Pseudoganglion on the connecting branch between the deep branch of the lateral plantar nerve and medial plantar nerve

2011 ◽  
Vol 24 (5) ◽  
pp. 646-651 ◽  
Author(s):  
Takamitsu Arakawa ◽  
Shin-Ichi Sekiya ◽  
Toshio Terashima ◽  
Akinori Miki
Keyword(s):  
Medial Plantar Nerve ◽  
Lateral Plantar Nerve ◽  
Deep Branch

scholarly journals MRI Study on Tibial Nerve of the Ankle Canal and Its Branches: A method of multiplanar reconstruction with 3D-FIESTA-C sequences

2020 ◽  
Author(s):  
Yan Zhang ◽  
Xucheng He ◽  
Juan Li ◽  
Ju Ye ◽  
Wenjuan Han ◽  
...  
Keyword(s):  
Tibial Nerve ◽  
Three Dimensional ◽  
The Body ◽  
Multiplanar Reconstruction ◽  
Medial Malleolus ◽  
Cross Sectional ◽  
Medial Plantar Nerve ◽  
Lateral Plantar Nerve ◽  
Good Imaging ◽  
Starting Point

Abstract Background The display of tibial nerve and its branches in the ankle canal is helpful for the diagnosis of local lesions and compression, and also for clinical observation and surgical planning.The aim of this study was to investigate the feasibility of three-dimensional dual-excitation balanced steady-state free precession sequence (3D-FIESTA-C) multiplanar reconstruction (MPR) display of tibial nerve and its branches of the ankle canal. Methods The subjects were 20 healthy volunteers (40 ankles), aged 22–50, with no history of ankle joint desease. 3D-FIESTA-C sequence was used in the 3.0t magnetic resonance equipment for imaging. During the scanning, each foot was at a 90-degree angle to the tibia.The tibial nerve of the ankle canal and its branches were displayed and measured at the same level through multiplanar reconstruction. Results Most of the tibial nerve bifurcation points were located in the ankle canal (57.5%), few (42.5%) were located at the proximal end of the ankle canal, and none was found away from the distal end. The bifurcation between the medial plantar nerve and the lateral plantar nerve is on the line between the tip of the medial malleolus and the calcaneus, and it’s angle is between 6° and 35°.The average cross-sectional diameter of the medial plantar nerve is about mm, and the lateral plantar nerve about mm. In MPR images, the display rates of both the medial calcaneal nerve and the subcalcaneal nerve were 100%, and the starting point of the subcalcaneal nerve was always at the distal end of the starting point of the medial calcaneal nerve. In 55% of cases, there were more than 2 medial calcaneal nerve innervations. Conclusion The 3D-FIESTA-C MPR can display the morphological features and positions of tibial nerve and its branches and the bifurcation point’s projection position on the body surface can be marked. This method not only benefited the imaging diagnosis of tibial nerve and branch-related lesions of the ankle canal, but also provided a good imaging basis to plan the clinical operation of the ankle canal and avoid surgical injury.

Outcome following neurectomy of the deep branch lateral plantar nerve and plantar fasciotomy for hindlimb proximal suspensory desmopathy in western performance horses: 21 cases

2020 ◽  
Author(s):  
Dane M. Tatarniuk ◽  
Jacqueline A. Hill ◽  
Rolf B. Modesto ◽  
Tamara M. Swor ◽  
Stephanie S. Caston ◽  
...  
Keyword(s):  
Lateral Plantar Nerve ◽  
Deep Branch ◽  
Plantar Fasciotomy

Is anaesthesia of the deep branch of the lateral plantar nerve specific for the diagnosis of proximal metatarsal pain in the horse?

2014 ◽  
Vol 27 (05) ◽  
pp. 351-357 ◽  
Author(s):  
P. Milner ◽  
A. Talbot ◽  
E. Singer ◽  
G. Hinnigan
Keyword(s):  
Single Injection ◽  
Metatarsal Bone ◽  
Injection Technique ◽  
Nociceptive Threshold ◽  
Lateral Aspect ◽  
Lateral Plantar Nerve ◽  
Deep Branch ◽  
Blue Solution ◽  
Dye Diffusion ◽  
Mechanical Nociceptive Threshold

