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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus III: Nervous System: Plexuses: Deep Peroneal (Anterior Tibial) Nerve

Illustrated Encyclopedia of Human Anatomic Variation: Opus III: Nervous System: Plexuses

Deep Peroneal (Anterior Tibial) Nerve

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed


The following variations in the digital distribution of this nerve has been reported. The nerve may have no digital branches whatsoever. It may supply the medial side of the great toe, adjacent sides of the second and third toes, or the lateral three and one-half toes.

Absence of the cutaneous part of the superficial peroneal and the deep peronal nerve and its branch to extensor digitorum brevis has been reported. In this case the nerves were replaced by the saphenous and sural nerves.

In one study of 326 patients, a deep accessory peroneal nerve was found in 61 patients (18.7%), which innervated a part of extensor digitorum brevis muscle of the foot.

Image 72


References

Andreassi, G. (1953) Observations sur l'origine, le comportement et la distribution du nerf saphène externe, de l'accessoire du saphène externe et du nerf cutané péronier chez l'homme. Assoc. Anatomistes Comptes Rendus. 40:558-564.

Anson, B.J., Ed. (1966) Morris' Human Anatomy, 12th ed., The Blakiston Division, McGraw-Hill Book Company, New York.

Cunningham, D.J. (1879) Note on the distribution of the anterior tibial nerve on the dorsum of the foot. J. Anat. Physiol. 13:389-399.

Gruber, W. (1880) Zu den Varietäten des Nervus peroneus profundus et superficialis. Arch. Pathol. Anat. Physiol. Klin. Med. 81:471-475.

Kosinki, C. (1926) La valeur anthropologique des variations dans l'innervation cutanée des membres inférieurs. Assoc. Anatomistes Comptes Rendus. 21:291-295.

Lambert, E.H. (1969) The accessory deep peroneal nerve: A common variation in innervation of extensor digitorum brevis. Neurology 19:1169-1176.

Miller, M.R. and M. Kasahara. (1959) The pattern of cutaneous innervation of the human foot. Am. J. Anat. 105:233-255.

Stilwell, D.L., Jr., (1957) The innervation of the deep structures of the human foot. Am. J. Anat. 101:59-73.

Williams, D.D. (1954) A study of the human fibular communicating nerve. Anat. Rec. 120:533-543.

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