Furthermore, it also runs into the leg where it descends with the posterior tibial vessels to end deep to the flexor retinaculum, by dividing into medial and lateral
plantar nerves.
Silverman examined macrodystrophia histologically and found an association between macrodactyly and abnormalities of the median and
plantar nerves (5).
Mourougayan [13] advocates the use of the medial plantar artery instep flap as it can be raised as an island fasciocutaneous flap based on medial plantar vessels, with the branch of the medial
plantar nerve supplying the instep skin and reaching the posterior-most part of the weightbearing surface of the heel with ease.
1 Involvement of the 2nd and 3rd digits of the hands and feet is common, corresponding to the median and the medial
plantar nerve supply in the upper and lower limbs respectively; but 5th digit involvement is rare.
Plantar fasciitis coexisting with compression of the first branch of lateral
plantar nerve.
Morphometry of the branches of lateral
plantar nerve, before to its division in superficial and deep branches.
2), (4), (5) It is typically described in a particular nerve distribution; usually the medial
plantar nerve or median nerve.
Ramification pattern of the deep branch of lateral
plantar nerve in the human foot.
The frequent involvement of the third common digital nerve has been explained anatomically since the third common digital nerve is generally formed by branches of the medial and lateral
plantar nerves, which possibly make the nerve vulnerable to tethering [26].
The abnormal tissue is often found along the distribution of the
plantar nerves in the foot and median nerve in the hand.
There may be tenderness at the point of compression at the retinaculum or along the path of the medial or lateral
plantar nerves.
Sensory symptoms are in the plantar aspect of the mid- and forefoot in the distribution of medial and lateral
plantar nerves.
