After venesection of the great saphenous vein the patients presents with severe pain and hypoaesthesia in the medical side of the great toe. The nerve most commony involved is-
**Question:** After venesection of the great saphenous vein, the patient presents with severe pain and hypoaesthesia in the medial side of the great toe. The nerve most commonly involved is-
A. Superficial Anterior Compartment Nerve
B. Median Nerve
C. Common Peroneal Nerve
D. Deep Anterior Compartment Nerve
**Correct Answer:** **D. Deep Anterior Compartment Nerve**
**Core Concept:**
The great saphenous vein is a large vein in the leg that drains blood from the lower leg back to the heart. Venesection is the process of drawing blood from this vein for medical purposes, such as blood tests or blood donation. Following venesection, patients may experience neuropathic symptoms due to injury or irritation of the underlying nerves. In this case, the focus is on the nerve most commonly involved after great saphenous vein venesection.
**Why the Correct Answer is Right:**
The correct answer is **D. Deep Anterior Compartment Nerve**. The deep anterior compartment of the leg contains the common peroneal nerve and deep femoral nerve, which both pass through the popliteal fossa before dividing to supply the muscles and skin in the lower leg. The deep anterior compartment nerve is responsible for motor and sensory innervation to the skin and muscles in the medial aspect of the leg and ankle, including the medial side of the great toe.
**Why Each Wrong Option is Incorrect:**
A. **Superficial Anterior Compartment Nerve (Option A)** is incorrect because it contains the saphenous nerve, which innervates the skin on the anterior aspect of the leg and ankle but does not supply the medial aspect of the great toe.
B. **Median Nerve (Option B)** is incorrect as it innervates the skin and muscles on the palmar aspect of the hand and forearm, not the medial aspect of the great toe.
C. **Common Peroneal Nerve (Option C)** is incorrect, as the common peroneal nerve is a part of the deep anterior compartment nerve and should not be considered separately. It supplies the skin and muscles on the lateral aspect of the leg and ankle, not the medial aspect of the great toe.
D. **Deep Femoral Nerve (Option D)** is incorrect as it is a part of the deep anterior compartment nerve, supplying the skin and muscles on the medial aspect of the leg and ankle, including the medial side of the great toe.
**Core Concept:** The deep anterior compartment nerve plays a crucial role in supplying the medial aspect of the leg and ankle, including the medial side of the great toe. This nerve is composed of the common peroneal nerve and the deep femoral nerve.
**Why Each Wrong Option is Incorrect:**
A. **Superficial Femoral Nerve (Option C)** is incorrect because it innervates the skin on the anterior aspect of the thigh and knee joint, not the medial aspect of the leg and ankle.
B. **Superficial Anterior Compartment Nerve