Simultaneous end-to-side coaptations of two severed nerves to a single healthy nerve in rats

2006 ◽  
Vol 4 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Serhat Özbek ◽  
M. Ayberk Kurt
Keyword(s):  
Experimental Study ◽  
Nerve Regeneration ◽  
Rat Model ◽  
Axonal Regeneration ◽  
Sural Nerve ◽  
Tibial Nerve ◽  
Distal Stump ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Object This experimental study was designed to evaluate functional and sensory outcomes and morphological features observed after simultaneous end-to-side coaptations of distal stumps of two nerves to a single neighboring nerve. Studies were performed using both parallel and end-to-side coaptation (PEC) and serial end-to-side coaptation (SEC) methods in a rat model. Methods In the PEC group, distal stumps of the sural and common fibular nerves were coapted to the intact tibial nerve 1 cm apart from each other in an end-to-side fashion. In the SEC group, identical surgical procedures apart from the coaptation method were conducted. For the coaptation method in this group, the distal stump of the common fibular nerve was first coapted to the side of the intact tibial nerve, and then the distal stump of the sural nerve was coapted to the side of the common fibular nerve 1 cm apart from the first coaptation site. Nonoperated contralateral sides were used as controls. Nerve regeneration in both groups was evaluated functionally, electrophysiologically, and histomorphometrically. Conclusions When there is a need for two end-to-side coaptations of two severed nerves, PEC is the recommended method of choice to obtain better axonal regeneration into both nerves.

Proximal Motor Branches From the Tibial Nerve as Direct Donors to Restore Function of the Deep Fibular Nerve for Treatment of High Sciatic Nerve Injuries: A Cadaveric Feasibility Study

2009 ◽  
Vol 65 (suppl_6) ◽  
pp. ons218-ons225 ◽  
Author(s):  
Leandro Pretto Flores
Keyword(s):  
Sciatic Nerve ◽  
Soleus Muscle ◽  
Tibial Nerve ◽  
Popliteal Fossa ◽  
Nerve Injuries ◽  
Medial Head ◽  
First Choice ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Abstract Objective: The results of surgical repair of the fibular division of the sciatic nerve have been considered unsatisfactory, especially if grafts are necessary to reconstruct the nerve. To consider the clinical application of the concept of distal nerve transfer for the treatment of high sciatic nerve injuries, this study aimed to determine detailed anatomic data about the possible donor branches from the tibial nerve that are available for reinnervation of the deep fibular nerve at the level of the popliteal fossa. Methods: An anatomic study was performed that included the dissection of the popliteal fossa in 12 lower limbs of 6 formalin-fixed adult cadavers. It focused on the detailed anatomy of the tibial nerve and its branches at the level of the proximal leg as well as the anatomy of the common fibular nerve and its largest divisions at the level of the neck of the fibula, i.e., the deep and superficial fibular nerves. Results: The branches of the tibial nerve destined to the lateral and medial head of the gastrocnemius had a mean length of 43 mm and 35 mm, respectively. The branch to the posterior soleus muscle had a mean length of 65 mm. Intraneural dissection of the common fibular nerve, isolating its deep and superficial fibular divisions, was possible to a proximal mean distance of 71 mm. A tensionless direct suture to the deep fibular nerve was made possible by using the nerve to the lateral head of the gastrocnemius and the nerve to the posterior soleus muscle in all specimens. Direct suture of the nerve to the medial head of the gastrocnemius was possible in all cases except 1. Conclusion: The nerve to the lateral and medial heads of the gastrocnemius and the nerve to the posterior soleus muscle can be used as donors to restore function of the deep fibular nerve in cases of high sciatic nerve injury. However, proximal intraneural dissection of the deep fibular division of the common fibular nerve must also be performed. We recommend that the nerve to the posterior soleus muscle should be the first choice for a donor in the proposed transfer.

scholarly journals The Common Fibular Nerve (and its Branches) in Fetuses

2014 ◽  
Vol 32 (2) ◽  
pp. 455-460
Author(s):  
D Chetty ◽  
P Pillay ◽  
L Lazarus ◽  
K. S Satyapal
Keyword(s):  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

scholarly journals Varied Presentation and Importance of MR Neurography of the Common Fibular Nerve in Slimmer’s Paralysis

2021 ◽  
pp. 555-564
Author(s):  
Lisa B.E. Shields ◽  
Vasudeva G. Iyer ◽  
Christopher B. Shields ◽  
Yi Ping Zhang ◽  
Abigail J. Rao
Keyword(s):  
Weight Loss ◽  
Nerve Palsy ◽  
Rapid Weight Loss ◽  
Fibular Head ◽  
Fat Pad ◽  
Mr Neurography ◽  
Short Period ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Slimmer’s paralysis refers to a common fibular nerve palsy caused by significant and rapid weight loss. This condition usually results from entrapment of the common fibular nerve due to loss of the fat pad surrounding the fibular head. Several etiologies of common fibular nerve palsy have been proposed, including trauma, surgical complications, improperly fitted casts or braces, tumors and cysts, metabolic syndromes, and positional factors. We present 5 cases of slimmer’s paralysis in patients who had lost 32–57 kg in approximately 1 year. In 2 cases, MR neurogram of the knee demonstrated abnormalities of the common fibular nerve at the fibular head. Two patients underwent a common fibular nerve decompression at the fibular head and attained improved gait and sensorimotor function. Weight loss, diabetes mellitus, and immobilization may have contributed to slimmer’s paralysis in 1 case. Awareness of slimmer’s paralysis in patients who have lost a significant amount of weight in a short period of time is imperative to detect and treat a fibular nerve neuropathy that may ensue.

