arthroscopic procedures, ankle block anesthesia, and SPN block for leg venography. METHODS: Thirty lower cadaver limbs were dissected to assess the anatomic properties and the variations of the sensory branches of the SPN. RESULTS: Three distinct branch patterns were determined. In Type 1 (63.3%), the nerve penetrated the crural fascia 80.15 +/- 17.80 mm proximal to the intermalleolar line and then divided into the intermediate dorsal cutaneous nerve (IDCN) and the medial dorsal cutaneous nerve (MDCN) (classic type). In Type 2 (26.7%), the IDCN and MDCN arose independently from the SPN. In Type 3 (10%), the SPN penetrated the crural fascia 101.14 +/- 70.27 mm proximal to the intermalleolar line as a single branch. This single branch had a similar course to the MDCN. Measurements in this study were obtained from palpable bony reference landmarks. CONCLUSION: Detailed knowledge about the SPN, IDCN, and the MDCN may decrease the damage to these nerves during operative procedures near the foot and ankle. SN - 1071-1007 UR - https://www.unboundmedicine.com/medline/citation/16309608/The_variations_of_the_sensory_branches_of_the_superficial_peroneal_nerve_course_and_its_clinical_importance_ L2 - http://journals.sagepub.com/doi/full/10.1177/107110070502601108?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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