ANATOMICAL VARIATIONS IN A FINITE ELEMENT NERVE MODEL OF THE HUMAN FOOT
DOI:
https://doi.org/10.11113/jurnalteknologi.v86.21939Keywords:
Anatomical based variant nerve model, anatomical variations, communicating branch, central nervous system, diabetic neuropathiesAbstract
The nerves in the foot offer a significant role in controlling the movement and correct loading of the foot by providing continuous feedback to the central nervous system. The health importance in the anatomical variations of nerves, such as the locations, the lengths, the communicating branches, and the distance between the adjacent nerve terminals between individuals have given prominence to anatomists as well as physiologists. A previously developed one-dimensional (1D) model of the nerve was extended to determine different anatomical variations in the nerves of the foot, as a realistic anatomical-based variant nerve model of the human foot is not available. The model was verified against experimental data from the literature for communicating branches and distances of various area of the human foot. For instance, the simulated distances of the communicating branches of the plantar nerves and medial dorsal cutaneous nerve (MDCN) division proximal to the first digital space were found to be 43.3 mm and 112.3 mm, respectively, which was in general agreement with the experimental distances of 8-56 mm and 96-116.74 mm, respectively. The developed nerve variant model provides a platform for future studies of the various geometrical and efficient concerns of neurovascular diseases such as diabetic neuropathies by determining the parameters of nerve conduction studies.
References
Li, L., Zhang, S. and Dobson, J. 2019. The Contribution of Small and Large Sensory Afferents to Postural Control in Patients with Peripheral Neuropathy. Journal of Sport and Health Science. 8(3): 218-227.
Sousa, A. S., Silva, A. and Tavares, J. M. R. 2012. Biomechanical and Neurophysiological Mechanisms Related to Postural Control and Efficiency of Movement: A Review. Somatosensory & Motor Research. 29(4): 131-143.
Clayton Jr, W. and Elasy, T. A. 2009. A Review of the Pathophysiology, Classification, and Treatment of Foot Ulcers in Diabetic Patients. Clinical Diabetes. 27(2): 52-58.
Lundborg, G. and Dahlin, L. B. 1992. The Pathophysiology of Nerve Compression. Hand Clinics. 8(2): 215-227.
Pittenger, G. L., Ray, M., Burcus, N. I., McNulty, P., Basta, B. and Vinik, A. I. 2004. Intraepidermal Nerve Fibers are Indicators of Small-fiber Neuropathy in Both Diabetic and Nondiabetic Patients. Diabetes Care. 27(8): 1974-1979.
De Maeseneer, M., Madani, H., Lenchik, L., Kalume Brigido, M., Shahabpour, M., Marcelis, S., De Mey, J. and Scafoglieri, A. 2015. Normal Anatomy and Compression Areas of Nerves of the Foot and Ankle: US and MR Imaging with Anatomic Correlation. Radiographics. 35(5): 1469-1482.
Nayak, V. S., Bhat, N., Nayak, S. S. and Sumalatha, S. 2019. Anatomical Variations in the Cutaneous Innervation on the Dorsum of the Foot. Anatomy & Cell Biology. 52(1): 34.
Nagabhooshana, S., Vollala, V. R., Rodrigues, V. and Rao, M. 2009. Anomalous Superficial Peroneal Nerve and Variant Cutaneous Innervation of the Sural Nerve on the Dorsum of the Foot: A Case Report. Cases Journal. 2: 1-5.
P. Frank, B. Bakkum, and S. Darby. 1996. The Communicating Branch of the Lateral Plantar Nerve: A Descriptive Anatomic Study. Clinical Anatomy. 9(4): 237-243.
Govsa, F., Bilge, O. and Ozer, M. A. 2005. Anatomical Study of the Communicating Branches between the Medial and Lateral Plantar Nerves. Surgical and Radiologic Anatomy. 27: 377-381.
K. G., R. M., S. N., S., Koshy, S. and Rodrigues, V. 2010. Clinically Important Anatomical Variation of Cutaneous Branches of Superficial Peroneal Nerve in the Foot. The Open Anatomy Journal. 2(1).
