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The sural nerve (L4-S1) is a cutaneous sensory nerve of the posterolateral calf with cutaneous innervation to the distal one-third of the lower leg. [1] Formation of the sural nerve is the result of either anastomosis of the medial sural cutaneous nerve and the sural communicating nerve, or it may be found as a continuation of the lateral sural cutaneous nerve [2] traveling parallel to the ...
She originated the term sural nerve complex to fully encompass all contributions to the terminally named sural nerve (and later lateral dorsal cutaneous nerve). Further research would go on to use the sural nerve complex terminology to discuss the lateral sural cutaneous nerve , the medial sural cutaneous nerve , the sural communicating nerve ...
Another branch observed, that is mentioned in passing in previous literature is the medial branch of the lateral sural cutaneous nerve. [3]In a 2021 study by Steele et al. (Annals of Anatomy), a medial branch of the lateral sural cutaneous nerve was observed in approximately 36% of lower extremities dissected (n=208) with an average diameter of 1.47 ± 0.655 mm with a 95% CI of 1.31 – 1.625 mm.
Complex regional pain syndrome is uncommon, and its cause is not clearly understood. CRPS typically develops after an injury, surgery, heart attack, or stroke. [8] [12] Investigators estimate that 2–5% of those with peripheral nerve injury, [13] and 13–70% of those with hemiplegia (paralysis of one side of the body) [14] will develop
The diameter (at the medial sural cutaneous nerve origin) is found to be 2.74mm ± 0.93 (2.62–2.86) in 207 samples. Two new variations (as of 2021) of the sural nerve complex were observed where the MSCN is observed to travel to the lateral ankle and provides the branches for the lateral calcaneal nerves of the lateral ankle.
The intermediate dorsal cutaneous nerve divides into four dorsal digital branches, which supply the medial and lateral sides of the third and fourth, and of the fourth and fifth toes. The lateral dorsal cutaneous nerve from the sural nerve turns into a dorsal digital nerve and supplies the lateral side of the fifth toe.
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Sural nerve biopsy; biopsy is considered for those patients in whom the diagnosis is not completely clear, when other causes of neuropathy (e.g., hereditary, vasculitic) cannot be excluded, or when profound axonal involvement is observed on EMG. Ultrasound of the peripheral nerves may show swelling of the affected nerves. [32] [33] [34]