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Evaluation of the anatomy of the common peroneal nerve. Defining nerve-at-risk in arthroscopically assisted lateral meniscus repair.
腓总神经解剖的评价。在关节镜辅助外侧半月板修复中确定风险神经。

摘要

A two-part study was undertaken to clarify the anatomy of the common peroneal nerve at the level of the lateral joint line and risk factors associated with arthroscopically assisted inside-out lateral meniscus repair. In part I, 70 legs in 35 preserved cadavera were dissected to evaluate the relevant anatomy of the common peroneal nerve; 7 (10%) manifested division of the common peroneal nerve into deep and superficial branches proximal to the knee joint. A cutaneous branch not previously described in the literature emanated from the common peroneal trunk in 21 of the legs (30%). In part II, arthroscopically assisted inside-out lateral meniscus repair was performed on 10 fresh-frozen cadaveric knees. Divergence between suture arms increased as suture position was sequentially posterior. Capture of a nerve branch occurred in 2 knees (20%) when posterior retraction was not used. Nerve involvement was eliminated when a retractor was employed. There was significant anatomic variability in the course and branching pattern of the common peroneal nerve at the level of the lateral joint line. During arthroscopically assisted inside-out lateral meniscus repair, risk of injuring the peroneal nerve was related to suture position because of the proximity of anatomic structures and the tendency for suture divergence with soft tissue tethering.

译文

进行了一项由两部分组成的研究,以阐明腓总神经在外侧关节线水平的解剖结构以及与关节镜辅助内外侧半月板修复相关的风险因素。在第一部分,解剖了 35 具保存的尸体中的 70 条腿,以评估腓总神经的相关解剖; 7 (10%) 表现为将腓总神经分为膝关节附近的深支和浅支。文献中没有描述的皮肤分支来自 21 条腿 (30%) 的腓总干。在第二部分,对 10 个新鲜冷冻的尸体膝盖进行了关节镜辅助的内外侧半月板修复。缝合臂之间的分歧随着缝合位置依次向后而增加。当没有使用后回缩时,神经分支的捕获发生在 2 个膝盖 (20%)。当使用牵开器时,神经受累被消除。腓总神经在外侧关节线水平的走行和分支模式有显著的解剖学差异。在关节镜辅助的内外侧半月板修复过程中,损伤腓神经的风险与缝合位置有关,因为解剖结构邻近,并且缝合方向有与软组织束缚相背离的趋势。

Common peroneal nerve

骨科 坐骨神经分支 临床研究术语
概述  :  

腓总神经病变是最常见的外周神经单神经病变,病因很多,创伤最为常见。腘窝外侧沟及腓管为腓总神经易受损伤及卡压的两处解剖学位置。治疗方法和时间选择均可影响腓总神经病变的疗效。 解剖学特征腓总神经为坐骨神经的两大分支之一,27.3%的坐骨神经在骨盆内已分为胫神经和腓总神经,腓总神经在腘窝近侧角与胫神经分离,之后向外下方斜行于股二头肌内侧缘腘窝外侧沟内,至腘窝外侧缘跨过腓肠肌外侧头,绕过腓骨头后方,穿过腓管绕前下行,于腓管前内侧发出腓浅、腓深神经。 腓总神经易损因素腓总神经易于受

Common /ˈkɑːmən/         

释义   adj. (common) 常见的,普通的;共同的;粗俗的,庸俗的;平民的,无特殊地位的;(品质)起码的;(动植物)分布最为广泛的;(社区、公众)共有的,共受影响的;(名词)通性的;(音节)长短共通的;(罪行)普通的

n. (common) 公有地;(学校)学生公共食堂;(非正式)常识;(基督教教会适用于各种场合的)普通礼拜;(对他人土地的)共同使用(或收益)权

例句   What do they have in common ?   他们有什么共同点呢?

 

peroneal 英 /,perə'niːəl/         

释义   adj. 腓骨的;腓侧的

例句   The shape, blood supply and innervation of long peroneal muscle were observed on 30 adult leg specimens. 在30例成年下肢标本上观测腓骨长肌形态、血液供给和神经分布。

 

nerve 英 /nɜːv/  美 /nɜːrv/          

释义   n. 神经;勇气;[植] 叶脉

vt. 鼓起勇气

例句   If you have it, you feel it pulsing in every nerve of your body. 如果你有野心,你会感觉你身体的每个神经都热血澎湃。


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