scholarly journals Spontaneous intraneural hematoma of the common fibular nerve due to oral anticoagulation

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Stephanie Schwab ◽  
Christoph Kabbasch ◽  
Stefan J Grau
Keyword(s):  
Peroneal Nerve ◽  
Oral Anticoagulants ◽  
Factor V Leiden ◽  
Common Peroneal Nerve ◽  
Foot Drop ◽  
Nerve Lesion ◽  
Mri Findings ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Abstract Compression syndromes affecting the common fibular nerve are common and frequently caused by direct pressure upon the fibular tip region. Here, we describe a case of a 50-year-old male presenting with sudden foot drop, which had developed spontaneously. He was on oral anticoagulants due to hereditary thrombophilia (factor-V-Leiden). Neurophysiology examination revealed a common peroneal nerve lesion at the fibular tip. T1-weighted magnetic resonance imaging (MRI) showed a not further classifiable hyperintensity within the common peroneal nerve. Surgical exploration revealed a diffuse intraneural hematoma, which was not evacuated. During follow-up, the nerve function recovered almost completely. In retrospect, MRI findings indicated a hematoma supported by the history of anticoagulant medication.

scholarly journals Elastographic and contrast-enhanced ultrasound features of a benign schwannoma of the common fibular nerve

2013 ◽  
Vol 16 (3) ◽  
pp. 135-138 ◽  
Author(s):  
V. Cantisani ◽  
N. Orsogna ◽  
A. Porfiri ◽  
C. Fioravanti ◽  
F. D’Ambrosio
Keyword(s):  
Contrast Enhanced Ultrasound ◽  
Benign Schwannoma ◽  
Contrast Enhanced ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve ◽  
Ultrasound Features

Anatomic survey of the common fibular nerve and its branching pattern with regard to the intermuscular septa of the leg

2004 ◽  
Vol 17 (6) ◽  
pp. 503-512 ◽  
Author(s):  
F. Aigner ◽  
S. Longato ◽  
A. Gardetto ◽  
M. Deibl ◽  
H. Fritsch ◽  
...  
Keyword(s):  
Branching Pattern ◽  
The Common ◽  
Fibular Nerve ◽  
Common Fibular Nerve

scholarly journals The dissemination of pelvic limb nerves originating from the lumbosacral plexus in the porcupine (Hystrix cristata)

2009 ◽  
Vol 54 (No. 7) ◽  
pp. 333-339 ◽  
Author(s):  
A. Aydin
Keyword(s):  
Tibial Nerve ◽  
Femoral Nerve ◽  
Digital Nerve ◽  
Common Root ◽  
Ilioinguinal Nerve ◽  
Hystrix Cristata ◽  
Extensor Muscles ◽  
Pelvic Limb ◽  
The Common ◽  
Fibular Nerve

In this study the nerves originating from the plexus lumbosacrales of porcupines (<I>Hystrix cristata</I>) were investigated. Four porcupines (two males and two females) were used. The plexus lumbosacrales of animals were appropriately dissected and dissemination of pelvic limb nerves originating from the plexus lumbosacrales was examined. The nerves originated from the plexus lumbosacrales of porcupines (<I>Hystrix cristata</I>): iliohypogastric nerve from T15, ilioinguinal nerve (on the left side of only one animal) genitofemoral and lateral femoral cutaneous nerves from T15 and L1, the femoral and obturator nerves from T15, L1, L2 and L3. The femoral nerve divided into two as the common dorsal digital nerve I and II after it branched into motor and skin nerves. The cranial gluteal nerve originated from L3 and L4 in males and from only L3 in females. The caudal gluteal nerve and the caudal femoral cutaneous and sciatic nerves originated from the common root which was formed by the union of L3, L4 and S1 in one animal, and by the union of L3, L4, S1 and S2 in the three other animals. The sciatic nerve divided into the tibial and fibular nerve. The fibular nerve divided into two as the common dorsal digital nerve III and IV, and extended after branching in one direction to extensor muscles. The tibial nerve divided into the common palmares digital nerve I, II, III and IV, and extended after branching into the cutaneous surae caudales nerve and rami muscle distales. The cutaneous surae caudales nerve divided into the common palmar and dorsal digital nerve V. The pudendal and caudal rectal nerves originated from S2 in three animals and from S1 in the remaining animal. In the point of origin from the branches of spinal nerves originating from the plexus lumbosacrales, and also in the absence of the ilioinguinal nerve (on left side abroad of only one animal), originating from T15 and L1 of the genitofemoral and lateral femoral cutaneous nerves, from T15 of the iliohypogastric nerve, the studied porcupines differed from rodentia and other mammals

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