2.Mid-leg fasciocutaneous island flap without sural nerve
Journal of Practical Medicine 2002;435(11):64-66
Masquelet A.C et al proposed a concept of a neuroskin flap using accompanying arteries of the cutaneous nerves and reported some clinical cases where the sural nerve was used. Sural nerve should be included in this flap (sural flap). The flap is outlined at the function of the relief of two heads of gastrocnemius. We used 8 distally based sural island flaps without sural nerve for leg and foot reconstruction. The island cutaneous is collected from two-third upper in the posterior portion of the leg. Here, the fasciocutaneous flap based only on the accompanying artery of the extreme saphenous vein. The sural nerve can be preserved without including in the flap.
Surgical Flaps
;
Sural Nerve
3.Sural Nerve Entrapment by Hypertrophic Peroneal Tubercle of the Calcaneus.
Jin Young SEO ; Sang Yong LEE ; Tae Ho YANG
Journal of the Korean Neurological Association 2017;35(1):61-62
No abstract available.
Calcaneus*
;
Sural Nerve*
4.Fibrolipomatous hamartoma of sural nerve: a new site of an unusual lesion
Asmita Parihar ; Sarika Verma ; Mamta Senger ; Anil Agarwal ; Kalpana Bansal ; Ruchika Gupta
The Malaysian Journal of Pathology 2014;36(1):59-62
Neural fibrolipomatous hamartoma is a rare benign tumour commonly involving the median nerve.
Other less frequently involved nerves include the ulnar, radial, brachial plexus, superficial peroneal
nerve, inferior calcaneal nerve and median plantar nerve. Involvement of sural nerve has not been
reported in the available literature so far. A three-year-old female child presented with a painless
swelling over the posterolateral aspect of left leg with no associated motor or sensory deficits.
Radiological investigations revealed a fat density lesion with interspersed neural element in the
subcutaneous plane of the left leg. Histopathological examination of the excised specimen showed
features of a fibrolipomatous hamartoma of the nerve. This report describes the occurrence of
fibrolipomatous hamartoma in the sural nerve for the first time in the literature. This rare tumour
should be considered in the differential diagnosis of such lesions.
Hamartoma
;
Sural Nerve
5.Clinical and Radiological Analysis and Results after Anatomical Reduction and Bone Graft for Symptomatic Os Subfibulare.
Pil Sung HWANG ; Do Young KIM ; Yong Wook PARK ; Sang Soo LEE ; Dong Hyun SUH ; Hyong Nyun KIM
Journal of Korean Foot and Ankle Society 2005;9(2):162-166
PURPOSE: To analyze the clinical and radiological feature of Os subfibulare and to evaluate the results after anatomical reduction and internal fixation with bone graft for Os subfibulare. MATERIALS AND METHODS: Forty-two cases, which underwent anatomic reduction and bone graft for Os subfibulare from October 1998 to September 2004 were reviewed. We analysed preopertive symptoms and onset of symptoms and radiologically measured the size and amounts of displacement of Os subfibulare under the inversion stress. Postoperatively we evaluated the clinical results measured by Hasegawa method and evidence of union. RESULTS: Preoperatively there were only pain around the lateral malleolus in 16 cases, only instability of ankle joint in 3 cases, and pain and instability in 23 cases. The age of symptom onset averaged 23 years(range, 13-38 years). Radiographically Os sufibulare anteriorly located from lateral malleolus were in 40 cases, posteriorly situated in 2 cases. The size of Os subfibulare ranged from 1 x 4 mm to 8 x 17 mm. In 22 cases of inversion stress view, displacement of the Os sbufibulare averaged 1.5+/-1.1 mm (0 to 5 mm). The postoperative clinical results were excellent in 41 cases, poor in 1 case. There were complications of 1 case of irritation of sural nerve, 1 case of nonunion. CONCLUSION: Anatomic reduction and bone graft is effective treatment method for symptomatic Os subfibulare.
Ankle Joint
;
Sural Nerve
;
Transplants*
6.Clinical and Radiological Analysis and Results after Anatomical Reduction and Bone Graft for Symptomatic Os Subfibulare.
Pil Sung HWANG ; Do Young KIM ; Yong Wook PARK ; Sang Soo LEE ; Dong Hyun SUH ; Hyong Nyun KIM
Journal of Korean Foot and Ankle Society 2005;9(2):162-166
PURPOSE: To analyze the clinical and radiological feature of Os subfibulare and to evaluate the results after anatomical reduction and internal fixation with bone graft for Os subfibulare. MATERIALS AND METHODS: Forty-two cases, which underwent anatomic reduction and bone graft for Os subfibulare from October 1998 to September 2004 were reviewed. We analysed preopertive symptoms and onset of symptoms and radiologically measured the size and amounts of displacement of Os subfibulare under the inversion stress. Postoperatively we evaluated the clinical results measured by Hasegawa method and evidence of union. RESULTS: Preoperatively there were only pain around the lateral malleolus in 16 cases, only instability of ankle joint in 3 cases, and pain and instability in 23 cases. The age of symptom onset averaged 23 years(range, 13-38 years). Radiographically Os sufibulare anteriorly located from lateral malleolus were in 40 cases, posteriorly situated in 2 cases. The size of Os subfibulare ranged from 1 x 4 mm to 8 x 17 mm. In 22 cases of inversion stress view, displacement of the Os sbufibulare averaged 1.5+/-1.1 mm (0 to 5 mm). The postoperative clinical results were excellent in 41 cases, poor in 1 case. There were complications of 1 case of irritation of sural nerve, 1 case of nonunion. CONCLUSION: Anatomic reduction and bone graft is effective treatment method for symptomatic Os subfibulare.
