Unusual formation pattern of the femoral nerve with intramuscular and submuscular courses - a case report.

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
Gracjan Rzymowski, Michal Szmalec, Michal Tulski, Zygmunt A Domagała
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引用次数: 0

Abstract

Background: The femoral nerve typically arises as a single trunk from L2-L4 posterior divisions of ventral rami. Variations are rare but clinically significant.

Materials and methods: During routine dissection of a 80 years old female cadaver, the femoral nerve was found to originate as two distinct trunks - with one passing beneath the psoas major and the other coursing through it. The trunks unified distal to the inguinal ligament. No anomalous muscular slips were present.

Results: This configuration appears to be previously unreported.

Conclusions: Surgeons and clinicians performing femoral nerve blocks or interpreting lumbar plexus imaging (e.g., MRI, CT, or ultrasound) should be aware of this variant, as it may influence both diagnostic interpretation and procedural outcomes.

股神经异常形成模式伴肌内及肌下病程- 1例报告。
背景:股神经通常起源于腹支L2-L4后段的单一干。变异很少见,但具有临床意义。材料和方法:在对一名80岁女性尸体的常规解剖中,发现股神经起源于两条不同的干,一条穿过腰肌下方,另一条穿过腰肌。树干在腹股沟韧带的远端相连。未见异常肌肉滑移。结果:这种配置似乎是以前未报道的。结论:外科医生和临床医生在进行股神经阻滞或解释腰丛成像(如MRI、CT或超声)时应注意这种变异,因为它可能影响诊断解释和手术结果。
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来源期刊
Folia morphologica
Folia morphologica ANATOMY & MORPHOLOGY-
CiteScore
2.40
自引率
0.00%
发文量
218
审稿时长
6-12 weeks
期刊介绍: "Folia Morphologica" is an official journal of the Polish Anatomical Society (a Constituent Member of European Federation for Experimental Morphology - EFEM). It contains original articles and reviews on morphology in the broadest sense (descriptive, experimental, and methodological). Papers dealing with practical application of morphological research to clinical problems may also be considered. Full-length papers as well as short research notes can be submitted. Descriptive papers dealing with non-mammals, cannot be accepted for publication with some exception.
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