Deep peroneal nerve

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Deep peroneal nerve
Gray835.png
Nerves of the right lower extremity Posterior view.
Details
Fromcommon peroneal nerve
Innervatesanterior compartment of leg
Identifiers
LatinNervus fibularis profundus,
nervus peronaeus profundus
TAA14.2.07.055
FMA44771
Anatomical terms of neuroanatomy

The deep peroneal nerve (deep fibular nerve) begins at the bifurcation of the common peroneal nerve between the fibula and upper part of the peroneus longus, passes infero-medially, deep to extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.

Structure[edit]

Lateral side of the leg[edit]

Deep peroneal nerve is the nerve of the anterior compartment of the leg and the dorsum of the foot. It is one of the terminal branches of the common peroneal nerve. It corresponds to the posterior interosseus nerve of the forearm. It begins at the lateral side of the fibula bone, and then enters the anterior compartment by piercing the anterior intermuscular septum. It then pierces the extensor digitorum longus and lies next to the anterior tibial artery, following the course of the artery until the ankle-joint where the nerve divides into medial and lateral terminal branches. In the leg, the deep peroneal nerve divides into several branches:[1]

Foot[edit]

Close to the ankle joint, deep peroneal nerve terminates by dividing into medial and lateral terminal branches.[1]

Function[edit]

In the leg, the deep peroneal nerve supplies muscular branches to the anterior compartment of extensor muscles in the leg which include the tibialis anterior, extensor digitorum longus, peroneus tertius, and extensor hallucis longus (propius), and an articular branch to the ankle-joint. After its bifurcation past the ankle joint, the lateral branch of the deep peroneal nerve innervates the extensor digitorum brevis and the extensor hallucis brevis, while the medial branch goes on to provide cutaneous innervation to the webbing between the first and second digits.

Clinical significance[edit]

Damage to the deep peroneal nerve, as is possible with traumatic injury to the lateral knee, results in foot drop. The deep peroneal nerve is also subject to injury resulting from lower motor neuron disease, diabetes, ischemia, and infectious or inflammatory conditions. Injury to the common peroneal nerve is the most common isolated mononeuropathy of the lower extremity and produces sensory problems on the lateral lower leg in addition to foot drop.[3]

Additional images[edit]

References[edit]

This article incorporates text in the public domain from page 965 of the 20th edition of Gray's Anatomy (1918)

  1. ^ a b c d e Krishna, Garg (2010). "Front, lateral, and medial sides of leg and dorsum of foot (Chapter 8)". BD Chaurasia's Human Anatomy (Regional and Applied Dissection and Clinical) Volume 2 - Lower limb, abdomen, and pelvis (Fifth ed.). India: CBS Publishers and Distributors Pvt Ltd. p. 104,105,106. ISBN 978-81-239-1864-8.
  2. ^ a b Gray, Henry; Lewis, Warron Harmon (1918). Anatomy of the human body. Philadelphia: Lea & Febiger. p. 965. Retrieved 22 February 2018.
  3. ^ [1]

External links[edit]