Yıl: 2012 Cilt: 22 Sayı: 1 Sayfa Aralığı: 62 - 67 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses

Öz:
AMAÇ: Nervus peroneus superficialis (SPN) ve uç dallarının ayak ve bacaktaki topografik anatomisi hakkında daha detaylı bilgi vermek amacıyla Türkiye'deki yenidoğan fetuslar üzerinde bu çalışma gerçekleştirildi.YÖNTEM ve GEREÇ: Yirmi yenidoğan kadavrasında her iki alt ekstremite diseke edildi. SPN'nin bacağın anterolateral yüzündeki seyri ve uç dallarının ise ayağın dorsal yüzündeki seyri araştırıldı.BULGULAR: Nervus peroneus superficialis'in, vakaların %75'inde lateral, %15'inde anterior ve %10'unda ise iki dala ayrılıp her iki kompartmanda seyrettiği gözlendi. SPN ayağın dorsal yüzünde, nervus cutaneus dorsalis medialis (MDCn) ve nervus cutaneus dorsalis intermedialis (IDCn) dallarını veriyordu. Vakaların %82,5'inde MDCn üç, IDCn ise iki uç dala ayrılıyordu. Vakaların %10'unda ise MDCn üç, IDCn ise bir uç dala ayrılıyordu. Diğer %7,5'lik vakada ise MDCn üç, IDCn iki dal veriyor ve IDCN nervus cutaneus dorsalis lateralis ile anastomoz yapıyordu.SONUÇ: Nervus peroneus superficialis'in bacağın anterolateral yüzünde, uç dallarının ise ayağın dorsal yüzündeki seyri çok farklılık göstermektedir. Bu olağan dışı yerleşimlerin tanımlanması cerrahlara SPN ve uç dallarının korunmasında ve belirlenmesinde yardımcı olacaktır.
Anahtar Kelime:

Konular: Cerrahi

Nervus peroneus superficialis ve uç dallarının Türkiye'de bulunan yenidoğan fetuslardaki varyasyonları

