跟外侧神经与神经源性跟痛症关系的解剖学基础

冯成安, 孙俊, 叶频, 张东葵, 范炜

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (6) : 643-645.

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (6) : 643-645.
应用解剖

跟外侧神经与神经源性跟痛症关系的解剖学基础

  • 冯成安, 孙俊, 叶频, 张东葵, 范炜
作者信息 +

Anatomical foundation of the relationship between the lateral calcaneal nerve and neurogenic painful heel syndrome

  • FENG Cheng-an, SUN Jun, YE Pin, ZHANG Dong-kui, FAN Wei
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摘要

目的 探讨跟外侧神经的局部解剖特点及其与神经源性跟痛症的关系,为临床诊断治疗提供解剖学依据。  方法 32侧防腐成人尸体下肢标本,解剖观察跟外侧神经的起源、分支、走行和分布特点。  结果 跟外侧神经均起自于腓肠神经,9.38%以单干的形式出现,28.13%为双干,43.75%为3干,18.75%为4干。神经分布于足跟外侧及跟底外侧1/3的皮肤和跟垫组织以及骨膜。  结论 跟外侧神经在跟管内和覆盖于小趾展肌表面的足底腱膜外侧部的锐利缘处均有可能被卡压而引发神经源性跟痛症。

Abstract

Objective To investigate the relationship between the lateral calcaneal nerve(LCN) and the neurogenic painful heel syndrome (NPHS) and provide anatomicalevidence for its study, diagnosis and therapy.  Methods 32 sides formalin-fixed adult lower-limb specimens were used in the study. LCN was dissected to observe its origin,course, branches and distribution. Results In all cases, the LCN originated from the sural nerve. They existed in the form of a single principal trunk in 9.38% of cases,double trunks in 28.13%, three trunks in 43.75% and four trunks in 18.75%. They innervated the skin, the fat pad and the periosteum on the lateral calcaneus and the lateral onethird of the plantar calcaneus.  Conclusions The LCN can be compressed in the calcaneal tunnel and at the sharp border where the LCN run through the superficial layer of the lateral part of the plantar aponeurosis and the compression, leading to possible occurrence of NPHS.

关键词

  / 跟外侧神经 / 神经源性跟痛症 /  应用解剖

Key words

Lateral calcaneal nerve / Neurogenic painful heel syndrome / Applied anatomy

引用本文

导出引用
冯成安, 孙俊, 叶频, 张东葵, 范炜. 跟外侧神经与神经源性跟痛症关系的解剖学基础[J]. 中国临床解剖学杂志. 2013, 31(6): 643-645
FENG Cheng-An, SUN Dun, XIE Bin, ZHANG Dong-Kui, FAN Wei. Anatomical foundation of the relationship between the lateral calcaneal nerve and neurogenic painful heel syndrome[J]. Chinese Journal of Clinical Anatomy. 2013, 31(6): 643-645
中图分类号: R323.72    

参考文献


[1]  郭世绂.骨科临床解剖学
[M].济南:山东科学技术出版社, 2001:1011-1043.

[2]  冯成安,孙俊,刘宗良. 跟内侧神经与神经源性跟痛症关系的解剖学基础
[J]. 中国临床解剖学杂志, 2012,30(5):491-493.

[3]  梁军, 钱洁, 周家钤, 等. 跟内、外侧皮神经支的局部解剖与临床应用
[J]. 实用骨科杂志, 2002, 9(4): 98-100.

[4]  唐举玉, 李康华, 任家伍, 等. 跟外侧神经的形态特点及其临床意义
[J]. 中国临床解剖学杂志, 2009, 27(1): 20-23.

[5]  龚炎培,高井宏明,阿达启. 周围神经双卡综合征动物模型的实验研究
[J]. 中华手外科杂志,2003,19(2):127-125.

[6]  Lemont H, Ammirati KM,Usen N. Plantar fasciitis: a degenerative process(faseiosis) without inflammation
[J]. J Am Podiatr Med Assoc, 2003, 93(3):234-237.

[7]  Wearing SC, Smeathers JE, Urry SR, et al. The pathomechanics of plantar fasciitis
[J]. Sports Med, 2006, 36(7):585-611.

基金

云南省教育厅科学研究基金项目(2010C153)


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