Anatomic variability of the nerves of the triceps surae in early human fetuses

Authors

DOI:

https://doi.org/10.26641/1997-9665.2021.3.101-108

Keywords:

tibial nerve, triceps surae, anatomical variability, fetus, human

Abstract

Background. Establishing fetal anatomical variability of intramuscular nerves and their connections plays an important role in the search for and development of new methods for the diagnostic and treatment posterior region of the leg. Objective – to find out the topographic and anatomical features of the innervation of the triceps surae in human fetuses 4-6 months. Methods. The study was performed on 46 human fetuses 81.0-230.0 mm crown-rump length (CRL) length using macromicroscopic preparation, vascular injection, and morphometry. Results. In early human fetuses, the anatomical variability of the distribution of intramuscular nerves in the thickness of the triceps surae was established, which is due to the variability of the structure and topography of the tibial nerve, structural and functional organization of triceps surae, arterial branching and interneural connections in the thickness of the heads of the gastrocnemius and soleus in fetuses of different and the same age groups, and sometimes in the same fetus. Conclusion. The main source of innervation of the triceps surae is the tibial nerve, which can be presented by a single trunk, main and additional trunks, or several independent trunks. The nerves in the thickness of the triceps are unevenly distributed. The highest concentration of muscular branches of the tibial nerve is determined in the medial head of the gastrocnemius and the medial part of the soleus. Information on fetal topography of intramuscular nerves in the thickness of the right and left triceps surae, as well as forms of their anatomical variability, both in fetuses of different and the same age and sometimes in the same fetus, due to structural-functional organization of the components of the triceps surae, the type of branching of arteries and nerves in the thickness of the heads of the gastrocnemius and soleus. Atypical variants of the topography of the tibial nerve and common fibular nerve in early fetuses, as well as interneural connections in the thickness of the components of the triceps surae, are more common on the right lower leg.

References

  1. Dreyer MA, Gibboney MD. Anterior tarsal tunnel syndrome [Internet]. StatPearls [Internet]. U.S. National Library of Medicine; 2021 [cited 2021 Jul 29]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538488/
  2. Timashov EA, Sotnikov AA. [The relationship of the anatomical and morphological structures of the venous system and the nerves of the lower extremities]. Khirurgicheskaya praktika. 2019;(2):15-20. Russian. DOI: https://doi.org/10.17238/issn2223-2427.2019.2.15-20
  3. Siddiqi A, Arjunan SP, Kumar DK. Computational model to investigate the relative contributions of different neuromuscular properties of tibialis anterior on force generated during ankle dorsiflexion. Med Biol Eng Comput. 2018;56(8):1413-1423. DOI: 10.1007/s11517-018-1788-1
  4. McCrory P, Bell S, Bradshaw C. Nerve entrapments of the lower leg, ankle and foot in sport. Sports Med. 2002;32(6):371-391. DOI: 10.2165/00007256-200232060-00003
  5. Corcoran NM, Varacallo M. Anatomy, bony pelvis and Lower LIMB, Tibialis posterior muscle [Internet]. StatPearls [Internet]. U.S. National Library of Medicine; 2020 [cited 2021 Jul 24]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539913/
  6. Fracol ME, Janes LE, Ko JH, Dumanian GA. Targeted Muscle Reinnervation in the Lower Leg: An Anatomical Study. Plast Reconstr Surg. 2018;142(4):541-550. DOI: 10.1097/PRS.0000000000004773
  7. Egorova LV. [Variant anatomy of the sural nerve]. Tsentralnyy nauchnyy vestnik. 2017;2(12):11-13. Russian.
  8. Passipieri JA, Dienes J, Frank J, Glazier J, Portell A, Venkatesh KP. Adipose stem cells enhance nerve regeneration and muscle function in a peroneal nerve ablation model. Tissue Eng Part A. 2021;27(5-6):297-310. DOI: 10.1089/ten.TEA.2018.0244
  9. Norzana AG, Farihah HS, Fairus A, Teoh SL, Nur AK, Faizah O. Higher division of the tibial nerve in the leg: gross anatomical study with clinical implications. Clin Ter. 2013;164(1):1-3. DOI: 10.7417/CT.2013.1501
  10. Walters BB, Constant D, Anand P. Fibula Fractures [Internet]. StatPearls [Internet]. U.S. National Library of Medicine; 2021 [cited 2021 Jul 29]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556139/
  11. Kiselevskiy YM. [Features of the anatomical structure of blood vessels and nerves of the lower extremity in humans with chromosomal syndromes (trisomy 13.18.21)]. Minsk; 1991. 17 p. Russian.
  12. Pitcher CA, Elliott CM, Valentine JP, Stannage K, Williams SA, Shipman PJ. Muscle morphology of the lower leg in ambulant children with spastic cerebral palsy: Gross Morphology in Children With Spastic CP. Muscle Nerve. 2018;58(6):818-823. DOI: 10.1002/mus.26293
  13. Zhu L, Lin HD, Chen AM. Accurate segmental motor innervation of human lower-extremity skeletal muscles. Acta Neurochir (Wien). 2015;157(1):123-128. DOI: 10.1007/s00701-014-2258-7
  14. Dmytriiev DV, Dmytriiev KD, Lysak EV. Innervation Anomalies and Interneural Anastomoses: Is There Clinical Relevance or Not? Pain Medicine. 2020;5(3):4–11. DOI: https://doi.org/10.31636/pmjua.v5i3.1
  15. Dmytriiev DV, Lysak YV, Hlazov YO, Heranin SV, Zaletska LA. [Minimally invasive methods for treating pain syndrome in diabetic foot]. Pain Medicine. 2019;4(3):4–50. Ukrainian. DOI: https://doi.org/10.31636/pmjua.v4i3.1
  16. Khmara TV, Komar TV. Individual anatomical variability in the innervation of thigh and calf muscles in human fetuses. Deutscher Wissenschaftsherold. German Science Herald. 2016;3:3-6.
  17. Yu D, Yin H, Han T, Jiang H, Cao X. Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer. Surg Radiol Anat. 2016;38(6):675-685. DOI: https://doi.org/10.1007/s00276-015-1601-x
  18. Méndez GA, Gatica VF, Guzmán EE, Soto AE. Evaluation of the neuromuscular compartments in the peroneus longus muscle through electrical stimulation and accelerometry. Braz J Phys Ther. 2013;17(5):427-434. DOI: 10.1590/S1413-35552012005000110
  19. Komar TV. Innervation features of the triceps surae in the 4-6 months human fetuses [Internet]. Edu.ua; 2021[cited 2021 Aug 12]. Available from: http://conference.bsmu.edu.ua/conf-102/paper/download/22824/12238

Published

2021-12-25

How to Cite

Anatomic variability of the nerves of the triceps surae in early human fetuses. (2021). Морфологія / Morphologia / Morfologìâ, 15(3), 101–108. https://doi.org/10.26641/1997-9665.2021.3.101-108

Issue

Section

Статті