Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers

Femoral neuropathy associated with lower limb is treated by surgical intervention through activation/regeneration/grafting of nerve fibers by a nerve cuff electrode implant or neuro-prosthesis. These procedures require detailed and precise knowledge of neuro-anatomical variants of the femoral nerve...

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Autores principales: Singh,Rajani, Tubbs,Shane, Singla,Mukesh
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200024
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spelling oai:scielo:S0717-950220160002000242016-07-13Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen CadaversSingh,RajaniTubbs,ShaneSingla,Mukesh Variations of femoral branching pattern Classification of femoral nerve Fascicular model Nerve cuff electrode Femoral neuropathy Femoral neuropathy associated with lower limb is treated by surgical intervention through activation/regeneration/grafting of nerve fibers by a nerve cuff electrode implant or neuro-prosthesis. These procedures require detailed and precise knowledge of neuro-anatomical variants of the femoral nerve and its fascicular anatomy so that the nerve injury can be investigated and treated more efficiently. The aim of the study is to uncover the variations both in the femoral nerve and its branches, to classify them and to bring out corresponding fascicular anatomy using a hypothesis based on the principle of consistency, continuity and traceability of fascicles. The study was carried out in the Department of Anatomy AIIMS Rishikesh using 13 matched lower limbs (26 femoral nerves) from 13 cadavers. The femoral nerve was exposed in the femoral triangle and traced to the posterior abdominal wall. Variations in the shape, size and course of the femoral nerve and its branches were analyzed. The fascicular arrangement was also conceptualized based on the hypothesis. Seven classes, high division, trunk anomaly, semi-scattered, scattered branching pattern, pectocutaneous, lateral cutaneous nerve of thigh and nerve to sartorius anomalies were detected. The corresponding fascicular organizations were modeled. The seven classes along with corresponding fascicular pattern will be very useful for neurosurgeons, radiologists, anesthetists and anatomists in diagnosis and treatment of femoral neuropathy.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.2 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200024en10.4067/S0717-95022016000200024
institution Scielo Chile
collection Scielo Chile
language English
topic Variations of femoral branching pattern
Classification of femoral nerve
Fascicular model
Nerve cuff electrode
Femoral neuropathy
spellingShingle Variations of femoral branching pattern
Classification of femoral nerve
Fascicular model
Nerve cuff electrode
Femoral neuropathy
Singh,Rajani
Tubbs,Shane
Singla,Mukesh
Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
description Femoral neuropathy associated with lower limb is treated by surgical intervention through activation/regeneration/grafting of nerve fibers by a nerve cuff electrode implant or neuro-prosthesis. These procedures require detailed and precise knowledge of neuro-anatomical variants of the femoral nerve and its fascicular anatomy so that the nerve injury can be investigated and treated more efficiently. The aim of the study is to uncover the variations both in the femoral nerve and its branches, to classify them and to bring out corresponding fascicular anatomy using a hypothesis based on the principle of consistency, continuity and traceability of fascicles. The study was carried out in the Department of Anatomy AIIMS Rishikesh using 13 matched lower limbs (26 femoral nerves) from 13 cadavers. The femoral nerve was exposed in the femoral triangle and traced to the posterior abdominal wall. Variations in the shape, size and course of the femoral nerve and its branches were analyzed. The fascicular arrangement was also conceptualized based on the hypothesis. Seven classes, high division, trunk anomaly, semi-scattered, scattered branching pattern, pectocutaneous, lateral cutaneous nerve of thigh and nerve to sartorius anomalies were detected. The corresponding fascicular organizations were modeled. The seven classes along with corresponding fascicular pattern will be very useful for neurosurgeons, radiologists, anesthetists and anatomists in diagnosis and treatment of femoral neuropathy.
author Singh,Rajani
Tubbs,Shane
Singla,Mukesh
author_facet Singh,Rajani
Tubbs,Shane
Singla,Mukesh
author_sort Singh,Rajani
title Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
title_short Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
title_full Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
title_fullStr Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
title_full_unstemmed Classification and Fascicular Analysis of Variant Branching Pattern of Femoral Nerve for Microsurgical Intervention: A Series of Thirteen Cadavers
title_sort classification and fascicular analysis of variant branching pattern of femoral nerve for microsurgical intervention: a series of thirteen cadavers
publisher Sociedad Chilena de Anatomía
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200024
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