Innervation of Calf Muscles in Relation to Calf Reduction

Innervation of Calf Muscles in Relation to Calf Reduction
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小腿肌肉的神经支配与小腿缩小术的关系

DOI:
10.1097/01.sap.0000044364.71359.bc
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发表时间:
2003
影响因子:
1.5
通讯作者:
Se Il Lee
Se Il Lee
中科院分区:
医学4区
文献类型:
--
作者:
K. Hwang;Y. J. Kim;I. Chung;H. Won;Shigenori Tanaka;Se Il Lee

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在韩国,丰满而肌肉发达的小腿,即所谓的萝卜腿,让年轻女性感到尴尬,并造成自卑感。对支配肌肉的运动神经的损伤使得肌肉瘫痪和营养不良,伴随着肌肉体积的损失。作者对支配腓肠肌和比目鱼肌的胫神经运动支和腓肠内侧皮神经感觉支在窝内的形态计量学进行了研究。对70侧韩国防腐尸体的胫神经进行了解剖和探查。支配腓肠肌内、外侧肌的胫神经主要分支均起源于腘皱襞上下各3cm处。腓肠肌内侧肌有额外的神经(49%)。腓肠内侧皮神经从胫神经分出进入腓肠内侧肌(30%),并从胫神经分出5.5mm。比目鱼肌神经起自腓肠肌外侧肌神经(30%),距腓肠肌外侧肌神经12.3mm,腓肠内侧皮神经起自腓肠肌内侧肌神经(30%),比目鱼肌神经起自腓肠肌外侧肌神经(30%)。
Plump and muscular calves, a so-called radish-like leg, embarrass young women and cause a feeling of inferiority in Korea. Damage to motor nerves innervating a muscle makes the muscle paralyzed and dystrophic, with loss of muscle volume. The authors studied the morphometry of the motor branches of the tibial nerve innervating the gastrocnemius and soleus muscle and sensory medial sural cutaneous nerve in popliteal fossa. Dissection and exploration of the tibial nerve were performed in the popliteal fossae of 70 legs (of 18 males and 17 females) of embalmed Korean cadavers. The main branch of the tibial nerve innervating medial and lateral gastrocnemius muscle originated 3 cm above and below the popliteal crease. The medial gastrocnemius muscle had an additional nerve (49%). The medial sural cutaneous nerve came off the nerve into the medial gastrocnemius muscle (30%) and diverged 5.5 mm from the tibial nerve. The nerve into the soleus muscle originated from the nerve innervating the lateral gastrocnemius muscle (30%) and was 12.3 mm away from it. Surgeons should keep in mind that the medial sural cutaneous nerve originates from the nerve to medial gastrocnemius in 30% and the nerve to soleus muscle originates from the nerve to lateral gastrocnemius in 30%.