A morphological study to note the variable patterns of cutaneous innervation on the dorsum of foot in south Indian human foetuses and its clinical implications

Autor: Chandni Gupta; Lakshmi N Kiruba; Antony Sylvan Dsouza; P Radhakrishnan
Sprache: Englisch
Veröffentlicht: 2013
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://www.advbiores.net/article.asp?issn=2277-9175;year=2013;volume=2;issue=1;spage=15;epage=15;aulast=Gupta
https://doaj.org/toc/2277-9175
2277-9175
doi:10.4103/2277-9175.107980
https://doaj.org/article/00e5cd207a9c473ba88cf1c7991e31d7
https://doi.org/10.4103/2277-9175.107980
https://doaj.org/article/00e5cd207a9c473ba88cf1c7991e31d7
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:00e5cd207a9c473ba88cf1c7991e31d7

Zusammenfassung

Background: Cutaneous nerves on the dorsum of foot are at risk for iatrogenic damage while performing arthroscopy, local anaesthetic block, surgical approach to the fibula, open reduction and internal fixation of lateral malleolar fractures, application of external fixators, elevation of a fasciocutaneous or fibular flaps for grafting, surgical decompression of neurovascular structures, or miscellaneous surgery on leg, foot and ankle. Hence the present study was undertaken to classify the different patterns of cutaneous innervation on the dorsum of foot of foetuses which will help in minimizing iatrogenic damage to the nerves. Materials and Methods: A total of 40 lower limbs from 20 foetuses were dissected and the branching patterns of nerves were noted and specimens were photographed. Results: Four distinct patterns of innervation with additional subtypes were identified and designated as Type 1 a-g; 2 a-d; 3; 4 a-c. Conclusion: Detailed knowledge about the pattern of cutaneous innervation of dorsum of foot may decrease the damage to these nerves during operative procedures near the foot and ankle.