Apaydin, N., Basarir, K., Loukas, M., Tubbs, R. S., Uz, A. and Kinik, H. 2008. Compartmental Anatomy of the Superficial Fibular Nerve with an Emphasis on Fascial Release Operations of the Leg. Surgical and Radiologic Anatomy. 30: 47-52.
Madhavi, C., Isaac, B., Antoniswamy, B. and Holla, S. J. 2005. Anatomical Variations of the Cutaneous Innervation Patterns of the Sural Nerve on the Dorsum of the Foot. Clinical Anatomy. The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 18(3): 206-209.
Kumar, S., Mangi, M. D., Zadow, S. and Lim, W. 2023. Nerve Entrapment Syndromes of the Lower Limb: A Pictorial Review. Insights into Imaging. 14(1): 166.
Fracol, M. E., Dumanian, G. A., Janes, L. E., Bai, J. and Ko, J. H. 2020. Management of Sural Nerve Neuromas with Targeted Muscle Reinnervation. Plastic and Reconstructive Surgery Global Open. 8(1).
Jackson, L. J., Serhal, M., Omar, I. M., Garg, A., Michalek, J. and Serhal, A. 2023. Sural Nerve: Imaging Anatomy and Pathology. The British Journal of Radiology. 96(1141): 20220336.
iKiZ, Z. A. A., üÇerler, H. and Bilge, O. 2005. The Anatomic Features of the Sural Nerve with an Emphasis on Its Clinical Importance. Foot & Ankle International. 26(7): 560-567.
Canovas, F., Bonnel, F. and Kouloumdjian, P. 1996. The Superficial Peroneal Nerve at the Foot. Organisation, Surgical Applications. Surgical and Radiologic Anatomy: SRA. 18(3): 241-244.
Woo, S. B., Wong, T. M., Chan, W. L., Yen, C. H., Wong, W. C. and Mak, K. L. 2010. Anatomic Variations of Neurovascular Structures of the Ankle in Relation to Arthroscopic Portals: A Cadaveric Study of Chinese Subjects. Journal of Orthopaedic Surgery. 18(1): 71-75.
Ferkel, R. D., Small, H. N. and Gittins, J. E. 2001. Complications in Foot and Ankle Arthroscopy. Clinical Orthopaedics and Related Research (1976-2007). 391: 89-104.
Giannini, S., Bacchini, P., Ceccarelli, F. and Vannini, F., 2004. Interdigital Neuroma: Clinical Examination and Histopathologic Results in 63 Cases Treated with Excision. Foot & Ankle International. 25(2): 79-84.
Matthews, B. G., Thomson, C. E., McKinley, J. C., Harding, M. P. and Ware, R. S. 2021. Treatments for Morton's neuroma. The Cochrane Database of Systematic Reviews. 2021(7).
Troy, K. L., Davis, I. S. and Tenforde, A. S. 2021. A Narrative Review of Metatarsal Bone Stress Injury in Athletic Populations: Etiology, Biomechanics, and Management. PM&R. 13(11): 1281-1290.
Tallia, A. F. and Cardone, D. A. 2003. Diagnostic and Therapeutic Injection of the Ankle and Foot. American Family Physician. 68(7): 1356-1363.
Ul Haque, M. Z., Du, P., Cheng, L. K. and Jacobs, M. D. 2012. An Anatomically-based Model of the Nerves in the Human Foot. International Journal of Biomedical and Biological Engineering. 6(9): 433-438.
Ul Haque, M. Z., Du, P., Cheng, L. K. and Jacobs, M. D. 2014. An Anatomically Realistic Geometrical Model of the Intra-epidermal Nerves in the Human Foot. In The 15th International Conference on Biomedical Engineering: ICBME 2013, 4th to 7th December 2013, Singapore. 368-371. Springer International Publishing.
Haque, M. Z. U., Du, P. and Cheng, L. K. 2022. A Combined Functional Dorsal Nerve Model of the Foot. Mathematical Biosciences and Engineering. 19(9): 9321-9334.
