Anatomical variations of the cutaneous innervation patterns of the sural nerve on the dorsum of the foot

2005 ◽  
Vol 18 (3) ◽  
pp. 206-209 ◽  
Author(s):  
C. Madhavi ◽  
B. Isaac ◽  
B. Antoniswamy ◽  
Sunil J. Holla

2015 ◽  
Vol 202 ◽  
pp. 36-44 ◽  
Author(s):  
Piravin Kumar Ramakrishnan ◽  
Brandon Michael Henry ◽  
Jens Vikse ◽  
Joyeeta Roy ◽  
Karolina Saganiak ◽  
...  


Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 197 ◽  
Author(s):  
Somayaji Nagabhooshana ◽  
Venkata Vollala ◽  
Vincent Rodrigues ◽  
Mohandas Rao


2010 ◽  
Vol 58 (1) ◽  
pp. 24 ◽  
Author(s):  
Nachiket Shankar ◽  
RobertPatrick Selvam ◽  
Nikhil Dhanpal ◽  
Ravikanth Reddy ◽  
Ashok Alapati


2016 ◽  
Vol 32 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Omar Rodriguez-Acevedo ◽  
Kristen Elstner ◽  
Aaron Zea ◽  
Jenny Diaz ◽  
Kui Martinic ◽  
...  

Background Neurological complications are well documented in association with both surgical stripping or disconnection and thermal ablation of the small saphenous vein. The sural nerve (medial sural cutaneous nerve) is most vulnerable due to its close relationship to the small saphenous vein. Objective This is a cross-sectional observational study of the sonographic anatomy of 115 Australian patients to determine the course of the sural nerve and its relationship to the small saphenous vein, and to identify its relevance in the thermal ablation of the small saphenous vein. Method Sonographic mapping of the right sural nerve was performed with a Philips L12.5 and Sonosite 10.5 MHz ultrasound machine on 115 patients. The sural nerve was traced proximally from the level of the lateral malleolus to the popliteal fossa in order to measure its distance from the small saphenous vein at four reference points in the lower leg. Results A total of 115 patients were studied (females 82, males 33). The sural nerve was identified in 100% of patients; 64 patients (55.7%) showed usual sural nerve anatomy, while 51 patients (44.3%) demonstrated a range of anatomical variations, including the sural nerve becoming epifascial at a higher point than usual. Conclusion The sural nerve was identifiable on duplex ultrasound in 100% of cases. Classic anatomical relations and the perceived protection of the sural nerve conferred by the deep fascia of the upper calf are unreliable. Preoperative strategies can help to approach and protect the sural nerve in the endovenous ablation setting.



2020 ◽  
Vol 230 ◽  
pp. 151522
Author(s):  
Robert Haładaj ◽  
R. Shane Tubbs ◽  
Piotr Brzeziński ◽  
Łukasz Olewnik ◽  
Michał Polguj


Author(s):  
Sherry Sharma ◽  
Tripta Sharma ◽  
Sunil Bhardwaj

Variations of nerve are not only of anatomic and embryological interest but also of clinical importance. Their adequate knowledge will help in increasing surgical precision and decreasing morbidity. Anatomical variations in the formation of the sural nerve are common, although the topographical localization of this nerve is constant. In this report, we describe a case of an anomalous course of the medial sural cutaneous nerve which descended through the gastrocnemius via a tunnel formed within the muscle. Such anatomical variation of the sural nerve is clinically important when evaluating sensory axonal loss in distal axonal neuropathies since sural nerve mononeuropathy is less likely to occur.



2019 ◽  
Vol 2019 ◽  
pp. 1-15 ◽  
Author(s):  
Robert Haładaj ◽  
Grzegorz Wysiadecki ◽  
Edward Clarke ◽  
Michał Polguj ◽  
Mirosław Topol

Background. The presented study attempts to classify individual anatomical variants of the pectoralis major muscle (PM), including rare and unusual findings. Rare cases of muscular anomalies involving the PM or its tendon have been presented. An attempt has also been made to determine whether anatomical variations of the PM may affect the innervation pattern of the lateral and medial pectoral nerves. Material and Methods. The research was carried out on 40 cadavers of both sexes (22 males, 18 females), owing to which 80 PM specimens were examined. Results. Typical PM structure was observed in 63.75% of specimens. The most frequently observed variation was a separate clavicular portion of the PM. In one female cadaver (2.5% of specimens) the hypotrophy of the clavicular portion of the PM was noticed. In two male cadavers (5% of specimens) the fusion between the clavicular portion of the PM and the deltoid muscle was observed. In one of those cadavers, small sub-branches of the lateral pectoral nerve bilaterally joined the clavicular portion of the deltoid muscle. The detailed intramuscular distribution of certain nerve sub-branches was visualized by Sihler’s stain. PM is mainly innervated by the lateral pectoral nerve. In all specimens stained by Sihler’s technique, the contribution of the intercostal nerves in PM innervation was confirmed. Conclusions. Surgeons should be aware of anatomic variations of the PM both in planning and in conducting surgeries of the pectoral region.



2010 ◽  
Vol 24 (2) ◽  
pp. 237-245 ◽  
Author(s):  
Essam M. Eid ◽  
Ahmed M.S. Hegazy


Sign in / Sign up

Export Citation Format

Share Document