A novel categorization of the muscular branches of the tibial nerve within the popliteal fossa.

Ann Anat

Department of Basic Medical Science, Graduate School of Medicine, International University of Health and Welfare, 4-3 Kozunomori, Narita, Chiba 286-8686, Japan; Department of Anatomy, Faculty of Medicine, School of Medicine, International University of Health and Welfare, 4-3, Kozunomori, Narita, Chiba 286-8686, Japan.

Published: January 2023

AI Article Synopsis

  • - The study investigates the branching patterns of the tibial nerve's muscular branches in the popliteal fossa, aiming to explain the patterns that have been inconsistently described in textbooks.
  • - Researchers examined the tibial nerve branches in 62 lower limbs from adult cadavers, finding consistent origins for the branches to different calf muscles such as the gastrocnemius and soleus.
  • - The study proposes a new categorization of these branches into posterior and anterior groups, enhancing the understanding of the development of skeletal muscles in the leg's flexor compartment.

Article Abstract

Background: The muscular branches of the tibial nerve within the popliteal fossa innervate the gastrocnemius, soleus, plantaris, and popliteus muscles. Various branching patterns have been described in textbooks; however, the underlying fundamental rules explaining the patterns remain unclear. Understanding the fundamental rule explaining the branching pattern of the innervating nerves is essential for understanding the ontogeny of skeletal muscles. Therefore, this study aimed at establishing a theory to explain the branching pattern of the muscular branches of the tibial nerve within the popliteal fossa.

Methods: The branching patterns of the muscular branches of the tibial nerve within the popliteal fossa were examined macroscopically in 62 lower limbs derived from 31 adult cadavers (22 males and 9 females, aged 49-95 years).

Results: The branch to the medial head of the gastrocnemius muscle invariably arose from the posteromedial side of the tibial nerve. The branches to the soleus muscle and lateral head of the gastrocnemius muscle had a common trunk in all the lower limbs and invariably arose from the posterolateral side. The branches to the plantaris and popliteus muscles arose anteriorly from the tibial nerve in this order (plantaris branch first, followed by the popliteus branch). These branches invariably arose more distally than the branch to both the heads of the gastrocnemius and soleus muscles.

Conclusions: Based on these fundamental branching patterns, we suggest a novel branching categorization. The branches could be categorized into a posterior group and an anterior group, which has independent branches to the plantaris and popliteus muscles. This fundamental branching pattern and novel categorization contribute to the understanding of the ontogeny of the skeletal muscles around the flexor compartment of the leg.

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Source
http://dx.doi.org/10.1016/j.aanat.2022.151997DOI Listing

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