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08.11.2022 | Original Article

Variations in the compartmental location of the superficial fibular nerve: a cadaveric study with meta-analysis

verfasst von: Alisson Guilherme da Silva Correia, João Gustavo Santos Vieira, Beatriz Cristina Machado Rodrigues, Luís Henrique Santos Fortes, Diogo Costa Garção

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 11/2022

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Abstract

Purpose

To investigate variations in the course of the superficial fibular nerve (SFN) and its branches—the medial dorsal cutaneous nerve (MDCN) and intermediate dorsal cutaneous nerve (IDCN)—concerning the leg compartments by means of a meta-analysis supplemented with an original anatomical study.

Materials and methods

A literature survey was conducted in the PubMed, Scopus, Web of Science, and Lilacs databases on October 14th, 2021, to obtain anatomical data, and the PRISMA statement was adopted as a methodological guideline. We used MetaXL software for data analysis. We classified the anatomical data into three location patterns: in Type 1, the SFN courses through the lateral compartment; in Type 2, the SFN courses through the anterior compartment; in Type 3, the MDCN courses through the anterior compartment and the IDCN courses in the lateral compartment.

Results

Twelve studies (n = 837 lower limbs) comprised the current review. The SFN location was normal (Type 1 variation) in 77% (95% CI 72.9–78.9) of the cases, while Type 2 had a pooled prevalence of 14.3% (95% CI 11.1–15.9). Type 3 was the less common course, with a prevalence of 8.7% (95% CI 5.9–9.7). We found differences among the geographical subgroups analyzed.

Conclusions

The SFN courses through the lateral compartment of the leg most times, and the prevalence of this pattern varies significantly between the different geographical subgroups evaluated. These results are of great clinical and surgical relevance.

Adkison DP, Bosse MJ, Gaccione DR, Gabriel KR (1991) Anatomical variations in the course of the superficial peroneal nerve. J Bone Jt Surg 73:112–114CrossRef

Apaydin N, Basarir K, Loukas M, Tubbs RS, Uz A, Kinik H (2008) Compartmental anatomy of the superficial fibular nerve with an emphasis on fascial release operations of the leg. Surg Radiol Anat 30:47–52. https://doi.org/10.1007/s00276-007-0284-3CrossRefPubMed

Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T (2013) Meta-analysis of prevalence. J Epidemiol Community Health 67:974–978. https://doi.org/10.1136/jech-2013-203104CrossRefPubMed

Barrett SL, Dellon AL, Rosson GD, Walters L (2006) Superficial peroneal nerve (superficial fibularis nerve): the clinical implications of anatomic variability. J Foot Ankle Surg 45:174–176. https://doi.org/10.1053/j.jfas.2006.02.004CrossRefPubMed

Bas O, Bilgic S, Salbacak A, Sonmez OF, Erkut A (2012) Variations of the superficial peroneal nerve and its terminal branches in the Turkish newborn fetuses. Turk Neurosurg 22:62–67. https://doi.org/10.5137/1019-5149.JTN.4872-11.0CrossRefPubMed

Broderick JM, Synnott KA, Mulhall KJ (2020) Minimally invasive fasciotomy using a lighted retractor in the treatment of chronic exertional compartment syndrome. J Orthop Surg 28:2309499019892800. https://doi.org/10.1177/2309499019892800CrossRef

de Bruijn JA, van Zantvoort APM, Hundscheid HPH, Hoogeveen AR, Teijink JAW, Scheltinga MR (2019) Superficial peroneal nerve injury risk during a semiblind fasciotomy for anterior chronic exertional compartment syndrome of the leg: an anatomical and clinical study. Foot Ankle Int 40:343–351. https://doi.org/10.1177/1071100718811632CrossRefPubMed

Canella C, Demondion X, Guillin R, Boutry N, Peltier J, Cotten A (2009) Anatomic study of the superficial peroneal nerve using sonography. Am J Roentgenol 193:174–179. https://doi.org/10.2214/AJR.08.1898CrossRef

Darland AM, Kadakia AR, Zeller JL (2015) Branching patterns of the superficial peroneal nerve: implications for ankle arthroscopy and for anterolateral surgical approaches to the ankle. J Foot Ankle Surg 54:332–337. https://doi.org/10.1053/j.jfas.2014.07.002CrossRefPubMed

10.

Domagała Z, Gworys B, Porwolik K (2003) Preliminary assessment of anatomical variability of nervus peroneus superficialis in the foetal period. Folia Morphol (Warsz) 62:401–403

11.

Ducic I, Dellon AL, Graw KS (2006) The clinical importance of variations in the surgical anatomy of the superficial peroneal nerve in the mid-third of the lateral leg. Ann Plast Surg 56:635–638. https://doi.org/10.1097/01.sap.0000203258.96961.a6CrossRefPubMed

12.

