The Harvest and Clinical Application of the Superficial Peroneal Sensory Nerve for Grafting Motor and Sensory Nerve Defects

Buntic, Rudolf F.; Buncke, Harry J.; Kind, Gabriel M.; Chin, Brian T.; Ruebeck, David; Buncke, Gregory M.

doi:10.1097/00006534-200201000-00024

Cited by 42 publications

(37 citation statements)

References 10 publications

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“…Moreover, SFN is suggested as an important and appropriate graft, particularly when multiple and long nerve grafts are needed (Buntic et al, 2002). Also, direct biopsy from the SFN is used in the diagnosis of its diseases (Vallat et al, 1987).…”

Section: Discussionmentioning

confidence: 99%

Branching patterns of the common and superficial fibular nerves in fetus

2005

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In this study, we focused on finding out whether branching patterns of the common fibular (CFN) and superficial fibular (SFN) nerves change throughout the early period of life. The popliteal fossa and legs on both sides of 20 fetuses (13 females and 7 males) were dissected. The ages of the fetuses varied between 20 and 36 weeks. The levels where the CFN diverged from the sciatic nerve, the CFN diverged to its terminal branches, and the cutaneous branches of the SFN became superficial and diverged were evaluated, together with the similarity of the patterns of these nerves on both sides. We observed that, comparing with the results of previous studies on adults, both the sciatic and the CFNs in the fetuses were diverging into their terminal branches more distally. Additionally, the SFN appeared to become superficial more proximally in the fetus than in the adult. SFN was piercing the crural fascia before diverging into its terminal branches in 29 legs. Only in 8 of them, it was becoming superficial within the middle one-third of the leg, which was observed more frequently in males (42.9% of 14 legs) than in females (13.3% of 15 legs). But there was no statistically significant gender difference (P = 0.07). The medial dorsal cutaneous (MDCN) and intermediate dorsal cutaneous (IDCN) nerves which were piercing the crural fascia separately were observed in 27.5% of the subjects, all females. In these, MDCN was piercing the fascia superior to the level where the SPN becomes superficial, whereas the IDCN was piercing it to a level lower to this and always in the inferior one-third of the leg. We suggest that the detailed information about the branching patterns of the CPN and SPN in early ages will be beneficial, particularly in tumor and deformity surgery. The reason for different patterns and piercing levels of the nerves may be the effect of the elongating extremity during aging that enforces the fascia and modifies its position with a more stable structure, the nerve.

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Section: Discussionmentioning

confidence: 99%

Branching patterns of the common and superficial fibular nerves in fetus

2005

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“…10,[25][26][27] The microsurgeon who performs reconstructive procedures either to the lower extremity itself or who harvests soft tissue and/or bone from the lower extremity must be aware of this anatomical variability. 28 We report here a variation of the SPN where the nerve is located within its own fascial tunnel in the septum separating the anterior from the lateral compartment.…”

Section: Introductionmentioning

confidence: 99%

Intraseptal superficial peroneal nerve

Williams

Dellon

2007

Microsurgery

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Knowledge of the anatomy of the superficial peroneal nerve (SPN) is necessary for surgeons caring for patients with lower extremity pain after ankle, leg, or knee injuries, for athletes with exertional compartment syndrome, and those having reconstructive microsurgery with either soft tissue or vascularized fibular flaps. The anatomy of the SPN is known to be that of a peripheral nerve traveling in the lateral compartment of the lower leg. Recently, clearer descriptions of its variability have documented that between 27 and 43% of patients have the SPN in either the anterior compartment or both the anterior and the lateral compartment of the leg. The present observations record the location of the SPN within the septum that separates the anterior from the lateral compartment. Awareness of this unusual variant location will enable the surgeon to find and preserve the SPN during fasciotomy, neurolysis, neuroma resection, or bony and soft tissue reconstruction.

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“…[8][9][10] Superficial peroneal nerve is suggested as an important and appropriate graft, particularly when multiple and long nerve grafts are needed. 11 Also, direct biopsy from the superficial peroneal nerve is used in the diagnosis of its diseases. 12 Furthermore, this nerve is under the risk of injury, during correction deformity surgery in childhood and adolescence.…”

Section: Discussionmentioning

confidence: 99%