Spitzer, V., Ackerman, M. J., Scherzinger, A. L. and Whitlock, D. 1996. The Visible Human Male: A Technical Report. Journal of the American Medical Informatics Association. 3(2): 118-130.
Arakawa, T., Sekiya, S. L., Kumaki, K. and Terashima, T., 2005. Ramification Pattern of the Deep Branch of the Lateral Plantar Nerve in the Human Foot. Annals of Anatomy-Anatomischer Anzeiger. 187(3): 287-296.
Birch, R. and Birch, R. 2011. The Peripheral Nervous System: Gross Anatomy. Surgical Disorders of the Peripheral Nerves.1-41.
Sarrafian, S. K. and Kelikian, A. S. 2011. Nerves. Sarrafian’s Anatomy of the Foot and Ankle: Descriptivie, Topografphical, Functional. 3ª ed. Philadelphia: Walters Kluwer Lippincott Williams & Wilkins. 381-427.
Gilroy, A. M., MacPherson, B. R., Ross, L. M., Broman, J. and Josephson, A. eds. 2008. Atlas of Anatomy. 356-450. Stuttgart: Thieme.
Agur, A. M. and Dalley, A. F. 2022. Moore's Essential Clinical Anatomy. Lippincott Williams & Wilkins.
K. G., R. M., S. N., S., Koshy, S. and Rodrigues, V. 2010. Clinically Important Anatomical Variation of Cutaneous Branches of Superficial Peroneal Nerve in the Foot. The Open Anatomy Journal. 2(1).
Standring, S. ed. 2021. Gray's Anatomy e-book: The Anatomical Basis of Clinical Practice. Elsevier Health Sciences.
Fernandez, J., Ul Haque, M. Z., Hunter, P. J. and Mithraratne, K. 2012. Mechanics of the Foot Part 1: A Continuum Framework for Evaluating Soft Tissue Stiffening in the Pathologic Foot. International Journal for Numerical Methods in Biomedical Engineering. 28(10): 1056-1070.
Fernandez, J. W., Mithraratne, P., Thrupp, S. F., Tawhai, M. H. and Hunter, P. J. 2004. Anatomically based Geometric Modelling of the Musculo-skeletal System and Other Organs. Biomechanics and Modeling in Mechanobiology. 2: 139-155.
Agthong, S., Huanmanop, T., Sasivongsbhakdi, T., Ruenkhwan, K., Piyawacharapun, A. and Chentanez, V. 2008. Anatomy of the Superficial Peroneal Nerve Related to the Harvesting for Nerve Graft. Surgical and Radiologic Anatomy. 30: 145-148.
Jeon, S. K., Paik, D. J. and Hwang, Y. I. 2017. Variations in Sural Nerve Formation Pattern and Distribution on the Dorsum of the Foot. Clinical Anatomy. 30(4): 525-532.
Ikiz, Z. A. A. and Ucerler, H. 2006. The Distribution of the Superficial Peroneal Nerve on the Dorsum of the Foot and Its Clinical Importance in Flap Surgery. Foot & Ankle International. 27(6): 438-444.
Woo, S. B., Wong, T. M., Chan, W. L., Yen, C. H., Wong, W. C. and Mak, K. L. 2010. Anatomic Variations of Neurovascular Structures of the Ankle in Relation to Arthroscopic Portals: A Cadaveric Study of Chinese Subjects. Journal of Orthopaedic Surgery. 18(1): 71-75.
Ghetti, C. B., Mitchell, B. C., Shah, V. J., Onodera, K., Berger, G. K., Huang, B., Foran, I. M. and Kent, W. T. 2022. An Anatomic Study of the Lateral Dorsal Cutaneous Nerve using 3-Tesla MRI: A Comparison to Cadaveric Data with Surgical Applications. Foot & Ankle International. 43(5): 717-724.
Oberhofer, K., Lorenzetti, S. and Mithraratne, K. 2019. Host Mesh Fitting of a Generic Musculoskeletal Model of the Lower Limbs to Subject-specific Body Surface Data: A Validation Study. Applied Bionics and Biomechanics. 2019.
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