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Czasopismo

2009 | 68 | 4 |

Tytuł artykułu

Anatomical variation of sciatic nerve division in the popliteal fossa and its implication in popliteal nerve blockade

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The sciatic nerve (SN) originates from the L4–S3 roots in the form of two nerve trunks: the tibial nerve (TN) and the common peroneal nerve (CPN). The TN and CPN are encompassed by a single epineural sheath and eventually separate (divide) in the popliteal fossa. This division of the SN occurs at a variable level above the knee and may account for frequent failures reported with the popliteal block. We studied the level of division of the SN in the popliteal fossa and its relationship to the common epineural sheath of the SN. The level of division of the SN sheath into TN and CPN above the knee was measured in 30 cadaver specimens. The SN was invariably formed of independent trunks (TN and CPN) encompassed in one common epineural sheath. The SN divided at a distance range of 50 to 180 mm above the popliteal fossa crease. The present findings suggest that the TN and CPN leave the common SN sheath at variable distances from the popliteal crease. This finding and the relationship of the TN and CPN sheaths may have significant implications for popliteal nerve block. (Folia Morphol 2009; 68, 4: 256–259)

Wydawca

-

Czasopismo

Rocznik

Tom

68

Numer

4

Opis fizyczny

p.256-259,fig.,ref.

Twórcy

autor
  • King Abdulaziz University, Jeddah, Saudi Arabia

Bibliografia

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  • 7. Domingo Triado V, Cabezudo de la M, Uela Crespo L, Pociello MT, Hernandez Ramis S, Martínez Ruiz F, Palanca Sanfrancisco JM (2004) Sciatic nerve block with 1% mepivacaine for foot surgery: posterior versus lateral approach to the popliteal fossa. Rev Esp Anestesiol Reanim, 51: 70–74.
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  • 15. Paqueron X, Bouaziz H, Macalou D, Labaille T, Merle M, Laxenaire MC (1999) The lateral approach to the sciatic nerve at the popliteal fossa: one or two injections? Anesth Analg, 89: 1221–1225.
  • 16. Pokorný D, Jahoda D, Veigl D, Pinskerová V, Sosna A (2006) Topographic variations of the relationship of the sciatic nerve and the piriformis muscle and its relevance to palsy after total hip arthroplasty. Surg Radiol Anat, 28: 88–91.
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  • 23. Vloka JD, Hadzic A, April E, Thys DM (2001) The division of the sciatic nerve in the popliteal fossa: anatomical implications for popliteal nerve blockade. Anesth Analg, 92: 215–217.
  • 24. Vloka JD, Hadzic A, Kitain E, Lesser JB, Kuroda MM, April EW, Thys DM (1996) Considerations for sciatic nerve block in the popliteal fossa through the lateral approach. Reg Anesth, 21: 414–418.
  • 25. Vloka JD, Hadzic A, Lesser JB, Kitain E, Geatz H, April EW, Thys DM (1997) A common epineural sheath for the nerves in the popliteal fossa and its possible implications for sciatic nerve block. Anesth Analg, 84: 387–390.
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Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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