비골두부위에서의 비골신경의 내부국소해부와 전기진단결과의 연관성
The Relationship of Internal Topography of Peroneal Nerve at the Fibular Head and Electrodiagnositc Findings
정태두, 김재호, 오병모, 김정환, 정선근, 한태륜,
소속 상세정보
정태두 ( Jung Tae-Du )
서울대학교 의과대학 재활의학교실
김재호 ( Kim Jae-Ho )
서울대학교 의과대학 재활의학교실
오병모 ( Oh Byung-Mo )
서울대학교 의과대학 재활의학교실
김정환 ( Kim Jung-Hwan )
서울대학교 의과대학 재활의학교실
정선근 ( Chung Sun-Gun )
서울대학교 의과대학 재활의학교실
한태륜 ( Han Tai-Ryoon )
서울대학교 의과대학 재활의학교실
KMID : 0860920040060020165
Abstract
Objectives: To find the relationship of internal topography of peroneal nerve at the fibular head and
electrodiagnositc findings
Method: Six limbs of 3 cadavers are evaluated to know how the peroneal nerve is innervating the muscles
of lower extremity. We observed the fibular tunnel and extracted the peroneal nerve at that point. We
stained it with hematoxillin-and-eosin and observed internal topography of peroneal nerve with
microscopy. Additionally we compared it with electrodiagnostic findings of 24 patients with peroneal
neuropathy.
Results: In cadaver dissection, we observed that peroneal nerve has many nerve fascicles and is innervating
the muscles of lower extremity with a rule. Superficial peroneal nerve (SPN) is located most laterally.
Deep peroneal nerves (DPN) to extensor digitorum longus (EDL), extensor hallucis longus (EHL),
extensor digitorum brevis (EDB), tibialis longus (TA) are in order from laterally to medially. In electrodiagnostic
studies of 24 patients, 3 nerve fascicles of SPN and DPN to EDB, TA are evaluated. Among
them, 16 patients are common peroneal neuropathy and 8 patients are deep peroneal neuropathy. In 22
limbs of the former, the abnormalities of SPN, DPN to EDB, TA are 22, 22, 8 limbs in order at nerve conduction
study (NCS) and 22, 21, 17 limbs in order at electromyographic study (EMG) respectively. In 11
limbs of the latter, the abnormalities of DPN to EDB, TA are 10, 2 limbs in order at NCS and 11, 11
limbs in order at EMG respectively.
Conclusion: We observed SPN, DPN to EDL, EHL, EDB, TA are in order from laterally to medially.
We can find there is the relationship of internal topography at the fibular head and electrodiagnositc findings
in peroneal nerve
키워드
Peroneal nerve;Internal topography;Electrodiagnosis
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