The Importance of the Saphenous Nerve in Ankle Surgery

BACKGROUND:Recent evidence suggests that the saphenous nerve may be involved in the innervation of deeper structures at the medial ankle. In this study, we sought to determine the consistency and variability of the saphenous nerve innervation at the distal tibia and medial ankle joint capsule. METHO...

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Published inAnesthesia and analgesia Vol. 122; no. 5; pp. 1704 - 1706
Main Authors Eglitis, Nicholas, Horn, Jean-Louis, Benninger, Brion, Nelsen, Sylvia
Format Journal Article
LanguageEnglish
Published United States International Anesthesia Research Society 01.05.2016
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Summary:BACKGROUND:Recent evidence suggests that the saphenous nerve may be involved in the innervation of deeper structures at the medial ankle. In this study, we sought to determine the consistency and variability of the saphenous nerve innervation at the distal tibia and medial ankle joint capsule. METHODS:One hundred three lower extremities from 52 embalmed cadavers were dissected to identify the deep branches of saphenous nerve along its distal course. RESULTS:In all specimens, the saphenous nerve had branches, emerging between 3.9 and 8.2 cm above the medial malleolus, to the periosteum of the distal tibia and the medial capsule of the ankle joint. CONCLUSIONS:Deep branches of the saphenous nerve innervate the periosteum of the distal tibia and talocrural capsule.
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ISSN:0003-2999
1526-7598
DOI:10.1213/ANE.0000000000001168