An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population

Introduction: The Neurovascular Bundle (NVB) in the dorsum of the foot is likely to get injured during midfoot surgeries. Finding an anatomical landmark to identify this NVB is essential to prevent iatrogenic injury. Aim: To identify an anatomical landmark to locate the Dorsalis Pedis Artery (DPA) a...

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Main Authors: Mohana Priya, Suganthy Rabi
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11765/32731_CE[Ra]_F(Sh)_PF1(SH_AnG)_PN(AP).pdf
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author Mohana Priya
Suganthy Rabi
author_facet Mohana Priya
Suganthy Rabi
author_sort Mohana Priya
collection DOAJ
description Introduction: The Neurovascular Bundle (NVB) in the dorsum of the foot is likely to get injured during midfoot surgeries. Finding an anatomical landmark to identify this NVB is essential to prevent iatrogenic injury. Aim: To identify an anatomical landmark to locate the Dorsalis Pedis Artery (DPA) and Deep Peroneal Nerve (DPN) in the dorsum of foot. Materials and Methods: The relationship of this NVB to Extensor Hallucis Brevis Musculotendinous (EHBMT) junction was noted in dorsum of seventy feet. Correlation between the foot length and EHBMT junction length was determined. Result: In 30 feet (42.85%), the DPN was medial to DPA and in 40 (57.14%), it was lateral to DPA. In two feet, the medial branch of DPN pierced the EHB proximal to the musculotendinous junction and in the remaining feet it passed behind EHBMT junction. There was a positive correlation between the foot length and the EHBMT junction length. Conclusion: The EHBMT junction can be used as a reliable landmark to identify the DPN during the mid-foot surgical approaches.
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spelling doaj.art-b684f7c84fb8428692545dc0989510612022-12-21T19:30:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-07-01127AC10AC1210.7860/JCDR/2018/32731.11765An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian PopulationMohana Priya0Suganthy Rabi1Assistant Professor, Department of Anatomy, Madras Medical College, Chennai, Tamil Nadu, India.Professor, Department of Anatomy, Christian Medical College, Vellore, Tamil Nadu, India.Introduction: The Neurovascular Bundle (NVB) in the dorsum of the foot is likely to get injured during midfoot surgeries. Finding an anatomical landmark to identify this NVB is essential to prevent iatrogenic injury. Aim: To identify an anatomical landmark to locate the Dorsalis Pedis Artery (DPA) and Deep Peroneal Nerve (DPN) in the dorsum of foot. Materials and Methods: The relationship of this NVB to Extensor Hallucis Brevis Musculotendinous (EHBMT) junction was noted in dorsum of seventy feet. Correlation between the foot length and EHBMT junction length was determined. Result: In 30 feet (42.85%), the DPN was medial to DPA and in 40 (57.14%), it was lateral to DPA. In two feet, the medial branch of DPN pierced the EHB proximal to the musculotendinous junction and in the remaining feet it passed behind EHBMT junction. There was a positive correlation between the foot length and the EHBMT junction length. Conclusion: The EHBMT junction can be used as a reliable landmark to identify the DPN during the mid-foot surgical approaches.https://jcdr.net/articles/PDF/11765/32731_CE[Ra]_F(Sh)_PF1(SH_AnG)_PN(AP).pdfdeep peroneal nervedorsalis pedis arteryextensor hallucis brevisfoot lengthmidfootmusculotendinous junction
spellingShingle Mohana Priya
Suganthy Rabi
An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
Journal of Clinical and Diagnostic Research
deep peroneal nerve
dorsalis pedis artery
extensor hallucis brevis
foot length
midfoot
musculotendinous junction
title An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
title_full An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
title_fullStr An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
title_full_unstemmed An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
title_short An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
title_sort anatomical landmark to identify the neurovascular bundle in the dorsum of foot a cadaveric study in south indian population
topic deep peroneal nerve
dorsalis pedis artery
extensor hallucis brevis
foot length
midfoot
musculotendinous junction
url https://jcdr.net/articles/PDF/11765/32731_CE[Ra]_F(Sh)_PF1(SH_AnG)_PN(AP).pdf
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