Blood supply to the peripheral nerves of the extremities: anatomical data and clinical significance
https://doi.org/10.52581/1814-1471/87/03
Abstract
Compression of nerves in anatomical canals in the upper extremities is quite common. The cause of secondary compression is a change in the contents of the canal or its geometry, for example, in rheumatoid arthritis, intracanal tumors or trauma accompanied by damage to the canal walls. The etiology of primary compressions is still unclear. It is believed that the cause may be impaired blood circulation in the nerve and disruption of the blood-neural barrier. In this regard, understanding the anatomical aspects of the blood supply to the nerves of the extremities becomes incredibly relevant. The paper provides an overview of the available data on the options for blood supply to the nerves of the extremities. A theory has been put forward about the origin of the venoarterial reflex in the pathogenesis of compression neuropathy.
About the Author
A. V. Baytinger
Institute of Microsurgery
Russian Federation
Russian Federation
Andrey V. Baytinger – Cand. Med. sci., plastic surgeon
96, Ivan Chernykh st., Tomsk, 634063
References
1. Smith H.S., Sang C.N. The evolving nature of neuropathic pain: individualizing treatment. Eur J Pain. 2002;6 Suppl B:13-18. doi: 10.1016/s1090-3801(02)90003-0 PMID: 23570143
2. Kozlov A.E., Kanaev S.I., Sidorskaya N.V. Manual'naya terapiya pri vtorichnoy kompressii sredinnogo nerva v zapyastnom kanale [Manual therapy for secondary compression of the median nerve in the carpal tunnel]. Manual'naya terapiya – The Manual Therapy Journal. 2007;1(25):48-51 (In Russ.).
3. Kipervas I.P. Tunnel'nye sindromy. 3-e izd., pererab. i dop. [Tunnel syndromes. 3<sup>rd</sup> ed., revised. and addit.]. Moscow, Newdiamed, 2010:520 p. (In Russ.).
4. Lunborg G., Dalin L.B. Anatomy, function and pathophysiology of peripheral nerves and nerve compression. Hand Clin. 1996; 1:185-193.
5. Polsky V.S., Romanenko S.M., Belovitskaya E.S. Krovosnabzheniye vnutrinevral'nyh i paranevral'nyh struktur perifericheskih nervov [Blood supply to intraneural and paraneural structures of peripheral nerves]. Integrativnyye tendentsii v meditsine i obrazovanii – Integrative Trends in Medicine and Education. 2020;2:93-96 (In Russ.).
6. Mononevropatii u vzroslyh: klinicheskiye rekomendacii Ministerstva zdravoohraneniya Rossiyskoy Federatsii [Mononeuropathies in adults: Clinical recommendations of the Ministry of Health of the Russian Federation] Rubrikator klinicheskih rekomendaciy [Categories of Clinical Recommendations]. Moscow, 2016. URL: http://disuria.ru/_ld/12/1212_kr22G54G59MZ.pdf?ysclid=lsk5nos63j122574149 (In Russ.).
7. Del Pinãl F, Taylor G.I. The venous drainage of nerves; anatomical study and clinical implications. Br J Plast Surg. 1990 Sep;43(5):511-520. doi: 10.1016/0007-1226(90)90113-e PMID: 2224344
8. Selianinov K. V. Sosudistye reakcii v kozhno-fastsial'nom loskute pri posledovatel'nom narushenii yego svyazey s donorskoy zonoy [Vascular reactions in the fasciocutaneous flap with sequential disruption of its connections with the donor zone]. Voprosy rekonstruktivnoy i plasticheskoy khirurgii – Issues of Reconstructive and Plastic Surgery]. 2014;3(50):29-42 (In Russ.).
9. Lerish R. Osnovy fiziologicheskoy hirurgii: Ocherki vegetativnoy zhizni tkaney [Basics of physiological surgery: Essays on the vegetative life of tissues]. Ed. Acad. USSR Academy of Medical Sciences Prof. V.N. Shamov. Moscow, Medgiz Publ. Leningrad Department, 1961 (In Russ.).
10. Quenu J., Lejars F. Les art&es et les veines des used to repair defects of digital nerves in the hand, nerfs. Comptes rendus hebdomaduires des seances de l’Acad&nie des sciences (Paris), 1890. 111,608.
11. Leonov S.V. Arterial'noye krovosnabzheniye sedalischnogo nerva. Dis. kand. med. nauk [Arterial blood supply to the sciatic nerve. Diss. Cand. Med. sci.]. Moscow, 1954. (In Russ.).
12. Taylor G.I., Ham F.J. The free vascularized nerve graft. Plast Reconst Surg. 1976;57:413-426.
13. El-Barrany W.G., Marei A.G., Vallée B. Anatomic basis of vascularised nerve grafts: the blood supply of peripheral nerves. Surg Radiol Anat. 1999;21(2):95-102. doi: 10.1007/s00276-999-0095-9 PMID: 10399208
14. Schade J., Ford L. Osnovy nevrologii: Per. s angl. [Basics of neurology: Transl. from English]. Moscow, Mir, 1976. 350 p. (In Russ.).
15. Huang H., Gu J., Chen H.Q. Hyperbaric oxygen therapy for peripheral nerve injury. Chongqing Yixue. 2010,39(7):881-883.
16. Chen D.S., Cao G.F. Peripheral Nerve Entrapment Disorders. Shanghai: Shanghai Medical College Press. 1999.
17. Zhu M.L., Liu H.C. Mechanism of substance P and calcitonin gene-related peptide regulate dental pulp microcirculation. Yati Yasui Yazhou Bing Xue Zazhi. 2001;11(4):274-275.
18. Ding J., Gong S.S. The expression and significance of VIP and SP in the cochlea of rats. Linchuang Er Bi Yanhou Ke Zazhi. 2004;18(11):681-684.
19. Gupta R., Gray M., Chao T., et al. Schwann cells upregulate vascular endothelial growth factor secondary to chronic nerve compression injury. Muscle Nerve. 2005;31(4): 452-460.
20. Wang J.L., Tang J.R., Su J.H., et al. The influences on expression of VEGF and nervous conduction by improving microcirculation following crushing lesion of sciatic nerve in rats. Nanjing Yike Daxue Xuebao: Ziran Kexue Ban. 2007;27(6):598-601.
21. Rydevik B., Lundborg G., Bagge U. Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. J Hand Surg Am. 1981;6(1):3-12.
22. De la Motte D.J., Allt G. Crush injury to peripheral nerve. An electron microscope study employing horseradish peroxidase. Acta Neuropathol. 1976;36(1):9-19.
Review
For citations:
Baytinger A.V. Blood supply to the peripheral nerves of the extremities: anatomical data and clinical significance. Issues of Reconstructive and Plastic Surgery. 2023;26(4):24-34. (In Russ.) https://doi.org/10.52581/1814-1471/87/03
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