Distribution of sensory nerves supplying the knee joint capsule and implications for genicular blockade and radiofrequency ablation: an anatomical study
| Autor: | Olivier Cornu, Emmanuel Thienpont, Christine Detrembleur, Jean-Eric Kouame Kouassi, Loïc Fonkoue, Maude Coyette, Catherine Behets |
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| Přispěvatelé: | UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur, UCL - (SLuc) Service de chirurgie plastique |
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases Knee Joint Vastus medialis Genicular blockade Quadriceps Muscle Pathology and Forensic Medicine 03 medical and health sciences Genicular nerve Cadaver Humans Medicine Radiology Nuclear Medicine and imaging Posterior branch of obturator nerve Tibial nerve Ultrasonography Interventional Aged Aged 80 and over 0303 health sciences Articular capsule of the knee joint business.industry Dissection Anatomical landmarks Radiofrequency ablation Peroneal Nerve Nerve Block Anatomy Knee innervation musculoskeletal system Arthralgia Sciatic Nerve Radiography Saphenous nerve medicine.anatomical_structure 030301 anatomy & morphology Catheter Ablation Female Surgery Sciatic nerve Anatomic Landmarks Obturator Nerve business Anterior branch of obturator nerve Joint Capsule |
| Zdroj: | Surgical and Radiologic Anatomy, Vol. 41, no. 12, p. 1461-1471 (2019) |
| ISSN: | 1279-8517 0930-1038 |
| Popis: | BACKGROUND: Despite their emerging therapeutic relevance, there are many discrepancies in anatomical description and terminology of the articular nerves supplying the human knee capsule. This cadaveric study aimed to determine their origin, trajectory, relationship and landmarks for therapeutic purpose. METHODS: We dissected 21 lower limbs from 21 cadavers, to investigate the anatomical distribution of all the articular nerves supplying the knee joint capsule. We identified constant genicular nerves according to their anatomical landmarks at their entering point to knee capsule and inserted Kirschner wires through the nerves in underlying bone at those target points. Measurements were taken, and both antero-posterior and lateral radiographs were obtained. RESULTS: The nerve to vastus medialis, saphenous nerve, anterior branch of obturator nerve and a branch from sciatic nerve provide substantial innervation to the medial knee capsule and retinaculum. The sciatic nerve and the nerve to the vastus lateralis supply sensory innervation to the supero-lateral aspect of the knee joint while the fibular nerve supplies its infero-lateral quadrant. Tibial nerve and posterior branch of obturator nerve supply posterior aspect of knee capsule. According to our findings, five constant genicular nerves with accurate landmarks could be targeted for therapeutic purpose. CONCLUSION: The pattern of distribution of sensitive nerves supplying the knee joint capsule allows accurate and safe targeting of five constant genicular nerves for therapeutic purpose. This study provides robust anatomical foundations for genicular nerve blockade and radiofrequency ablation. |
| Databáze: | OpenAIRE |
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