Tags

Type your tag names separated by a space and hit enter

Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study.
Ital J Anat Embryol. 2010; 115(3):223-8.IJ

Abstract

Superficial peroneal nerve and its branches are frequently at risk for iatrogenic damage. Although different studies on anatomical variations of superficial peroneal nerve are available in the medical literature, such reports are rare from India. Hence the present study was undertaken on Indian population. A total of 60 specimens of inferior extremities from 30 properly embalmed and formalin fixed cadavers were dissected and examined for the location and course of the superficial peroneal nerve including number, level, course and distributions of branches. The superficial peroneal nerve in 28.3% specimens was located in the anterior compartment of the leg. In 8.3% specimens the superficial peroneal nerve branched before piercing between the peroneus longus and extensor digitorum longus muscle whereas in 11.7% specimens it branched after piercing the aforementioned muscles and before piercing the deep fascia. In 41 out of 60 specimens the sensory division of superficial peroneal nerve branched into the medial dorsal cutaneous nerve and intermediate dorsal cutaneous nerve distal to its emergence from the deep fascia and proximal to its relation to the extensor retinaculum. In 20 out of 60 specimens the accessory deep peroneal nerve, an additional branch from the sensory division of superficial peroneal nerve, through its course in the anterior compartment of the leg passed deep to the extensor retinaculum and supplied the ankle and the dorsum of foot. Hopefully the present study will help in minimizing iatrogenic damage to the superficial peroneal nerve and its branches while performing arthroscopy, local anesthetic block, surgical approach to the fibula, open reduction and internal fixation of lateral malleolar fractures, application of external fixators, elevation of a fasciocutaneous or fibular flaps for grafting, surgical decompression of neurovascular structures, or miscellaneous surgery on leg, foot and ankle.

Authors+Show Affiliations

Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India prakashrinku@rediffmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21287977

Citation

Prakash, , et al. "Anatomic Variations of Superficial Peroneal Nerve: Clinical Implications of a Cadaver Study." Italian Journal of Anatomy and Embryology = Archivio Italiano Di Anatomia Ed Embriologia, vol. 115, no. 3, 2010, pp. 223-8.
Prakash , Bhardwaj AK, Singh DK, et al. Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study. Ital J Anat Embryol. 2010;115(3):223-8.
Prakash, ., Bhardwaj, A. K., Singh, D. K., Rajini, T., Jayanthi, V., & Singh, G. (2010). Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study. Italian Journal of Anatomy and Embryology = Archivio Italiano Di Anatomia Ed Embriologia, 115(3), 223-8.
Prakash , et al. Anatomic Variations of Superficial Peroneal Nerve: Clinical Implications of a Cadaver Study. Ital J Anat Embryol. 2010;115(3):223-8. PubMed PMID: 21287977.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study. AU - Prakash,, AU - Bhardwaj,Ajay Kumar, AU - Singh,Deepak Kumar, AU - Rajini,T, AU - Jayanthi,V, AU - Singh,Gajendra, PY - 2011/2/4/entrez PY - 2011/2/4/pubmed PY - 2011/3/4/medline SP - 223 EP - 8 JF - Italian journal of anatomy and embryology = Archivio italiano di anatomia ed embriologia JO - Ital J Anat Embryol VL - 115 IS - 3 N2 - Superficial peroneal nerve and its branches are frequently at risk for iatrogenic damage. Although different studies on anatomical variations of superficial peroneal nerve are available in the medical literature, such reports are rare from India. Hence the present study was undertaken on Indian population. A total of 60 specimens of inferior extremities from 30 properly embalmed and formalin fixed cadavers were dissected and examined for the location and course of the superficial peroneal nerve including number, level, course and distributions of branches. The superficial peroneal nerve in 28.3% specimens was located in the anterior compartment of the leg. In 8.3% specimens the superficial peroneal nerve branched before piercing between the peroneus longus and extensor digitorum longus muscle whereas in 11.7% specimens it branched after piercing the aforementioned muscles and before piercing the deep fascia. In 41 out of 60 specimens the sensory division of superficial peroneal nerve branched into the medial dorsal cutaneous nerve and intermediate dorsal cutaneous nerve distal to its emergence from the deep fascia and proximal to its relation to the extensor retinaculum. In 20 out of 60 specimens the accessory deep peroneal nerve, an additional branch from the sensory division of superficial peroneal nerve, through its course in the anterior compartment of the leg passed deep to the extensor retinaculum and supplied the ankle and the dorsum of foot. Hopefully the present study will help in minimizing iatrogenic damage to the superficial peroneal nerve and its branches while performing arthroscopy, local anesthetic block, surgical approach to the fibula, open reduction and internal fixation of lateral malleolar fractures, application of external fixators, elevation of a fasciocutaneous or fibular flaps for grafting, surgical decompression of neurovascular structures, or miscellaneous surgery on leg, foot and ankle. SN - 1122-6714 UR - https://www.unboundmedicine.com/medline/citation/21287977/Anatomic_variations_of_superficial_peroneal_nerve:_clinical_implications_of_a_cadaver_study_ L2 - http://www.malacards.org/card/peroneal_nerve_accessory_deep DB - PRIME DP - Unbound Medicine ER -