The significance of tibial and common peroneal nerves in nerve blocks

Je Hun Lee; Be Na Lee; Michael Y. Lee; Xiaochun An; Seung Ho Han

doi:10.1007/s00276-012-1025-9

The significance of tibial and common peroneal nerves in nerve blocks

Je Hun Lee, Be Na Lee, Michael Y. Lee, Xiaochun An, Seung Ho Han

Department of Anatomy

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block. Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section. Results: Tibial nerve was located 50 % from the most lateral point of the popliteal crease and 1.4-cm deep to the surface. In 20 % of the 50 specimens, the medial sural cutaneous nerve branched out below or at the popliteal crease, whereas the CPN was located at 26 % from the most lateral point of the popliteal crease and 0.7-cm deep from the surface. Furthermore, in 6 % of specimens the lateral sural cutaneous nerve branched out below or at the popliteal crease. Conclusion: The results concerning the location of the TN and CPN at the popliteal crease offer a good guide to optimal nerve block.

Original language	English
Pages (from-to)	211-215
Number of pages	5
Journal	Surgical and Radiologic Anatomy
Volume	35
Issue number	3
DOIs	https://doi.org/10.1007/s00276-012-1025-9
State	Published - Apr 2013

Keywords

Anatomy
Nerve block
Popliteal crease

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title = "The significance of tibial and common peroneal nerves in nerve blocks",

abstract = "Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block. Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section. Results: Tibial nerve was located 50 % from the most lateral point of the popliteal crease and 1.4-cm deep to the surface. In 20 % of the 50 specimens, the medial sural cutaneous nerve branched out below or at the popliteal crease, whereas the CPN was located at 26 % from the most lateral point of the popliteal crease and 0.7-cm deep from the surface. Furthermore, in 6 % of specimens the lateral sural cutaneous nerve branched out below or at the popliteal crease. Conclusion: The results concerning the location of the TN and CPN at the popliteal crease offer a good guide to optimal nerve block.",

keywords = "Anatomy, Nerve block, Popliteal crease",

author = "Lee, {Je Hun} and Lee, {Be Na} and Lee, {Michael Y.} and Xiaochun An and Han, {Seung Ho}",

note = "Funding Information: Acknowledgments We thank Byung-Ouk Hong and Sang-Hyun Kim, Department of Anatomy Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, for help in gathering the data. This research was supported by basic science research program through the national research foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NO. 2012R1A1A2007099).",

year = "2013",

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doi = "10.1007/s00276-012-1025-9",

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AU - Lee, Be Na

AU - Lee, Michael Y.

AU - An, Xiaochun

AU - Han, Seung Ho

N1 - Funding Information: Acknowledgments We thank Byung-Ouk Hong and Sang-Hyun Kim, Department of Anatomy Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, for help in gathering the data. This research was supported by basic science research program through the national research foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NO. 2012R1A1A2007099).

PY - 2013/4

Y1 - 2013/4

N2 - Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block. Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section. Results: Tibial nerve was located 50 % from the most lateral point of the popliteal crease and 1.4-cm deep to the surface. In 20 % of the 50 specimens, the medial sural cutaneous nerve branched out below or at the popliteal crease, whereas the CPN was located at 26 % from the most lateral point of the popliteal crease and 0.7-cm deep from the surface. Furthermore, in 6 % of specimens the lateral sural cutaneous nerve branched out below or at the popliteal crease. Conclusion: The results concerning the location of the TN and CPN at the popliteal crease offer a good guide to optimal nerve block.

AB - Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block. Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section. Results: Tibial nerve was located 50 % from the most lateral point of the popliteal crease and 1.4-cm deep to the surface. In 20 % of the 50 specimens, the medial sural cutaneous nerve branched out below or at the popliteal crease, whereas the CPN was located at 26 % from the most lateral point of the popliteal crease and 0.7-cm deep from the surface. Furthermore, in 6 % of specimens the lateral sural cutaneous nerve branched out below or at the popliteal crease. Conclusion: The results concerning the location of the TN and CPN at the popliteal crease offer a good guide to optimal nerve block.

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KW - Nerve block

KW - Popliteal crease

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The significance of tibial and common peroneal nerves in nerve blocks

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