米兰整骨第三期-跟骨2.pptVIP

**RelevantAnatomy相关解剖Commonfibularnerve(L4-S2)palpableontheneckofthefibula腓总神经（L4-S2)可在腓骨颈处触及Nosensorydistribution无感觉神经分支Itinnervatestheshortheadofbicepsfemoris支配股二头肌短头Thesubcutaneouspositionofthecommonfibularnerveonthefibularneckmakesitvulnerablewithtraumatothelateralkneeregion由于腓总神经在皮下的位置，使其在膝关节侧面区域创伤时易受损Ontheneckofthefibulacommonfibularnervedividesintoterminalbranches腓总神经在腓骨头处分成终末支ClinicalCase临床例证*RelevantAnatomy相关解剖Ontheneckofthefibulacommonfibularnervedividesintoterminalbranches:腓总神经在腓骨头处分成终末支Superficialfibularnerve(L4-S1)腓表皮神经Itsuppliessensoryinnervationfromthedistalanterolaterallegandmostofthedorsumofthefoot受小腿前侧面和大部分足背的感觉神经支配Itinnervatesthemusclesofthelateralcompartmentoftheleg(fibularislongusandbrevis)支配小腿侧部肌肉（腓长神经和腓短神经）ClinicalCase临床例证*ClinicalCase临床例证RelevantAnatomy相关解剖Ontheneckofthefibulacommonfibularnervedividesintoterminalbranches:腓总神经在腓骨头处分成终末支：Deepfibularnerve(L4-L5)腓深神经Itsuppliessensoryinnervationfromtheadjacentsidesoftoes1and2受第1和2脚趾趾间部分的感觉神经支配Itinnervatesthemusclesoftheanteriorcompartmentoftheleg(tibialisanterior,extensorlongusdigitorumandhallucis,fibularistertius)and,onthefoot,extensorbrevisdigitorumandhallucis支配小腿前部肌肉（胫骨前肌、趾长伸肌、拇长伸肌、第3腓骨肌）和足部的趾短伸肌、拇短伸肌*RelevantAnatomy相关解剖Myofascialcompartmentsoftheleg:腿部肌筋膜Anterior前部Lateral侧部Deepandsuperficialposterior后部深浅ClinicalCase临床例证*ClinicalCase临床例证AnteriorCompartmentSyndrome前骨间症状Seriousclinicalconditioninwhichexcessiveaccumulationofinterstitialfluidbecauseofedemaorsomedegreeofhemorrhageincreasethepressureinthecompartment由于水肿和出血引起的组织间液增多可导致骨间压力增加，是严重的临床症状。Asthebordersoftheco