WordNet

with head or back bent low; "a deep bow"
the central and most intense or profound part; "in the deep of night"; "in the deep of winter"
literary term for an ocean; "denizens of the deep"
to an advanced time; "deep into the night"; "talked late into the evening" (同)late
strong; intense; "deep purple"; "a rich red" (同)rich
exhibiting great cunning usually with secrecy; "deep political machinations"; "a deep plot"
extending relatively far inward; "a deep border"
extreme; "in deep trouble"; "deep happiness"
having great spatial extension or penetration downward or inward from an outer surface or backward or laterally or outward from a center; sometimes used in combination; "a deep well"; "a deep dive"; "deep water"; "a deep casserole"; "a deep gash"; "deep massage"; "deep pressure receptors in muscles"; "deep shelves"; "a deep closet"; "surrounded by a deep yard"; "hit the ball to deep center field"; "in deep space"; "waist-deep"
large in quantity or size; "deep cuts in the budget"
marked by depth of thinking; "deep thoughts"; "a deep allegory"
relatively deep or strong; affecting one deeply; "a deep breath"; "a deep sigh"; "deep concentration"; "deep emotion"; "a deep trance"; "in a deep sleep"
relatively thick from top to bottom; "deep carpets"; "deep snow"
to a great distance; "penetrated deep into enemy territory"; "went deep into the woods"
very distant in time or space; "deep in the past"; "deep in enemy territory"; "deep in the woods"; "a deep space probe"
any bundle of nerve fibers running to various organs and tissues of the body (同)nervus
of or relating to the fibula or the outer part of the leg below the knee
control of your emotions; "this kind of tension is not good for my nerves"

PrepTutorEJDIC

(表面から下方または内部へ)『深い』 / (程度が)非常な,深い / 奥行きの深い,奥まった / 奥深くて測りしれない,深遠な / 《補語にのみ用いて》(…の)奥深いところにいる(ある)《+『in』+『名』》 / (思想・感情などが)深い,強い / (色が)濃い / (音・声が)低い,太い / 『深く』 / 〈C〉(特に海洋の)『深い所』;海溝 / 《the~》《文》海 / 《the~》《古》(冬などの)さなか
〈C〉『神経』 / 〈C〉《複数形で》『神経過敏』,いらだち / 〈U〉『勇気』,度胸(courage) / 〈U〉《時にa ~》厚かましさ,ずぶとさ;無礼 / 〈C〉葉脈;(昆虫の)翅脈(しみゃく) / 〈人,特に自分〉‘に'力を与える,‘を'元気づける

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/10/30 20:51:42」(JST)

wiki en

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

It lies at first on the lateral side of the anterior tibial artery, then in front of it, and again on its lateral side at the ankle-joint.

The deep peroneal nerve begins at the bifurcation of the common peroneal nerve (into the superficial and deep peroneal nerves), 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 lateral and medial terminal branches.

Medial terminal branch

The medial terminal branch (internal branch) accompanies the dorsalis pedis artery along the dorsum of the foot, and, at the first interosseous space, divides into two dorsal digital nerves which supply the adjacent sides of the great and second toes, communicating with the medial dorsal cutaneous branch of the superficial peroneal nerve.

Before it divides it gives off to the first space an interosseous branch which supplies the metatarsophalangeal joint of the great toe and sends a filament to the first Interosseous dorsalis muscle.

Lateral terminal branch

The lateral terminal branch (external or tarsal branch) passes across the tarsus, beneath the extensor digitorum brevis, and, having become enlarged like the dorsal interosseous nerve at the ankle, supplies the extensor digitorum brevis.

From the enlargement three minute interosseous branches are given off, which supply the tarsal joints and the metatarsophalangeal joints of the second, third, and fourth toes.

The first of these sends a filament to the second interosseus dorsalis muscle.

It runs with the lateral tarsal artery.

Function

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

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.^[1]

Additional images

Cross-section through middle of leg.
Cutaneous nerves of the right lower extremity. Front and posterior views.
Cutaneous nerves of the right lower extremity. Front and posterior views.
Deep nerves of the front of the leg.
Nerves of the dorsum of the foot.
Deep fibular nerve

References

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

^ [1]

External links

Anatomy photo:16:st-0601 at the SUNY Downstate Medical Center - "The Foot: Nerves"

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 下肢末梢神経症候群の概要 overview of lower extremity peripheral nerve syndromes

English Journal

The feasibility of using high frequency ultrasound to assess nerve ending neuropathy in patients with diabetic foot.

Zheng Y, Wang L, Krupka TM, Wang Z, Lu G, Zhang P, Zuo G, Li P, Ran H, Jian H.SourceSecond Affiliated Hospital of Chongqing Medical University, 76 Linjiang Road, Yuzhong District, Chongqing 400010, China. Electronic address: zhengyuanyi@gmail.com.
European journal of radiology.Eur J Radiol.2012 Oct 15. pii: S0720-048X(12)00468-8. doi: 10.1016/j.ejrad.2012.09.017. [Epub ahead of print]
OBJECTIVES: The nerve ending problem is one of the major causes for diabetic feet. In this work, we explored the feasibilities of using high frequency ultrasound (US) in nerve ending problem evaluation for patients with diabetic foot.METHODS: The endings of the medial branch of deep peroneal nerves
PMID 23079049

In vivo passive mechanical properties of skeletal muscle improve with massage-like loading following eccentric exercise.