Ankle Joint
;
Sural Nerve
;
Transplants*
7.Ultrasonographic Evaluation of Sural Nerve for Nerve Conduction Study.
Ki Hoon KIM ; Ji Yoon YOO ; Byung Chun YOU
Annals of Rehabilitation Medicine 2014;38(1):46-51
OBJECTIVE: To understand various morphologic types and locations of the sural nerve (SN) that are important for nerve conduction studies or nerve grafting procedures. The aim of this study was to describe the course and variations of the SN based on ultrasonographic findings for an adequate nerve conduction study. METHODS: A total of 112 SNs in 56 volunteers with no history of trauma or surgery were examined by ultrasonography. The location and formation of the SNs in relation to the medial and lateral sural cutaneous nerve were investigated. We measured the horizontal distance between the SNs and the midline of the calf at the level of 14 cm from the lateral malleolus, and the distance between the SNs and the most prominent part of the lateral malleolus. RESULTS: SN variants was classified into four types according to the medial and lateral sural cutaneous nerve; type 1 (73.2%), type 2 (17.9%), type 3 (8.0%), and type 4 (0.9%). The mean distance between the SN and the midline of the calf was 1.02+/-0.63 cm, the SN and the most prominent part of the lateral malleolus was 2.14+/-0.15 cm. CONCLUSION: Variations in the location and formation of the SN was examined by ultrasonography, and the results of this study would increase the accuracy of the SN conduction study.
Neural Conduction*
;
Sural Nerve*
;
Transplants
;
Ultrasonography
;
Volunteers
8.The Surgical Treatment of The Old Nerve Injury
The Journal of the Korean Orthopaedic Association 1994;29(3):904-912
During recent 3 years, the authors had treated surgically 31 patients who have had old nerve injuries. 19 patients(21 nerves) of them could be followed for more than 1 year after operation. Of these patients, children were 5 and adults were 14. The elapsed time from the injury were from 3 weeks to 20 months(18 cases under 6months and 3 cases above 6 months). The methods of operation were epineural suture(4 cases), grouped interfascicular suture(8 cases), neurolysis(8cases) and nerve graft(1 case). There were satisfactory or good results in 9 nerves of the 21 old nerve injuries. In 4 of 5 children and 5 of 16 adults, good results were obtained. There were 2, 6 satisfactory or good results in 4 epineural sutures and 8 grouped interfascicular sutures and all poor results in 8 neurolyses. One case treated with nerve graft with sural nerve was showed good result. 9 cases of 18 old injuried nerves under 6 months from injury were good results. All 3 cases over 6 months from injury were poor results.
Adult
;
Child
;
Humans
;
Sural Nerve
;
Sutures
;
Transplants
9.Fascial entrapment of the sural nerve and its clinical relevance.
George K PARASKEVAS ; Konstantinos NATSIS ; Maria TZIKA ; Orestis IOANNIDIS
Anatomy & Cell Biology 2014;47(2):144-147
Sural nerve presents great topographic variability and it is responsible for sensory innervation of the posterolateral side of the distal third of the leg and lateral aspect of the foot. Entrapment of the nerve could be caused by compression due to fascial thickening, while the symptomatology includes sensory alterations and deficits at the nerve distribution area. We report a cadaveric case of a variant sural nerve that presented a distinct entrapment site. A supernumerary sensory branch was encountered originating from the common peroneal nerve, while the peroneal component of the sural nerve was observed to take a course within a fibrous fascial tunnel 3.1 cm in length that caused nerve fixation and flattening. The tension applied to the aforementioned branch was shown to worsen during passive forcible foot plantaflexion and inversion. The etiology, diagnosis and the treatment options are discussed comprehensively.
Cadaver
;
Diagnosis
;
Fascia
;
Foot
;
Leg
;
Peroneal Nerve
;
Sural Nerve*
10.Fascial entrapment of the sural nerve and its clinical relevance.
George K PARASKEVAS ; Konstantinos NATSIS ; Maria TZIKA ; Orestis IOANNIDIS
Anatomy & Cell Biology 2014;47(2):144-147
Sural nerve presents great topographic variability and it is responsible for sensory innervation of the posterolateral side of the distal third of the leg and lateral aspect of the foot. Entrapment of the nerve could be caused by compression due to fascial thickening, while the symptomatology includes sensory alterations and deficits at the nerve distribution area. We report a cadaveric case of a variant sural nerve that presented a distinct entrapment site. A supernumerary sensory branch was encountered originating from the common peroneal nerve, while the peroneal component of the sural nerve was observed to take a course within a fibrous fascial tunnel 3.1 cm in length that caused nerve fixation and flattening. The tension applied to the aforementioned branch was shown to worsen during passive forcible foot plantaflexion and inversion. The etiology, diagnosis and the treatment options are discussed comprehensively.
Cadaver
;
Diagnosis
;
Fascia
;
Foot
;
Leg
;
Peroneal Nerve
;
Sural Nerve*