SummaryObjectives: To investigate the specificity of anaesthesia of the deep branch of the lateral plantar nerve (DB-LPN).Methods: Twenty horses had DB-LPN anaesthesia performed by a single injection technique as part of a lameness investigation. The mechanical nociceptive threshold (NT) was measured using a handheld force meter at six points on the lateral aspect of the limb: before diagnostic anaesthesia (T0), and at 15 (T15) and 30 (T30) minutes post anaesthesia. Paired t-tests were performed and significance was set at p <0.05. In addition, ten cadaveric limbs were injected with 2.5 ml new methylene blue solution using a single injection technique to evaluate the extent of dye diffusion within the proximal metatarsal region.Results: Compared with T0, there was a significant decrease in NT for all points combined at T15 (p = 0.008) and also at T30 (p = 0.007). There was a significant decrease in NT at T15 on the lateral third metatarsal bone (p = 0.012). At T30 there was a significant decrease in NT at the lateral sesamoid (p = 0.007), lateral third metatarsal bone (p = 0.031), and mid metatarsus (p = 0.033). Four out of 20 horses had a NT greater than 10 N at the lateral heel bulb at T30. In the cadaveric limbs, the total diffusion distance for all limbs (mean ± SD) was 70.4 ± 20.5 mm. Dye surrounded the DB-LPN in all limbs and the lateral plantar nerve (LPN) in nine out of 10 limbs.Clinical significance: Concurrent anaesthesia of the LPN is likely to occur when DBLPN anaesthesia is performed using a single injection technique.

scholarly journals Safe Zone for the Plantar Portal

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Shingo Maeda ◽  
Takaaki Hirano ◽  
Akiyama Yui ◽  
Hiroyuki Mitsui ◽  
Hisateru Niki
Keyword(s):  
Endoscopic Surgery ◽  
Flexor Hallucis Longus ◽  
Flexor Digitorum Longus ◽  
Peroneus Longus Tendon ◽  
Medial Plantar Nerve ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Lateral Plantar Nerve ◽  
Medial Side ◽  
Flexor Digitorum

Category: Arthroscopy Introduction/Purpose: Open surgery of the sole of the foot requires an extensive amount of soft tissue to be dissected. In recent years, various types of endoscopic surgery for the sole of the foot have been reported, making it possible to dynamically evaluate and treat plantar lesions with a small skin incision and minimal dissection. However, there have also been reports of complications involving plantar nerve injury. A good knowledge of the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the soles of cadaveric feet to investigate the safe zones for plantar portals. Methods: We studied 36 feet of 24 cadavers. The soft tissue of the sole was dissected, and the relationships between the plantar nerve and flexor digitorum longus tendon, flexor hallucis longus tendon and peroneus longus tendon were studied. The plantar nerve course was digitally imaged and uploaded into Image J software to determine the nerve position. The back of the calcaneus, the medial side of the base of M (Metatarsal) 1, the medial side of the head of M1, the lateral side of the head of M5, and the proximal tip of M5 were plotted and defined as A, B, C, D, and E respectively on Image J. The nerve courses were plotted on AB, BE, and CD, and the percentage at which they were positioned on the line segment was calculated. Next, the bifurcation positions of each nerve were plotted and measured to the defined line segments. Results: No major differences were noted in the course of the medial plantar nerve and lateral plantar nerve. The medial plantar nerve and lateral plantar nerve ran between B and E, at 32.4% ± 4% and 61.2%± 5.1% respectively from B. No plantar arteries were found to run between the medial plantar nerve and lateral plantar nerve on BE. Taking mean and standard deviation values into account, no neurovascular structure existed from 36.4% to 56.1% along a line between the medial aspect of the base of M1 to the proximal tip of M5. The flexor digitorum longus tendon and peroneus longus tendon passed through the deep layer of this region. Conclusion: We believe this region to be a safe zone for creating plantar endoscopic portal. The plantar central portal can be created at the center of the sole. An approach from the plantar central portal to the flexor digitorum longus tendon, flexor hallucis longus tendon, and peroneus longus tendon with the plantar lateral portal, posteromedial portal, and toe portal allows for a greater range of vision and treatment options and may further advance endoscopic surgery of the sole.

scholarly journals MRI Study on Tibial Nerve of the Ankle Canal and Its Branches: A method of multiplanar reconstruction with three-dimensional dual-excitation balanced steady-state free precession sequence