Haas C, Best TM, Wang Q, Butterfield TA, Zhao Y.SourceDepartment of Biomedical Engineering, The Ohio State University, USA; Department of Family Medicine, The Ohio State University, USA.
Journal of biomechanics.J Biomech.2012 Oct 11;45(15):2630-6. doi: 10.1016/j.jbiomech.2012.08.008. Epub 2012 Aug 31.
A quasi-linear viscoelasticity (QLV) model was used to study passive time-dependent responses of skeletal muscle to repeated massage-like compressive loading (MLL) following damaging eccentric exercise. Six skeletally mature rabbits were surgically instrumented with bilateral peroneal nerve cuffs fo
PMID 22944344

Japanese Journal

Effectiveness of Deep Peroneal Nerve Block for the Management of Lumbar Disease with Leg Cramps (日本脊椎脊髄病学会英文原著号)

Journal of spine research : official journal of the Japanese Society for Spine Surgery and Related Research 6(2), 119-124, 2015-02
NAID 40020380594

多発性単神経炎を呈し緩徐進行性の運動障害を主徴とした原発性シェーグレン症候群の1例

臨床神経学 55(10), 753-758, 2015
NAID 130005103331

子宮頸癌放射線治療17年後に発症した強い灼熱痛を伴ったradiation-induced lumbosacral plexopathyの1例

臨床神経学 55(9), 654-656, 2015
NAID 130005098404

Related Pictures

★リンクテーブル★

リンク元	「深腓骨神経」「総腓骨神経」
関連記事	「deep」「nerve」「peroneal」「peroneal nerve」

「深腓骨神経」

Deep peroneal nerve
	Nerves of the right lower extremity Posterior view.
Details
From	common peroneal nerve
Innervates	anterior compartment of leg
Identifiers
Latin	Nervus fibularis profundus,; nervus peronaeus profundus
TA	A14.2.07.055
FMA	44771
	Anatomical terms of neuroanatomy [edit on Wikidata]

　　[★]

英: deep peroneal nerve (KH,M), deep fibular nerve (N,M), deep peroneous nerve (N)
ラ: nervus fibularis profundus, nervus peroneus profundus

由来

坐骨神経→'総腓骨神経'+脛骨神経
　　　　　　　'総腓骨神経'→浅腓骨神経＋深腓骨神経

L4-S2

支配

下腿の前区画

短趾伸筋[[]]
皮神経として、第1指と第2指の対向縁

深腓骨筋神経の前区画の支配筋(下肢の筋より一部抜粋)

肉単P	筋名	起始	停止	支配神経	機能
V-1	前脛骨筋	脛骨(外側面)、骨間膜	内側楔状骨、第1中足骨(基底部)	深腓骨神経	足関節の背屈・内反、足底のアーチ維持
V-4	第三腓骨筋	腓骨（下部の前面)	第5中足骨(基底部)	深腓骨神経	足関節の外反・背屈
V-5	長趾伸筋	脛骨(外側顆)、腓骨(前縁上方)	第2-5指(基、中、末節骨底の背面)	深腓骨神経	第2-5趾の伸展
V-6	長母趾伸筋	腓骨（及び骨間膜の前面)	母趾(末節骨底の背面)	深腓骨神経	母趾の伸展(IP関節)

走行

前脛骨動脈と伴行して足背に至る
下腿下部で長趾伸筋と前脛骨筋の筋腹の間を走行
下腿下部で長母趾伸筋と前脛骨筋の筋腹の間を走行

「総腓骨神経」

　　[★]

英: common peroneal nerve (KL,N,M,KH), common fibular nerve (B,KL,N,M,)
ラ: nervus peroneus communis, nervus fibularis communis

筋枝：下腿の前区域、後区域の全ての筋、足背の筋
皮枝：下腿前面の外側、足背}

図：N.522

由来

坐骨神経→総腓骨神経+脛骨神経

枝

外側腓腹皮神経 lateral sural cutaneous nerve
浅腓骨神経 superficial peroneal nerve　→長腓骨筋、短腓骨筋：外反と底屈
深腓骨神経 deep peroneal nerve　　　　　 →前脛骨筋：背屈と内反。長趾伸筋、短趾伸筋、長母趾伸筋

支配

大腿二頭筋短頭

走行

大腿二頭筋の内側に沿って下行し、腓骨頭のすぐ下で腓骨の外側を前下方に回り、外側腓腹皮神経の枝を出した後、浅腓骨神経と深腓骨神経に分かれる (KL.212)(N.502)
膝窩の後ろあたりで、大腿二頭筋の下縁に沿って浅層を走行し、腓骨頚のあたりで、深層に潜る(N.503)

臨床関連

尖足 = 下垂足
ニワトリ歩行 = 鶏状歩行

脊髄神経

支配神経根	責任椎間高位	深部反射	感覚領域	支配筋
L4	L3-4	膝蓋腱反射	膝蓋骨の内側近辺	大腿四頭筋
L5	L4-5		膝蓋骨下外側から母趾にかけて下方に斜行	前脛骨筋、長母趾伸筋、長趾伸筋
S1	L5-S1	アキレス腱反射	小趾	下腿三頭筋、長母趾屈筋、長趾屈筋