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Deep fibular nerve

From Wikipedia, the free encyclopedia
(Redirected fromMedial terminal branch of deep fibular nerve)
Type of nerve
Deep fibular (peroneal) nerve
Nerves of the right lower extremity, anterior view.
Details
FromCommon peroneal nerve
InnervatesAnterior compartment of leg
Identifiers
Latinnervus fibularis profundus,
nervus peroneus profundus
TA98A14.2.07.055
TA26579
FMA44771
Anatomical terms of neuroanatomy

Thedeep fibular nerve (also known asdeep peroneal nerve) begins at the bifurcation of thecommon fibular nerve between thefibula and upper part of thefibularis longus, passes infero-medially, deep to theextensor digitorum longus, to the anterior surface of theinterosseous membrane, and comes into relation with theanterior tibial artery above the middle of the leg; it then descends with the artery to the front of theankle-joint, where it divides into alateral and amedial terminal branch.

Structure

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Lateral side of the leg

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The deep fibular nerve is the nerve of the anterior compartment of the leg and the dorsum of the foot. It is one of the terminal branches of thecommon fibular nerve. It corresponds to theposterior interosseus nerve of the forearm. It begins at the lateral side of the fibula bone, and then enters the anterior compartment by piercing the anterior intermuscular septum. It then pierces theextensor digitorum longus and lies next to theanterior tibial artery, following the course of the artery until theankle-joint where the nerve divides into medial and lateral terminal branches. In the leg, the deep fibular nerve divides into several branches:[1]

Foot

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Close to the ankle joint, the deep fibular nerve terminates by dividing into medial and lateral terminal branches.[1]

Function

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In the leg, the deep fibular nerve supplies muscular branches to the anterior compartment of extensor muscles in the leg which include thetibialis anterior,extensor digitorum longus,fibularis tertius, andextensor hallucis longus (propius), and an articular branch to theankle-joint. After its bifurcation past the ankle joint, the lateral branch of the deep fibular nerve innervates theextensor digitorum brevis and theextensor hallucis brevis, while the medial branch goes on to provide cutaneous innervation to the webbing between the first and second toes.

Clinical significance

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Damage to the deep fibular nerve, as is possible with traumatic injury to the lateral knee, results infoot drop. The deep fibular nerve is also subject to injury resulting from lower motor neuron disease, diabetes, ischemia, and infectious or inflammatory conditions. Injury to the common fibular nerve is the most common isolated mononeuropathy of the lower extremity and produces sensory problems on the lateral lower leg in addition to foot drop.[3]

Additional images

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  • Cross-section through middle of leg.
    Cross-section through middle of leg.
  • Cutaneous nerves of the right lower extremity, anterior and posterior views.
    Cutaneous nerves of the right lower extremity, anterior and posterior views.
  • Cutaneous nerves of the right lower extremity, anterior and posterior views.
    Cutaneous nerves of the right lower extremity, anterior and posterior views.
  • Deep nerves of the front of the leg.
    Deep nerves of the front of the leg.
  • Nerves of the dorsum of the foot.
    Nerves of the dorsum of the foot.
  • Deep fibular nerve
    Deep fibular nerve

References

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Public domainThis article incorporates text in thepublic domain frompage 965 of the 20th edition ofGray's Anatomy(1918)

  1. ^abcdeKrishna, Garg (2010). "Front, lateral, and medial sides of leg and dorsum of foot (Chapter 8)".BD Chaurasia's Human Anatomy (Regional and Applied Dissection and Clinical) Volume 2 - Lower limb, abdomen, and pelvis (Fifth ed.). India: CBS Publishers and Distributors Pvt Ltd. p. 104,105,106.ISBN 978-81-239-1864-8.
  2. ^abGray, Henry; Lewis, Warron Harmon (1918).Anatomy of the human body. Philadelphia: Lea & Febiger. p. 965. Retrieved22 February 2018.
  3. ^"Peroneal Mononeuropathy: Background, Pathophysiology, Epidemiology". 13 October 2021.

External links

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Lumbar plexus
iliohypogastric
ilioinguinal
genitofemoral
Lateral cutaneous
obturator
femoral
sacral plexus
sciatic
common fibular
tibial
sural
other
coccygeal plexus
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