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Applied anatomy and surgical approaches
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
Rajeev Vohra, Babaji Sitaram Thorat, Avtar Singh
It is the terminal branch of the common peroneal nerve (CPN) and pierces the deep fascia over the anterior compartment at different levels (Figure 2.1). It divides into medial and intermediate dorsal cutaneous nerves of the dorsum of the foot at different levels, and these branches supply dorsal areas of the foot and toes except for the web space between the great and second toe and the lateral side of the little toe (1). SPN and its branches must be isolated, protected and avoided during anterior (2), anterolateral (3), lateral and transfibular approaches to the ankle (3, 4), anterolateral approach to the talus (5) and dorsal approach to the tarsometatarsal (TMT) joints (6). Its terminal dorsal digital branches need to be protected while performing Morton's neuroma (MN) excision (7) and medial part of the distal soft issue release (DSTR) for hallux valgus (HV) correction (8).
Diseases of the Peripheral Nerve and Mononeuropathies
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Diana Mnatsakanova, Charles K. Abrams
Bifurcates into the superficial peroneal and deep peroneal nerves: Superficial peroneal nerve innervates the peroneus longus and brevis, then divides into the medial and intermediate dorsal cutaneous nerves, which supply the skin to the lateral lower leg and dorsum of the foot and toes.Deep peroneal nerve supplies the tibialis anterior, extensor digitorum longus and brevis, extensor hallucis longus, peroneus tertius, and an area of skin between the first and second toes (Figure 25.43).
The Gallbladder (GB)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Compression of the superficial peroneal (fibular) nerve by crural fascia causes “superficial peroneal (fibular) nerve syndrome.” Near GB 39, this nerve emerges through the crural fascia and divides into two cutaneous branches, the medial dorsal and intermediate dorsal cutaneous nerves. The intermediate dorsal cutaneous nerve follows the GB channel to the toes while the medial dorsal cutaneous nerve accompanies the ST channel. The LR channel on the dorsum of the foot (from about LR 1-LR 3) receives sensation by the lateral branch of the deep peroneal (fibular) nerve but may include some fibers from the intermediate dorsal cutaneous nerve from superficial peroneal (fibular) origin.5
The superficial peroneal neurocutaneous flap: a cadaveric study
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Thepparat Kanchanathepsak, Katanyata Kunsook, Wasit Panoinont, Chinnawut Suriyonplengsaeng, Sorasak Suppaphol, Ittirat Watcharananan, Panithan Tuntiyatorn, Tulyapruek Tawonsawatruk
The superficial peroneal nerve (SPN) and its branches, the medial dorsal cutaneous nerve (MDCN), and intermediate dorsal cutaneous nerve (IDCN), supply a major portion of the dorsum of the foot, except for those regions supplied by the deep peroneal nerve (DPN) and sural nerve (SN). The MDCN is larger in size and less variable than the others (Figure 1) [14–17]. This study involves the neurocutaneous flap that depends on SPN and MDCN, called the superficial peroneal neurocutaneous (SPNC) flap, that receives the most reliable blood supply from perforating branches of the dorsalis pedis artery, primarily supplying the dorsum of the foot.