{"id":909,"date":"2017-09-30T04:44:46","date_gmt":"2017-09-30T04:44:46","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=909"},"modified":"2017-09-30T04:44:46","modified_gmt":"2017-09-30T04:44:46","slug":"ijar-2017-356","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-356","title":{"rendered":"IJAR.2017.356"},"content":{"rendered":"
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Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n

Volume 5; Issue 3.3 (September 2017)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a04414-4418<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.356<\/h3>\n

A STUDY OF SURAL NERVE RELATIONSHIP WITH TENDOACHILLES IN HUMAN CADAVERS<\/h3>\n

M\u00a0 Shilpa *1<\/sup>, K R Dakshayani 2<\/sup>.<\/strong><\/p>\n

*1 <\/sup>Assistant professor,Department of Anatomy,Adichunchanagiri\u00a0 Institute of Medical Sciences,Mandya .Karnataka,India.<\/p>\n

2<\/sup> Professor & Head, Department of Anatomy, Mysore Medical College & Research Institute, Mysore. Karnataka, India.<\/p>\n

Address for Correspondence:<\/strong> Dr. M\u00a0 Shilpa, Assistant professor,Department of Anatomy, Adichunchanagiri\u00a0 Institute of Medical Sciences, Mandya. Karnataka, India. Mobile No: 7411543525 E-Mail:<\/strong> shilpa_ramling@yahoo.co.in<\/p>\n

ABSTRACT<\/strong><\/p>\n

Background<\/strong>: The sural nerve is a major cutaneous nerve of the lower limb that courses through the posterolateral leg to supply the lateral margin of\u00a0 the hindfoot and midfoot and the ankle joint. The sural nerve accompanies the small saphenous vein as it descends in the posterior leg, traveling inferolateral as it crosses the lateral border of the calcaneal (Achilles) tendon. It then passes posterior to the lateral malleolus and terminates as the lateral dorsal cutaneous nerve supplying the lateral aspect of the foot. The precise knowledge of\u00a0 Sural Nerve crossing the lateral border of Achilles Tendon at particular distance proximal to Calcaneal tuberosity will help the surgeon to avoid\u00a0 Sural nerve injury at that point in a given leg length.<\/p>\n

Aim<\/strong>: The objective of the study are: (1)To measure horizontal distance of the Sural nerve in relation to the lateral border of Achilles tendon.(2)To measure length of the lower limb from the base of the heel to flexor aspect of poppliteal fossa.<\/p>\n

Materials and Methods:<\/strong> The study was done on 64 lower limbs human cadaver specimens which were collected from dissection room from Department of Anatomy,Mysore Medical College, \u00a0over a period of 2 years.The specimens obtained were fixed in 10% formalin and were finely dissected .<\/p>\n

Results<\/strong>: In 64 dissected limbs the present study investigated the point at which the sural nerve crosses the lateral border of the Achilles tendon, as measured from the superior aspect of the calcaneal tuberosity. For example, in 42 cms leg length the average point of intersection was at 4.28 cms above the calcaneal tuberosity with an average horizontal distance of -0.85 mms from Achilles Tendon to Sural Nerve. Out of 64 dissected lower limbs ,Type A (MSCN+LSCN) Sural nerve formation was seen in 78.1%,Type B(MSCN as Sural nerve) Sural nerve formation was seen in 14.1% and Type C (LSCN as Sural nerve ) was seen in 7.8%.<\/p>\n

Conclusion :<\/strong> In the present study an attempt is made to measure the exact distance at which the Sural nerve crosses the lateral border of Achilles tendon proximal to Calcaneal tuberosity and this measurement enables Surgeons\u00a0 to identify the location of the sural nerve with 95% confidence intervals, according to the patient\u2019s leg length. The present study concludes that the above said anatomic knowledge will assist surgeons in preoperatively predicting where the sural nerve crosses the lateral border of the Achilles tendon, thereby minimizing the risk of iatrogenic injury to Sural nerve.<\/p>\n

KEYWORDS: <\/strong>Sural Nerve,Small Saphenous Vein,Achilles Tendon,Calcaneal Tuberosity.<\/p>\n

