ArticleJournal of medical ultrasonics (2001)2023
Positional relationship between the Achilles tendon and sural nerve on ultrasound.
Article in Journal of medical ultrasonics (2001), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed, 2 citations in OpenAlex.
- Percutaneous ultrasound-guided repair of Achilles tendon rupture: a cadaveric study and preliminary clinical report.Journal of orthopaedic surgery and research · 2025Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study sought to clarify the positional relationship between the Achilles tendon and sural nerve using ultrasound.
methodsWe studied 176 legs in 88 healthy volunteers. The positional relationship between the Achilles tendon and sural nerve at heights of 2, 4, 6, 8, 10, and 12 cm proximal from the calcaneus' proximal margin was investigated by distance and depth. Setting the X-axis (left/right) as the horizontal axis and Y-axis (depth) as the vertical axis against ultrasound images, we investigated the distance between the lateral margin of the Achilles tendon to the midpoint of the sural nerve on the X-axis. The Y-axis was split into four zones: the part behind the center of the Achilles tendon (AS), the part in front of the center of the Achilles tendon (AD), the part behind the Achilles tendon (S), and the part in front (D). We investigated the zones through which the sural nerve passed. We also studied any significant differences between the sexes and left/right legs.
resultsThe mean distance on the X-axis was closest at 6 cm, with 1.1 ± 5.0 mm between them. The sural nerve's position on the Y-axis was such that at positions more proximal than 8 cm, the sural nerve ran through zone S in most legs and moved to zone AS through heights 2-6 cm. No parameters showed significant differences between the sexes or left/right legs.
conclusionWe presented the positional relationship between the Achilles tendon and sural nerve and suggested some measures to prevent nerve injury during surgery.
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