小趾展肌神经与神经源性跟痛症关系的解剖学基础

Abstract

Abstract:

Objective　 To investigate anatomic relationship between abductor digiti minimi nerve(ADMN) and neurogenic painful heel syndrome (NPHS) for clinical diagnosis and therapy.　Methods　32 fixed adult lower limb specimens were used in the study. The ADMN was dissected for observing it's origin, course, branches and distribution.　Results　For cases of 81.25%, ADMN originated from the lateral plantar nerve, which consisted of 19 trunks (59.38%) located in the posterosuperior quadrant. The vertical depth of the origin site to the reference line was (10.81±0.96)mm and (10.24±1.10) mm at left and right sides respectively. ADMN firstly issued 1~3 periosteum branches, which arrived the periosteum of medial process of calcaneal tuberosity. The horizontal distances from the site of medial process of calcaneal tuberosity to the left or right tuberosities were (19.95±1.82) mm and (20.89±2.48)mm, seperately.　Conclusions　ADMN is probably stamped when it goes through the abductor hallucis, the medial head of quadratus plantae and the medial process of calcaneal tuberosity. The stamp or lesion of ADMN (especially periosteum branch) is probably related to the occurrence of the plantar fasciitis. The calcaneus spur doesn't always cause the NPHS.

Key words: Abductor digiti minimi nerve, Neurogenic painful heel syndrome, Applied anatomy

CLC Number:

R323.72

FENG Cheng-An, SUN Dun, LIU Zong-Liang, FAN Wei, ZHANG Dong-Kui, LIU De. Anatomic relationship of abductor digiti minimi nerve and neurogenic painful heel syndrome[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(2): 136-140.

References

[1] Pfeiffer MD, Andrea Cracchiolo. Clinical results after tarsal tunnel decopression
[J]. J Bone Joint Surg Am, 1994, 9(9).13-14.

[2] MulliekT, Dellon AL. Results of deeompression of fou rmedial ankle tunnels in the treatment of tarsal tunnels syndrome
[J]. J Reeonstr Mierosur, 2008, 24(2):119-126.

[3] 梁军，钱洁，周家铃，等. 跟部神经的局部解剖与足跟痛的治疗
[J]. 中华外科杂志，2001，39(7)：522.

[4] Louisia S, Masquelet AC. The medial and inferior calcaneal nerves: an anatomic study
[J]. Surg Radiol Anat, 1999, 21(3):169-173.

[5] Chang CW, Wang YC, Hou WH,et al. Medial caleaneal neuropathy is associated with plantar faseiitis
[J]. Clin Neurophysiol, 2007, 118(l):119-123.

[6] Unlu RE, ORbay H, Kerem M, et al. Innervation of three weight-bearing areas of the foot: An anatomic study and clinical implications
[J]. J Plast Reconstr Aesthet Surg, 2008, 61(5): 557-561.

[7] Baxter DE. Chronic heel pain
[J]. Orthop Clin Nor Amer, 1989, 20: 563.

[8] 廖小波，辛宗山，邹召权，等. 跟痛症病因病机的解剖研究进展
[J]. 中国现代医药杂志，2007，9(11)：133-134.

[9] Smith S, Tinley P, Gilheany M,et al. The inferior calcaneal spur—Anatomical and histological considerations
[J]. The Foot, 2007, 17(1): 25-31.

[10] Unlu RE, ORbay H, Kerem M, et al. Innervation of three weight-bearing areas of the foot: An anatomic study and clinical implications
[J]. J Plast Reconstr Aesthet Surg, 2008, 61(5): 557-561.

[11] 包聚良，付忠武. 小趾展肌神经与跟痛症的关系及治疗
[J]. 中国临床解剖学杂志，1992，10（4）：298-299.

[12] 任汉祖，刘关东，殷铭东，等. 选择性切断小指展肌神经治疗顽固性跟痛症的解剖和应用
[J]. 中国临床解剖学杂志，1993，11（2）：142-143.

[1]	Chen Ren, Yang Shengbo. Research progress on the anatomy and clinical application of masseter muscle [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 115-117.
[2]	Wu Wenbin, Hu Yutian, Dai Linxi, Lv Wangxuan, Lv Fengjun, Yin Yuanjie, Yang Hongmeng, Chang Junda, Li Wenqi, Guo Yiwei. Applied anatomical study of anesthesia in vertebral ganglia [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 640-646.
[3]	Bai Jiyue, Xu Yongqing. Anatomical research of selective peripheral neurotomy in the treatment of cerebral palsy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 754-756.
[4]	He Xiaoqing, Yang Xi, Shi Yan, Xu Yuexian, Fang Xiang, Fan Xinyu, Wu Yaling, Xu Yongqing. Anatomical study and clinical significance of superficial lateral sural artery perforator flap [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 132-136.
[5]	Chen Shuai, Yi Chenpeng, Wang Jie, Gong Dawei, Jiao Feng, Huang Huayang, Zheng Xiaofei, Wang Haibin. Anatomical study and clinical significance on tibial collateral ligament of the knee and medial meniscus [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 519-522.
[6]	Zhu Mingsheng, Wang Zengtao, Chen Jingguo, Hao Liwen, Chen Chao, Hou Zhidian. Anatomical study and clinical significance of the first metacarpal artery ulnar perforator branch of metacarpal neck [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 249-254.
[7]	Zhou Jiayu, Zhou Guoyan, Yang Shengbo. Localization and significance of nerve entry points of the anterior forearm muscles in adults [J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 126-131.
[8]	Wang Shaohe, Fan Hongbin, Shi Guanqi, Chen Yangshu, Gao Di, Jin Zhewu, Wang Zhen, Du Bin, Hu Yibo, Wu Ke. Applied anatomical study of the lateral stability of proximal interphalangeal joint by the injury of proximal phalanx trochlea [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 635-637.
[9]	Liu Xingli, Du Zihong , Zhang Xiangmin, Yin Junkun, Fu Dujuan, Li Zhi, Lv Liang. The anatomical study of superficial vein in right cubital fossa based on vascular instrument [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 269-275.
[10]	Zhao Wentao, Zhao Min. Applied anatomy study of zoneⅠ extensor terminal tendon insertion and its adjacent tissues [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 126-129.
[11]	Sun Shizhu, Yu Shengbo, Sui Hongjin. Application of the P45 sectional plastination technique in applied anatomic study [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 240-243.
[12]	TIAN Wei-dong, PENG Long-feng, ZHU Shao-lei, WANG Xiao-wen . Applied anatomical relationship between cerebellar artery and trigeminal nerve root [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 625-628.
[13]	CHEN Wei-dong, QIAN Lei, QU Dong-bin, He Shan-li, LI Ze-yu, TAN Wei-hao, ZHONG Jin-tao, Yang Hang, OU-YANG Jun, ZHENG Ming-hui. Anatomical study on puncture depth of thoracic paravertebral nerve block [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 545-548.
[14]	JIANG Hua-cai, LONG Li, LI Sen. Applied anatomy and clinical efficacy of high ilioinguinal approach in the treatment of tile C-type pelvic fractures [J]. Chinese Journal of Clinical Anatomy, 2020, 38(4): 471-475.
[15]	CAO Yu-wen, LIU You-jun, YUAN Jia, JIANG Kai-yan, XU Cong. Anatomical study of posterior percutaneous endoscopic cervical discectomy and its clinical significance [J]. Chinese Journal of Clinical Anatomy, 2020, 38(3): 246-249.

Anatomic relationship of abductor digiti minimi nerve and neurogenic painful heel syndrome

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0