The significance of tibial and common peroneal nerves in nerve blocks

Surg Radiol Anat. 2013 Apr;35(3):211-5. doi: 10.1007/s00276-012-1025-9. Epub 2012 Sep 27.

Abstract

Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block.

Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section.

Results: Tibial nerve was located 50 % from the most lateral point of the popliteal crease and 1.4-cm deep to the surface. In 20 % of the 50 specimens, the medial sural cutaneous nerve branched out below or at the popliteal crease, whereas the CPN was located at 26 % from the most lateral point of the popliteal crease and 0.7-cm deep from the surface. Furthermore, in 6 % of specimens the lateral sural cutaneous nerve branched out below or at the popliteal crease.

Conclusion: The results concerning the location of the TN and CPN at the popliteal crease offer a good guide to optimal nerve block.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nerve Block*
  • Peroneal Nerve / anatomy & histology*
  • Tibial Nerve / anatomy & histology*