Variations in the cutaneous innervation of the dorsum of foot - A case report
Journal Title: International Archives of Integrated Medicine - Year 2015, Vol 2, Issue 2
Abstract
The skin on the dorsum of the foot is innervated by the superficial peroneal, deep peroneal, sural and saphenous nerves. Most of the dorsum is supplied by the superficial peroneal nerve. Here we report a variation in the sensory innervation of the dorsum of the left foot in a 52 years old male cadaver. The skin of the first inter-digital cleft i.e., the cleft between the great and second toes which is normally innervated by the deep peroneal nerve was also supplied by the superficial peroneal nerve. A communication between the superficial and the deep peroneal branches were also observed prior to innervation. In addition, the fourth inter digital cleft i.e., cleft between the fourth and fifth toes which is normally innervated by the superficial peroneal nerve was supplied by the sural nerve. Cutaneous nerves on the dorsum of foot are at risk for iatrogenic damage while performing arthroscopy, local anaesthetic block, and 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. Therefore a detailed knowledge about the variations in the pattern of cutaneous innervation of dorsum of foot may decrease the damage to these nerves during operative procedures.
Authors and Affiliations
Sushma R Kotian, Billakanti Prakash Babu, Jitendra Singh Yadav
Keywords
Related Articles
- EP ID EP516000
- DOI -
- Views 102
- Downloads 0
Monsoon Fasciculation - Paralysis Syndrome: Possibly a new Myasthenic Syndrome
Background: Cases of quadriplegia, oculobulbar palsy and fasciculations are reported to two tertiary teaching hospitals of Hyderabad during monsoon season. Objective: To describe the clinical and electrophysiological fea...
Fast food addiction – The junk enslavement
Research question: What extent do we crave for fast foods? Background: Fast foods are consumed in larger quantities intended with persistent desire or futile efforts to minimise or to cease the intake of these items; hen...
Computerized tomography guided percutaneous transthoracic fine needle aspiration of lung lesions
Introduction: Computed tomogram guided fine needle aspiration cytology (FNAC) is an important and useful investigation to differentiate between benign and malignant lesions of lungs. With computed tomography (CT) it is...
The use of controller medications in the management of pediatric bronchial asthma - Dynamic patterns of LTRA (montelukast) use
Over the last few years, bronchial asthma morbidity in pediatric patients has been constantly rising. Asthma is considered the most common disease in adolescents. Our survey was focused on two age groups of pediatric pat...
Fetal kidney length as a parameter for gestational age determination and its comparative evaluation with other fetal biometric indices
Background: An accurate estimation of foetal gestation age is of utmost clinical significance owing to its vast clinical implications principally in management of high risk pregnancies. Aim: To determine correlation and...