Freeman MF, Tukey JW (1950) Transformations related to the angular and the square root. Ann Math Stat 21:607–611. https://doi.org/10.1214/aoms/1177729756CrossRef

13.

Frink M, Hildebrand F, Krettek C, Brand J, Hankemeier S (2010) Compartment syndrome of the lower leg and foot. Clin Orthop Relat Res 468:940–950. https://doi.org/10.1007/s11999-009-0891-xCrossRefPubMed

14.

Henry BM, Tomaszewski KA, Walocha JA (2016) Methods of evidence-based anatomy: a guide to conducting systematic reviews and meta-analysis of anatomical studies. Ann Anat 205:16–21. https://doi.org/10.1016/j.aanat.2015.12.002CrossRefPubMed

15.

Herron M, Langkamer VG, Atkins RM (1993) The anatomical variations of the distal course of the superficial peroneal nerve: recommendations to avoid injury during surgical procedures. Foot 3:38–42. https://doi.org/10.1016/0958-2592(93)90029-3CrossRef

16.

Iwanaga J, Singh V, Takeda S, Ogengo J, Kim H-J, Moryś J, Ravi KS, Ribatti D, Trainor PA, Sañudo JR, Apaydin N, Sharma A, Smith HF, Walocha JA, Hegazy AMS, Duparc F, Paulsen F, Del Sol M, Adds P, Louryan S, Fazan VPS, Boddeti RK, Tubbs RS (2022) Standardized statement for the ethical use of human cadaveric tissues in anatomy research papers: recommendations from anatomical journal editorsin-in-chief. Clin Anat 35:526–528. https://doi.org/10.1002/ca.23849CrossRefPubMed

17.

Lin L, Xu C (2020) Arcsine-based transformations for meta-analysis of proportions: pros, cons, and alternatives. Heal Sci Rep 3:e178. https://doi.org/10.1002/hsr2.178CrossRef

18.

Matsumoto J, Isu T, Kim K, Iwamoto N, Yamazaki K, Isobe M (2018) Clinical features and surgical treatment of superficial peroneal nerve entrapment neuropathy. Neurol Med Chir (Tokyo) 58:320–325. https://doi.org/10.2176/nmc.oa.2018-0039CrossRef

19.

Mauser N, Gissel H, Henderson C, Hao J, Hak D, Mauffrey C (2013) Acute lower-leg compartment syndrome. Orthopedics 36:619–624. https://doi.org/10.3928/01477447-20130724-07CrossRefPubMed

20.

Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62:1006–1012. https://doi.org/10.1016/j.jclinepi.2009.06.005CrossRefPubMed

21.

Pacha D, Carrera A, Llusa M, Permanyer E, Molona O, Morro R (2003) Clinical anatomy of the superficial peroneal nerve in the distal leg. Eur J Anat 7:15–20

22.

Prakash BAK, Singh DK, Rajini T, Jayanthi V, Singh G (2010) Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study. Ital J Anat Embryol 115:223–228PubMed

23.

Rosson GD, Dellon AL (2005) Superficial peroneal nerve anatomic variability changes surgical technique. Clin Orthop Relat Res 438:248–252. https://doi.org/10.1097/01.blo.0000169041.43495.58CrossRefPubMed

24.

Solomon LB, Ferris L, Tedman R, Henneberg M (2001) Surgical anatomy of the sural and superficial fibular nerves with an emphasis on the approach to the lateral malleolus. J Anat 199:717–723. https://doi.org/10.1046/j.1469-7580.2001.19960717.xCrossRefPubMedPubMedCentral

25.

Tzika M, Paraskevas G, Natsis K (2015) Entrapment of the superficial peroneal nerve: an anatomical insight. J Am Podiatr Med Assoc 105:150–159. https://doi.org/10.7547/0003-0538-105.2.150CrossRefPubMed

26.

Watt T, Hariharan AR, Brzezinski DW, Caird MS, Zeller JL (2014) Branching patterns and localization of the common fibular (peroneal) nerve: an anatomical basis for planning safe surgical approaches. Surg Radiol Anat 36:821–828. https://doi.org/10.1007/s00276-013-1242-xCrossRefPubMed

27.

Williams EH, Dellon AL (2007) Intraseptal superficial peroneal nerve. Microsurgery 27:477–480. https://doi.org/10.1002/micr.20390CrossRefPubMed

Titel: Variations in the compartmental location of the superficial fibular nerve: a cadaveric study with meta-analysis
verfasst von: Alisson Guilherme da Silva Correia
João Gustavo Santos Vieira
Beatriz Cristina Machado Rodrigues
Luís Henrique Santos Fortes
Diogo Costa Garção
Publikationsdatum: 08.11.2022
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 11/2022
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-022-03041-3

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Variations in the compartmental location of the superficial fibular nerve: a cadaveric study with meta-analysis