Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 3 | Page No. 1436-1440
Date of Publication: 30-09-2015
STUDY ON COMMUNICATING BRANCHES OF SURAL NERVE: REVIEW OF LITERATURE AND ITS CLINICAL IMPLICATIONS
Sherry Sharma * 1, Meenakshi Khullar 2, Harpreet Singh Gulati 3, Sunil Bhardwaj 4.
*1 Associate Professor, Department of Anatomy, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India.
2 Assistant Professor, Department of Anatomy, Guru Gobind Singh Medical College, Faridkot, Punjab, India.
3 Assistant Professor, Department of Anatomy, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India.
4 Medical Officer, PHC Thariewal, Block Majitha, Amritsar, Punjab, India.
Address: : Dr. Sherry Sharma, Associate Professor, Department of Anatomy, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India. Phone No.: +919872830406.
Introduction: 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.
Materials and Methods: In the present study the communicating branches of sural nerve were studied. The material for the present study comprised of 60 lower extremities belonging to 30 adult human cadavers obtained from Department of Anatomy, GMC, Amritsar, India. The sural nerve was identified and traced downward in the limb.
Result: In the present study these communicating branches arose either from lateral sural cutaneous nerve (branch of common peroneal nerve) or superficial peroneal nerve (intermediate dorsal cutaneous branch) or from tibial nerve itself.
Discussion: Sural nerve is usually used as grafting material. So these described variations are helpful for planning operative approaches that minimize risk of sural nerve injury. Moreover the anatomic course of nerve in distal leg and ankle makes it susceptible to local trauma and also to increased risk of injury during surgical intervention at ankle.
KEY WORDS: Sural nerve, Communicating branch, Grafting material, Nerve injury.
- Mahakkanukraun P, Chomsung R. Anatomical variation of sural nerve. Clin Anat 2000; 15:263-266.
- Mestdagh H, Drizenko A, Maynou C, Demondion X, Monier R. Origin and make up of the human sural nerve. Surg Radiol Anat 2001;23:307-312.
- Bryan BM, Lutz GE, O’ Brien SJ. Sural nerve entrapment after injury to gastrocnemius: a case report. Arch Phys Med Rehabil 1999;80:604-606.
- Stickler DE, Morley KN, Massey EW. Sural neuropathy: etiologies and predisposing factor. Muscle Nerve 2006;34:482-484.
- Nayak SB. Sural nerve and short saphenous vein entrapment – a case report. Ind J Plast Surg 2005;38(2):171-172.
- Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek LE et al. The Leg. Berry MM, Mstandring S, Bannister LH. In: Gray’s Anatomy. 40th Edition. Edinburgh, London: Churchill Livingstone;2008;1427.
- Romans GJ. The popliteal fossa, back of thigh, leg and foot. In: Cuningham’s Manual of Practical Anatomy. 15th Edition. Edinburgh, London: Book Society and Oxygen University Press; 1986;(3):160-214.
- Drizenko A, Demondion X, Luyckx F, Mestdagh H, Cassagnaud X. The communicating branches between the sural and superficial peroneal nerve in the foot: a review of 55 cases. Surg Radiol Anat 2004;26(6):447-452.
- Bonnel F, Janot TAP, Briand D, Claustre JE, Faure P. Lenerf fibulaire superficial au pied. Med Chir Pied 1992; 8: 95-100. Cited by Drizenko A, Demondion X, Luyckx F, Mestdagh H, Cassagnaud X. The communicating branches between the sural and superficial peroneal nerve in the foot: a review of 55 cases. Surg Radiol Anat 2004; 26(6): 447-452.
- Kosinski C. The course, mutual relations and distribution of cutaneous nerves of metazonal region of leg and foot. J Anat 1926; 60: 274-297 Cited by Drizenko A, Demondion X, Luyckx F, Mestdagh H, Cassagnaud X. The communicating branches between the sural and superficial peroneal nerve in the foot: a review of 55 cases. Surg Radiol Anat 2004;26(6):447-452.
- Eastwood DM, Irgau I, Atkins RM. The distal course of the sural nerve and its significance for incision around the lateral hind foot. Foot Ankle 1992; 13: 199-202.
- Blair JM and Botte MJ. Surgical anatomy of superficial peroneal nerve in the ankle and foot. Clin Orthop 1994;305:229-238.
- Heune DB, Bunnell WP. Operative anatomy of nerves encountered in lateral approach to distal part of fibula. J Bone Joint Surg (Am) 1995;77:1021-1024.
- Sekiya S, Kumaki K. Sural - tibial nerve communications in humans. Anat Sci Int 2002; 77: 140.
- Tsai CC, Lin TM, Lai CS, Lin SD. Tarsal tunnel syndrome secondary to neurilemmoma – a case report. Kaohsiung J Med Sci 2001;17(4):216-220.
- Davis TJ, Schon LC. Branches of tibial nerve: anatomic variation. Foot Ankle Int1995; 16(1):21-29.
- S R Seema. Study of sural nerve complex in human cadaver. ISRN Anatomy; 2013 article ID 827276:127.
- Devi SK, Sharmila BP, Susan PJ, Gajendra K. Variant formation of sural nerve and its distribution at the dorsum of the foot. International journal of anatomical variations 2009;1:33-34.
Sherry Sharma, Meenakshi Khullar, Harpreet Singh Gulati, Sunil Bhardwaj. STUDY ON COMMUNICATING BRANCHES OF SURAL NERVE: REVIEW OF LITERATURE AND ITS CLINICAL IMPLICATIONS. Int J Anat Res 2015;3(3):1436-1440. DOI: 10.16965/ijar.2015.260