The interosseus crural nerve: An anatomical study of a rarely described structure.
anatomy
cadaver
interosseous membrane
tibial nerve
tibialis posterior
Journal
Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
21
04
2022
received:
10
04
2022
accepted:
21
04
2022
pubmed:
25
4
2022
medline:
16
9
2022
entrez:
24
4
2022
Statut:
ppublish
Résumé
The interosseous crural nerve (IOCn) is said to arise distally from muscular branches of the tibial nerve innervating the deep muscles of the posterior compartment of the leg. Here, we present the results of a cadaveric study of the IOCn to clarify this nerve's morphology and to discuss its potential clinical relevance. On 26 sides from 13 cadaveric specimens, the IOCn was dissected. The IOCn was identified on 14 out of 26 sides (53.8%). The mean diameter and length of the IOCn were 0.46 mm (range 0.3-0.72 mm) and 20.9 mm (range 13.5-33.0 mm), respectively. The origin of the IOCn was from a branch to the popliteus muscle on all sides. The nerve was found to have vascular, muscular, and ligamentous branches. In 53.8%, the nerve reached the inferior tibiofibular joint, and in 46.2%, the nerve terminated in the interosseous membrane of the leg. At its distal part, the IOCn gave off multiple vascular branches to the fibular artery. On one side (7.1%), the nerve pierced the interosseous membrane and innervated muscles of the anterior compartment of the leg. We believe this to be the first anatomical study of the IOCn. The nerve was found to have vascular, muscular, and ligamentous branches. Surgeons operating in the deep posterior compartment of the leg and ankle and clinicians treating patients with unusual presentations or pathology of the leg and ankle should be aware of this structure.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
927-933Informations de copyright
© 2022 American Association for Clinical Anatomists and the British Association for Clinical Anatomists.
Références
Ebraheim, N. A., Taser, F., Shafiq, Q., & Yeasting, R. A. (2006). Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments. Surgical and Radiologic Anatomy, 28(2), 142-149. https://doi.org/10.1007/s00276-006-0077-0
Elamrani, D., Aumar, A., Wavreille, G., & Fontaine, C. (2014). Comparative morphometry of the antebrachial and crural interosseous membranes: Preliminary study for the use of the crural interosseous membrane in the surgical repair of the antebrachial interosseous membrane tears. Surgical and Radiologic Anatomy, 36(4), 333-339. https://doi.org/10.1007/s00276-013-1199-9
Glocker, F. X., Deusch, G., & Lücking, C. H. (1995). Traumatic lesion of the common peroneal nerve with complete foot drop and preserved dorsiflexion of the toes-an innervation anomaly. Muscle & Nerve, 18(8), 926-927.
Illuminati, G., Calio, F. G., Bertagni, A., & Martinelli, V. (1998). Results of bypasses to the anterior tibial artery through the interosseous membrane. Langenbeck's Archives of Surgery, 383(3-4), 259-264. https://doi.org/10.1007/s004230050129
Iwanaga, J., Singh, V., Ohtsuka, A., Hwang, Y., Kim, H. J., Moryś, J., Ravi, K. S., Ribatti, D., Trainor, P. A., Sañudo, J. R., Apaydin, N., Şengül, G., Albertine, K. H., Walocha, J. A., Loukas, M., Duparc, F., Paulsen, F., Del Sol, M., Adds, P., … Tubbs, R. S. (2021). Acknowledging the use of human cadaveric tissues in research papers: Recommendations from anatomical journal editors. Clinical Anatomy, 34(1), 2-4. https://doi.org/10.1002/ca.23671
Kues, J. M. (1990). The pathology of shin splints. The Journal of Orthopaedic and Sports Physical Therapy, 12(3), 115-121. https://doi.org/10.2519/jospt.1990.12.3.115
Linden, D., & Berlit, P. (1994). The intrinsic foot muscles are purely innervated by the tibial nerve (“all tibial foot”)-an unusual innervation anomaly. Muscle & Nerve, 17(5), 560-561.
Morley, J., Fan, C., McDermott, K., Fede, C., Hughes, E., & Stecco, C. (2019). The crural interosseous membrane re-visited: A histological and microscopic study. European Journal of Translational Myology, 29(3), 8340. https://doi.org/10.4081/ejtm.2019.8340
Morris, H., & McMurrich, J. P. (1907). Morris's human anatomy: a complete systematic treatise by English and American authors. P. Blakiston's Son & Co.
Naqvi, G. A., Shafqat, A., & Awan, N. (2012). Tightrope fixation of ankle syndesmosis injuries: Clinical outcome, complications and technique modification. Injury, 43(6), 838-842. https://doi.org/10.1016/j.injury.2011.10.002
Skraba, J. S., & Greenwald, A. S. (1984 May-Jun). The role of the interosseous membrane on tibiofibular weightbearing. Foot & Ankle, 4(6), 301-304. https://doi.org/10.1177/107110078400400605
Standring, S. (2020). Gray's Anatomy (42nd ed.). Elsevier.
Stedman, T. L. (2012). Stedman's medical dictionary for the health professions and nursing. Wolters Kluwer Health/Lippincott Williams & Wilkins.