Öz:
AIM: The topography of the superficial peroneal nerve (SPN) and its terminal branches were studied, with the aim of providing further anatomical details for leg and foot in the Turkish newborn fetuses.MATERIAL and METHODS: Limbs from twenty newborn cadavers were dissected. The course of the SPN on the leg and its terminal branches on the foot were investigated.RESULTS: The SPN was lateral (75%), anterior (15%), or branched in both areas (10%) of the cases. The SPN in the dorsum of the feet branched further into medial dorsal cutaneous nerve (MDCn) and intermediate dorsal cutaneous nerve (IDCn). In 82.5% of the cases the MDCn and the IDCn split into three and two branches, respectively. In 10% of the cases, the MDCn gave off three, and the IDCn one terminal branches. In 7.5% of the cases, the MDCn had three while the IDCn had two branches that communicated with the lateral dorsal cutaneous nerve.CONCLUSION: The course of SPN on the anterolateral surface of the leg and its terminal branches on the dorsal surface of the foot were quite different. This unusual variant location will enable the surgeon to find and preserve the SPN and its terminal branches.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Adkinson DP, Bosse MJ, Gaccione DR, Gabriel KR: Anatomical variations in the course of the superficial peroneal nerve. J Bone Joint Surg Am 73(1): 112-114, 1991
  • 2. Aktan Ikiz ZA, Ucerler H: The distribution of the superficial peroneal nerve on the dorsum of the foot and its clinical importance in flap surgery. Foot Ankle Int 27(6): 438-44, 2006
  • 3. Apaydin N, Basarir K, Loukas M, Tubbs RS, Uz A, Kinik H: Compartmental anatomy of the superficial fibular nerve with an emphasis on fascial release operations of the leg. Surg Radiol Anat 30(1): 47-52, 2007
  • 4. Arinci K, Elhan A: Anatomi II. Ankara: 1997, 232-233
  • 5. Barrett SL, Dellon AL, Rosson GD, Walters L: Superficial peroneal nerve (Superficial Fibularis Nerve): The clinical implications of anatomic variability. J Foot Ankle Surg 45(3): 174-176, 2006
  • 6. Blair JM and Botte MJ: Surgical anatomy of the superficial peroneal nerve in the ankle and foot. Clin Orthop 305: 229-238, 1994
  • 7. Browne JA, Morris MJ: Variant superficial fibular (peroneal) nerve anatomy in the middle third of the lateral leg. Clin Anat 20: 996-997, 2007
  • 8. Canovas F, Bonnel F, Kouloumdjian P: The superficial peroneal nerve at the foot, organisation, surgical applications. Surg Radiol Anat 18: 241-244, 1996
  • 9. Domagala Z, Gworys B, Porwolik K: Preliminary assessment of anatomical variability of nervus peroneus superficialis in the foetal period. Folia Morphol 62(4): 401–403, 2003
  • 10. Drizenko A, Demondion X, Luyckx F, Mestdagh H, Cassagnaud X: The communicating branches between the sural and superficial peroneal nerves in the foot: A review of 55 cases. Surgical and Radiologic Anatomy 26(6): 447-452, 2004
  • 11. Ducic I, Dellon AL, Graw KS: The clinical importance of variations in the surgical anatomy of the superficial peroneal nerve in the mid-third of the lateral leg. Ann Plast Surg 56(6): 635-638, 2006
  • 12. Heune DB, Bunnel WP: Operative anatomy of nerves encountered in the lateral approach to the distal part of fibula. J Bone Joint Surg 77: 1021–1024, 1995
  • 13. Hortwitz MT: Normal anatomy and variations of the peripheral nerves of the leg and foot. Arch Surg 36: 626-636, 1938
  • 14. Kim DH, Kline DG: Management and results of peroneal nerve lesions. Neurosurgery 39: 312-320, 1996
  • 15. McGreor-Riley JC, Farhan MJ: Entrapment of the terminal branches of the superficial peroneal nerve on the dorsum of foot. Report of two unusual cases and review of the literature. The Foot 12: 21-26, 2002
  • 16. Nagabhooshana S, Vollala VR, Rodrigues V, Rao M: Anomalous superficial peroneal nerve and variant cutaneous innervation of the sural nerve on the dorsum of the foot: A case report. Cases J 18(2):197, 2009
  • 17. Pacha D, Carrera A, Llusa M, Permanyer E, Molona O, Morro R: Clinical anatomy of the superficial peroneal nerve in the distal leg. Eur J Anat 1: 15-20, 2003
  • 18. Solomon LB, Ferris L, Tedman R, Henneberg M: Surgical anatomy of the sural and superficial fibular nerves with an emphasis on the approach to the lateral malleolus. J Anat 199: 717-723, 2001
  • 19. Tank PW: Grant’s Dissector. 13 (ed). Philadelphia: Lippincott Williams & Wilkins, 2005:138
  • 20. Wahee P , Aggarwal A, Harjeet, Sahni D: Variable patterns of cutaneous innervation on the dorsum of foot in fetuses. Surg Radiol Anat 32(5): 469-475, 2010
  • 21. Williams EH, Dellon AL: Intraseptal superficial peroneal nerve. Microsurgery 27:477-480, 2007
  • 22. Yang LJ, Gala VC, McGillicuddy JE: Superficial peroneal nerve syndrome: An unusual nerve entrapment case report. J Neurosurg 104(5): 820-823, 2006
APA Baş O, BİLGİÇ S, SALBACAK A, SÖNMEZ O, ERKUT A (2012). Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. , 62 - 67.
Chicago Baş Orhan,BİLGİÇ Sait,SALBACAK Ahmet,SÖNMEZ Osman Fikret,ERKUT Adem Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. (2012): 62 - 67.
MLA Baş Orhan,BİLGİÇ Sait,SALBACAK Ahmet,SÖNMEZ Osman Fikret,ERKUT Adem Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. , 2012, ss.62 - 67.
AMA Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. . 2012; 62 - 67.
Vancouver Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. . 2012; 62 - 67.
IEEE Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A "Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses." , ss.62 - 67, 2012.
ISNAD Baş, Orhan vd. "Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses". (2012), 62-67.
APA Baş O, BİLGİÇ S, SALBACAK A, SÖNMEZ O, ERKUT A (2012). Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. Turkish Neurosurgery, 22(1), 62 - 67.
Chicago Baş Orhan,BİLGİÇ Sait,SALBACAK Ahmet,SÖNMEZ Osman Fikret,ERKUT Adem Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. Turkish Neurosurgery 22, no.1 (2012): 62 - 67.
MLA Baş Orhan,BİLGİÇ Sait,SALBACAK Ahmet,SÖNMEZ Osman Fikret,ERKUT Adem Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. Turkish Neurosurgery, vol.22, no.1, 2012, ss.62 - 67.
AMA Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. Turkish Neurosurgery. 2012; 22(1): 62 - 67.
Vancouver Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses. Turkish Neurosurgery. 2012; 22(1): 62 - 67.
IEEE Baş O,BİLGİÇ S,SALBACAK A,SÖNMEZ O,ERKUT A "Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses." Turkish Neurosurgery, 22, ss.62 - 67, 2012.
ISNAD Baş, Orhan vd. "Variations of the superficial peroneal nerve and ıts terminal branches in the Turkish newborn fetuses". Turkish Neurosurgery 22/1 (2012), 62-67.