2020 ◽  
Author(s):  
Yan Zhang ◽  
Xucheng He ◽  
Juan Li ◽  
Ju Ye ◽  
Wenjuan Han ◽  
...  
Keyword(s):  
Steady State ◽  
Steady State Free Precession ◽  
Tibial Nerve ◽  
Three Dimensional ◽  
Multiplanar Reconstruction ◽  
Medial Malleolus ◽  
Free Precession ◽  
Medial Plantar Nerve ◽  
Lateral Plantar Nerve ◽  
Starting Point

Abstract Background: The display of tibial nerve and its branches in the ankle canal is helpful for the diagnosis of local lesions and compression, and also for clinical observation and surgical planning.The aim of this study was to investigate the feasibility of three-dimensional dual-excitation balanced steady-state free precession sequence (3D-FIESTA-C) multiplanar reconstruction (MPR) display of tibial nerve and its branches of the ankle canal.The subjects were 20 healthy volunteers (40 ankles), aged 22-50, with no history of ankle joint desease. 3D-FIESTA-Csequence was used in the 3.0t magnetic resonance equipment for imaging. During the scanning, each foot was at a 90-degree angle to the tibia so that the results of measurement are more accurate .The tibial nerve of the ankle canal and its branches were displayed and measured at the same level through multiplanar reconstruction.Results: Most of the tibial nerve bifurcation points were located in the ankle canal (57.5%), few (42.5%) were located at the proximal end of the ankle canal, and none was found away from the distal end. The bifurcation between the medial plantar nerve and the lateral plantar nerve is on the line between the tip of the medial malleolus and the calcaneus, and it’s angle is between 6° and 35°.The average cross-sectional diameter of the medial plantar nerve is about mm, and the lateral plantar nerve about mm. In MPR images, the display rates of both the medial calcaneal nerve and the subcalcaneal nerve were 100%, and the starting point of the subcalcaneal nerve was always at the distal end of the starting point of the medial calcaneal nerve. In 55% of cases, there were more than 2 medial calcaneal nerve innervations.Conclusion: The 3D-FIESTA-C MPR can display the morphological features and positions of tibial nerve and its branches. By measuring the distance between each bifurcation point, the tip of the medial malleolus and the angle between this line and the horizontal line that passes the tip of the medial malleolus, the bifurcation point’s projection position on the body surface can be accurately marked. This method not only benefited the imaging diagnosis of tibial nerve and branch-related lesions of the ankle canal, but also provided a good imaging basis to plan the clinical operation of the ankle canal and avoid surgical injury.

Variation of Nerve to Flexor Hallucis Brevis

2008 ◽  
Vol 29 (10) ◽  
pp. 1042-1044 ◽  
Author(s):  
Loretta B. Chou ◽  
Lisa E. Choi ◽  
Tara Ramachandra ◽  
Gene Ma
Keyword(s):  
Clinical Significance ◽  
Clinical Relevance ◽  
Anatomic Variation ◽  
Matched Pairs ◽  
Medial Plantar Nerve ◽  
Lateral Plantar Nerve ◽  
Fresh Frozen

Background: Hallopeau's nerve is a branch of the lateral plantar nerve that supplies the flexor hallucis brevis muscle while also forming an anastomosis with the medial plantar nerve. In this study, the presence of this neural anastomosis was determined through dissection of cadaveric specimens. Materials and Methods: Twenty-six fresh-frozen adult feet (13 matched pairs) were dissected to assess the presence or absence of Hallopeau's nerve. Results: Dissections revealed four out of 26 specimens had this anastomosis. Conclusion: This study confirms this anatomic variation. Clinical Relevance: The clinical significance of these anastomoses remains unknown. These anastomoses are analogous to some in the hand and forearm.

Compressive Damage to the Deep Branch of the Lateral Plantar Nerve Associated with Lameness Caused by Proximal Suspensory Desmitis

2008 ◽  
Vol 37 (4) ◽  
pp. 328-335 ◽  
Author(s):  
FERENC TÓTH ◽  
JIM SCHUMACHER ◽  
MICHAEL SCHRAMME ◽  
TROY HOLDER ◽  
H. STEVE ADAIR ◽  
...  
Keyword(s):  
Lateral Plantar Nerve ◽  
Deep Branch ◽  
Compressive Damage
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