IJAR.2019.346
Type of Article: Original Research
Volume 8; Issue 1.1 (January 2020)
Page No.: 7232-7236
DOI: https://dx.doi.org/10.16965/ijar.2019.346
VARIATION IN THE MODE OF ORIGIN AND LEVEL OF FORMATION OF NERVE TO MEDIAL AND LATERAL HEAD OF GASTROCNEMIUS MUSCLE
Sharma S 1, Khullar M 2, Wadhwa A 3, Kaur K 4, Bhardwaj S 5, Sharma N 6.
1 Associate Professor, Anatomy, PIMS Jalandhar, Punjab, India.
*2 Associate Professor, Anatomy, GGS Medical College, Faridkot, Punjab, India.
3 Professor – Anatomy, PIMS Jalandhar, Punjab, India.
4 Assistant Professor, Department of Anatomy, PIMS Jalandhar, Punjab, India.
5 Medical Officer, Department of Microbiology, JBMM Civil Hospital, Amritsar, Punjab, India.
6 Assistant Professor, Department of Pathology, SGRDIMSR, Amritsar, Punjab, India.
Corresponding author: Dr. Meenakshi Khullar, Associate Professor, Department of Anatomy, GGS Medical College, Faridkot, Punjab, India. Ph: 9888104425 E-Mail: meenakshikhullar8@gmail.com
ABSTRACT
Variations of nerve are not only of anatomic and embryological interest but also of clinical importance. Their adequate knowledge certainly help in increasing surgical precision and decreasing morbidity. In present study variations in mode of origin and level of formation of nerve to medial and lateral head of gastrocnemius was studied. The material for the present study comprised of 60 lower extremities belonging to 30 adult human cadavers obtained from Department of Anatomy, PIMS, Jalandhar. Neurectomy of nerve to medial gastrocnemius muscle is used to reduce volume of the muscle. For facial reconstruction after total parotidectomy, the facial nerve is being reconstructed by using vascularized sural nerve with free lateral gastrocnemius muscle flap.
Key words: Variation, Nerve To Gastrocnemius, Neurectomy, Facial Reconstruction.
REFERENCES
- Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek LE et al. The Lower Limb. Berry MM, M standring S, Bannister LH. In: Gray’s Anatomy. 40th Edinburgh, London: Churchill Livingstone; 2008; 1420-1421.
- Romans GJ. The popliteal fossa, back of thigh, leg and foot. In: Cuningham’s Manual of Practical Anatomy. 15th Edinburgh, London: Book Society and Oxygen University Press; 1986; (3): 160- 214.
- Wongphaet P, Chinsethagij K, Suarchawaratana S, Dangprasert T, Wongphaet W. Precise localization of motor branching and motor points : a cadaveric study. J med assoc Thai 2005; 88(12): 1884-1891.
- Liu DL, Li XI, Shan L, Li Q, Yuan JL, Yuan Q. The anatomic study and clinical observation of neurectomy of nerve to medial gastrocnemius muscles for calf reduction. Zhonghua Zheng Xing Wai Ke Za Zhi 2007; 23(2): 125-127.
- Sunderland S, Hughes. Metrical and non metrical features of muscular branches of sciatic nerve and its medial and lateral popliteal division. J Comp neurol 1946; 85: 205. Cited by Hollinshead WH. Knee, Leg, Ankle and Foot. In: Anatomy for surgeons- the back and limbs. 1st New York: Paul B Hoeber Inc. Med Book deptt. of Harper and Brothers; 1958; (3): 818-821.
- Hollinshead WH. Knee, Leg, Ankle and Foot. In: Anatomy for surgeons- the back and limbs. 1st New York: Paul B Hoeber Inc. Med Book deptt. of Harper and Brothers; 1958; (3): 818-821.
- Ikou H, Taijiro O, Yasuhisa H, Tetsuya O, Akihiro T, Shuhei T. Management of a total parotidectomy defect with a gastrocnemius muscle transfer and vascularized sural nerve grafting. Ann of Plastic Surg 2007;58(6): 677-682.
- Suh IS. Neurectomy of Nerve Branch to Medial Gastrocnemius Muscle for Calf J Korean Soc Aesthetic Plast Surg 2007 Sep 13(2):95-104.
- Wang HB, Lin SQ, Xu DC, Sun ZS, Xu X, Wen GM et al. Anatomic study of selective neurectomy of gastrocnemius muscle for calf reduction in Chinese. J Plast Reconstr Aesthet Surg.2013 Jun; 66(6):e162-5.
