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Czasopismo

2014 | 73 | 3 |

Tytuł artykułu

Computer-assisted assessment of the histological structure of the human sural nerve

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The aim of this study was to assess the histological structure (cross- -sectional area — CSA, number of nerve bundles) of the human sural nerve at the level above the lateral malleolus, using computer-assisted image analysis. Materials and methods: This study has been conducted using sural nerves dissected from cadavers during routine autopsies. The harvested tissues samples were dehydrated, embedded in paraffin, sectioned at 4 µm and stained with haematoxylin and eosin. Each cross-section was photographed (16 × magnification) and the images were analysed using Java ImageJ. Results: The studied group comprised 12 women and 25 men (mean age 60.1 ± 15.7 years), yielding a total of 74 sural nerves (37 right vs. 37 left). The mean ± standard deviation CSA of the sural nerve was 0.14 ± 0.07 cm². The mean number of nerve bundles in the sural nerve was 10.5 ± 6.0. In terms of gender and side, neither the CSA (p = 0.45 and p = 0.79, respectively) nor the number of nerve bundles revealed any differences (p = 0.34 and p = 0.47, respectively). Strong negative correlations were noted between the age of the donors and the sural nerve CSA (r = –0.69, p = 0.02), as well as the number of nerve bundles (r = –0.57, p = 0.06). Conclusions: This study shows that there are no statistical differences between the CSA and the number of nerve bundles in the sural nerve when compared by gender and side of the lower limb. This study also allows drawing the conclusion that the sural nerve degenerates with age in terms of both the CSA and the number of nerve bundles. (Folia Morphol 2014; 73, 3: 292–297)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

73

Numer

3

Opis fizyczny

p.292-297,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Medical College, Jagiellonian University, Krakow, Poland

Bibliografia

  • 1. Belsack D, Jager T, Scafoglieri A, Vanderdood K, Van Hedent E, Vanhoenacker F, Marcelis S, De Maeseneer (2013) Ultrasound of the sural nerve: normal anatomy on cadaveric dissection and case series. Eur J Radiol, 82: 1953–1958.
  • 2. Cartwright MS, Passmore LV, Yoon JS, Brown ME, Caress JB, Walker FO (2008) Crosssectional area reference values for nerve ultrasonography. Muscle Nerve, 37: 566–571.
  • 3. Cartwright MS, Brown ME, Eulitt P, Walker FO, Lawson VH, Caress JB (2009) Diagnostic nerve ultrasound in Charcot-Marie-Tooth disease type 1B. Muscle Nerve, 40: 98–102.
  • 4. Chentanez V, Chaoumphol P, Kaewsema A, Agthong S, Huanmanop T (2006) Accuracy of the three-window sampling method in morphometric analysis of human sural nerve. J Neurosci Methods, 157: 154–157.
  • 5. Eid EM, Hegazy AMS (2011) Anatomical variations of the human sural nerve and its role in clinical and surgical procedures. Clin Anat, 24: 237–245.
  • 6. Ellis H (2007) The nerves of the leg and foot. Anaesth Intens Care Med, 8: 148–150.
  • 7. Hobson-Webb LD, Massey JM, Juel VC (2013) Nerve ultrasound in diabetic polyneuropathy: correlation with clinical characteristics and electrodiagnostic testing. Muscle Nerve, 47: 379–384.
  • 8. Liu F, Zhu J, Wei M, Bao Y, Hu B (2012) Preliminary evaluation of the sural nerve using 22- MHz ultrasound: a new approach for evaluation of diabetic cutaneous neuropathy. PLoS One, 7: e32730.
  • 9. Madhavi C, Isaac B, Antoniswamy B, Holla SJ (2005) Anatomical variations of the cutaneous innervation patterns of the sural nerve on the dorsum of the foot. Clin Anat, 18: 206–209.
  • 10. Mancuso P, Rashid P (2008) Nerve grafting at the time of radical prostatectomy: Should we be doing it? ANZ J Surg, 78: 859–863.
  • 11. Mizia E, Tomaszewski KA, Lis GJ, Goncerz G, Kurzydło W (2012) The use of computer-assisted image analysis in measuring the histological structure of the human median nerve. Folia Morphol, 71: 82–85.
  • 12. Park SB, Cheshier S, Michaels D, Murovic JA, Kim DH (2006) Endoscopic harvesting of the sural nerve graft: technical note. Neurosurgery, 58: ONS-E180.
  • 13. Pazzaglia C, Minciotti I, Coraci D, Briani C, Padua L (2013) Ultrasound assessment of sural nerve in Charcot-Marie-Tooth 1A neuropathy. Clin Neurophysiol, 124: 1695–1699.
  • 14. Ricci S, Moro L, Antonelli Incazi R (2010) Ultrasound imaging of the sural nerve: Ultrasound anatomy and rationale for investigation. Eur J Vasc Endovasc Surg, 39: 636–641.
  • 15. Riedl O, Frey M (2013) Anatomy of the sural nerve: cadaver study and literature review. Plast Reconstr Surg, 131: 802–810.
  • 16. Sekiya S, Suzuki R, Miyawaki M, Chiba S, Kumaki K (2006) Formation and distribution of the sural nerve based on nerve fascicle and nerve fiber analyses. Anat Sci Int 81, 84–91.
  • 17. Vuksanovic-Bozaric A, Radunovic M, Radojevic N, Abramovic M (2014) The bilateral anatomical variation of the sural nerve and a review of relevant literature. Anat Sci Int, 89: 57–61.
  • 18. Wahee P, Aggarwal A, Harjeet, Sahni D (2010) Variable patterns of cutaneous innervation on the dorsum of foot in fetuses. Surg Radiol Anat, 32: 469–475.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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