Study on the innervation and intraperiosteal nerve distribution pattern of the tibial periosteum&nbsp;&nbsp;

doi:10.13418/j.issn.1001-165x.2025.5.01

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Chinese Journal of Clinical Anatomy ›› 2025, Vol. 43 ›› Issue (5) : 499-503. DOI: 10.13418/j.issn.1001-165x.2025.5.01

Study on the innervation and intraperiosteal nerve distribution pattern of the tibial periosteum

Wu Junxi¹, Fan Rui², Yang Bo², Zeng Xue², Yu Hong², Xiong Xinxin², Li Xiaochi¹, Yang Shengbo¹*

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Abstract

Objective To reveal the innervation and intraperiosteal overall nerve distribution pattern of the tibial periosteum. Methods Twelve Chinese adult specimens were used to observe the origin and course of nerve of the tibial periosteum through gross dissection. The Modified Sihler's staining was used for showing the intraperiosteal overall nerve distribution pattern in tibial periosteum. Results The innervation of the tibial periosteum originated from multiple segments. The medial surface of tibial periosteum was mainly innervated by the saphenous nerve, lateral surface was mainly innervated by the direct branch of the deep peroneal nerve and the perforator nerve of the anterior tibial muscle, and posterior surface was innervated by the direct branch of the tibial nerve and the perforator nerve of the extensor hallucis longus muscle. The arborized branches of nerve after entering the periosteum were most densely distributed in the middle one-third of the medial and lateral surface of tibial periosteum and lower one-third of the posterior surface of tibial periosteum, with communication between the branches. Conclusions These results may provide morphological guidance for region matching of nerve function reconstruction during tibial periosteum transplantation, avoiding surgical injury to the periosteal nerves, and selection of targets during intraperiosteal injection of analgesic drugs.

Key words

Tibia / / / Periosteum / / / Innervation / / / Distribution pattern / / / Applied anatomy

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Wu Junxi, Fan Rui, Yang Bo, Zeng Xue, Yu Hong, Xiong Xinxin, Li Xiaochi, Yang Shengbo. Study on the innervation and intraperiosteal nerve distribution pattern of the tibial periosteum [J]. Chinese Journal of Clinical Anatomy. 2025, 43(5): 499-503 https://doi.org/10.13418/j.issn.1001-165x.2025.5.01

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