REFERENCES<\/strong><\/p>\n

    \n
  1. H. Bannister, M. M. Berry, P. Collins et al., Gray\u2019s Anatomy.The Anatomical Basis of Medicine and Surgery, Churchill & Livingstone, 38th edition, 1995.<\/li>\n
  2. -H. Kim, H.-Y. Jung, M.-O. Kim, and C.-J. Lee. The relative contributions of the medial sural and peroneal communicating nerves to the sural nerve. Yonsei Medical Journal, 2006;47(3):415\u2013422.<\/li>\n
  3. Buchgraber A, Passler HH. Percutaneous repair of Achilles tendon rupture immobilization versus functional postoperative Clin Orthop1997;341:113\u2013122.<\/li>\n
  4. Li Z, Liu K, Lin Y, Li L. Lateral sural cutaneous artery island flap in the treatment of soft tissue defects at the knee. Br J Plast Surg 1990;43:546\u2013550.<\/li>\n
  5. McGillicuddy JE. Techniques of nerve repair. In: Neurosurgery, ed 2, pp. 3185\u20133186, edited by RH Wilkins, SS Rengachary, McGraw-Hill, New York, 1996.<\/li>\n
  6. Walton RL, Bunkis J. The posterior calf fasciocutaneous free flap. Plastic Reconstruction\u00a0 Surgery 1984;74:76\u201385.<\/li>\n
  7. Wei FC, Chuang SS, Yim KK. The sensate fibula osteoseptocutaneous flap: a preliminary report. Br J Plast Surg 1994;47:544.<\/li>\n
  8. Majewski M, Rohrbach M, Czaja S, Ochsner P. Avoiding sural nerve injuries during percutaneous Achilles tendon repair. Am J Sports Med2006;5:793\u2013798.<\/li>\n
  9. A. Blackmon, Stavros Atsas, Mackenzie J. Clarkson, Jacob N. Fox, Blake T. Daney,\u00a0 Sean\u00a0\u00a0 C. Dodson, et al. \/ The Journal of\u00a0 Foot & Ankle Surgery 2013;52:42\u201347.<\/li>\n
  10. Williams PL, Warwick R, Dyson M, Bannister LH (1989) Gray’s Anatomy, 37th edn Edinburgh: Churchill Livingstone<\/li>\n
  11. Huelke DF. A study of the formation of the sural nerve in adult man. Am J PhysiolAnthropol 1957;15:137\u2013147.<\/li>\n
  12. Mestdagh H, Drizenko A, Maynou C, Demondion X, Monier R. Origin and makeup of the human sural nerve. Surg Radiol Anat 2001;23:307\u2013312.<\/li>\n
  13. R. Seema Study of Sural Nerve Complex in Human Cadavers ISRN Anatomy Volume Mestdagh H, Drizenko A, Maynou C, Demondion X, Monier R. Origin and makeup of the human sural nerve. Surg Radiol Anat\u00a0 2001;23:307\u2013312.2013, Article ID 827276, 7 pages. http:\/\/dx.doi.org\/10.5402\/2013\/827276.<\/li>\n
  14. Coert and A. L. Dellon. Clinical implications of the surgical anatomy of the sural Plastic and Reconstructive\u00a0 Surgery 1994;94(6):850\u2013855.<\/li>\n
  15. Uluutku, M. A. Can, and Z. Kurtoglu. Formation and location of the sural nerve in the Surgical and Radiologic Anatomy 2000;22(2):97\u2013100.<\/li>\n
  16. H. Bannister, M. M. Berry, P. Collins et al., Gray\u2019s Anatomy.The Anatomical Basis of Medicine and Surgery, Churchill & Livingstone, 38th edition, 1995.<\/li>\n
  17. Haguy Kammar, MD; Michael R. Carmont, MD; Eugene Kots, MD; Lior Laver, MD; Gideon Mann, MD; Meir Nyska, MD; Omer Mei-Dan, MD.Anatomy of the Sural Nerve and Its Relation to the Achilles Tendon by Ultrasound Examination March 2014;37(3):298-301 Posted March 1, 2014 DOI:10.3928\/01477447-20140225-64.<\/li>\n
  18. Xiaohua Li, Huidong Wang , Chunlin Xia , Lei Zhuang ,Shimin Chang , Baozhi Ding, Zelu Li. Fasciocutaneous sural nerve flap for lower extremity reconstruction: include or exclude the sural nerve? Int J Clin Exp Med 2016;9(11):22289-22295 www.ijcem.com \/ISSN:1940-5901\/IJCEM0022111.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> M Shilpa, K R Dakshayani. A STUDY OF SURAL NERVE RELATIONSHIP WITH TENDOACHILLES IN HUMAN CADAVERS. Int J Anat Res 2017;5(3.3):4414-4418. DOI:\u00a0<\/strong>10.16965\/ijar.2017.356\u00a0 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 3.3 (September 2017) Page No.:\u00a04414-4418 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.356 A STUDY OF SURAL NERVE RELATIONSHIP WITH TENDOACHILLES IN HUMAN CADAVERS M\u00a0 Shilpa *1, K R Dakshayani 2. *1 Assistant professor,Department of Anatomy,Adichunchanagiri\u00a0 Institute of Medical Sciences,Mandya .Karnataka,India. 2 Professor & Head, Department of Anatomy, Mysore Medical College & Research Institute, Mysore.
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