Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein

Sartorial branch of saphenous nerve (medial crural cutaneous nerve) originates at the medial side of the knee and descends along the great saphenous vein (GSV) to innervate the medial aspect of the leg. Its anatomy is of concern in surgical procedures and anesthetic block. However, the measurement d...

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Autores principales:	Tothonglor,Amornrat, Agthong,Sithiporn, Huanmanop,Thanasil, Chentanez,Vilai
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2013
Materias:	Anatomy Great saphenous vein Saphenous nerve Sartorial branch
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022013000200011
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spelling	oai:scielo:S0717-950220130002000112014-09-09Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous VeinTothonglor,AmornratAgthong,SithipornHuanmanop,ThanasilChentanez,Vilai Anatomy Great saphenous vein Saphenous nerve Sartorial branch Sartorial branch of saphenous nerve (medial crural cutaneous nerve) originates at the medial side of the knee and descends along the great saphenous vein (GSV) to innervate the medial aspect of the leg. Its anatomy is of concern in surgical procedures and anesthetic block. However, the measurement data related to palpable bony landmarks with comparison between sexes and sides are lacking. Dissection was done in 95 lower limbs from both sexes. We found that the nerve pierced the deep fascia alone in most cases (92.6%). This piercing point was always distal to the adductor tubercle with the distance of 5-6 cm which was 15% of the leg length (the distance between the adductor tubercle and medial malleolus). The nerve was 7 cm medial to the tibial tuberosity. At the mid-level of leg length, the nerve was slightly over 4 cm medial to the anterior tibial margin. The nerve terminally divided 7 cm proximal to the medial malleolus. Furthermore, the anatomical relationship between the nerve and the GSV was highly variable. The nerve was constantly anterior, posterior or deep to the GSV in 8.4%, 15.8% and 2.1%, respectively. Crossing between the two structures was observed in 57.9% of specimens and the distance to the medial malleolus was 18 cm. Symmetry was found in most parameters and significant gender differences were observed in some distances. These results are important for avoiding the sartorial nerve injury and locating the nerve during relevant procedures.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.31 n.2 20132013-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022013000200011en10.4067/S0717-95022013000200011
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Anatomy Great saphenous vein Saphenous nerve Sartorial branch
spellingShingle	Anatomy Great saphenous vein Saphenous nerve Sartorial branch Tothonglor,Amornrat Agthong,Sithiporn Huanmanop,Thanasil Chentanez,Vilai Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
description	Sartorial branch of saphenous nerve (medial crural cutaneous nerve) originates at the medial side of the knee and descends along the great saphenous vein (GSV) to innervate the medial aspect of the leg. Its anatomy is of concern in surgical procedures and anesthetic block. However, the measurement data related to palpable bony landmarks with comparison between sexes and sides are lacking. Dissection was done in 95 lower limbs from both sexes. We found that the nerve pierced the deep fascia alone in most cases (92.6%). This piercing point was always distal to the adductor tubercle with the distance of 5-6 cm which was 15% of the leg length (the distance between the adductor tubercle and medial malleolus). The nerve was 7 cm medial to the tibial tuberosity. At the mid-level of leg length, the nerve was slightly over 4 cm medial to the anterior tibial margin. The nerve terminally divided 7 cm proximal to the medial malleolus. Furthermore, the anatomical relationship between the nerve and the GSV was highly variable. The nerve was constantly anterior, posterior or deep to the GSV in 8.4%, 15.8% and 2.1%, respectively. Crossing between the two structures was observed in 57.9% of specimens and the distance to the medial malleolus was 18 cm. Symmetry was found in most parameters and significant gender differences were observed in some distances. These results are important for avoiding the sartorial nerve injury and locating the nerve during relevant procedures.
author	Tothonglor,Amornrat Agthong,Sithiporn Huanmanop,Thanasil Chentanez,Vilai
author_facet	Tothonglor,Amornrat Agthong,Sithiporn Huanmanop,Thanasil Chentanez,Vilai
author_sort	Tothonglor,Amornrat
title	Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
title_short	Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
title_full	Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
title_fullStr	Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
title_full_unstemmed	Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein
title_sort	sartorial branch of saphenous nerve: anatomical relationship with bony landmarks and great saphenous vein
publisher	Sociedad Chilena de Anatomía
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022013000200011
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Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein

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