关键词: Anatomical variations Nerf saphène Neuropathie saphène Safene Saphenous Saphenous nerve Saphenous neuropathy Variations anatomiques

来  源:   DOI:10.1016/j.morpho.2021.05.003   PDF(Sci-hub)

Abstract:
BACKGROUND: The saphenous nerve has great importance on the sensitivity of the lower limb. In its normal course, it enters the adductor canal and travels under the sartorius muscle, on the medial side of the thigh.
METHODS: The anatomical variation was found accidentally during routine cadaveric dissection of the thigh at the Human Anatomy Laboratory of the Department of Morphophysiology of the Faculty of Medical Sciences of Minas Gerais (FCMMG).
RESULTS: A different pattern of path of the saphenous nerve was found, which appears to perforate the sartorius muscle.
CONCLUSIONS: Complaints of pain in the lower limbs are highly prevalent in the adult population. Saphenous neuropathy is a pathological entity that is associated with such a clinic and may have compression or trauma as its etiology. In the context of compression, it can be caused due to the unusual nerve path, as described in the present study. In trauma, knowledge of this variation is important to prevent iatrogenic damage to nervous tissue during surgical procedures.
CONCLUSIONS: The anatomic variation presented may be related to the symptom of pain in the lower limbs and is also relevant in the surgical context, in order to prevent complications.
摘要:
背景:隐神经对下肢的敏感性具有重要意义。在正常情况下,它进入内收肌管并在缝匠肌下移动,大腿内侧.
方法:在米纳斯吉拉斯州医学院形态生理学系人体解剖实验室(FCMMG)常规尸体解剖大腿时意外发现了解剖变异。
结果:发现隐神经路径的不同模式,似乎在缝匠肌穿孔。
结论:下肢疼痛的投诉在成年人群中非常普遍。隐神经病是与这种诊所相关的病理实体,并且可能具有压迫或创伤作为其病因。在压缩的背景下,它可能是由于不寻常的神经路径引起的,如本研究中所述。在创伤中,了解这种变化对于防止外科手术期间对神经组织的医源性损伤很重要。
结论:所呈现的解剖变异可能与下肢疼痛症状有关,也与手术相关。以防止并发症。
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