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The maximum value of the mean decreases in CSAs in the tibial and fibular nerves reached 7.2 and 2.5 mm , respectively. With respect to physical factors, age and ankle circumferences were associated with CSA at several measurement sites. Fine branching from the tibial and fibular nerves and sural nerve formation may affect CSA measurements. The establishment of accurate CSA reference values requires consideration of anatomical variations in the peripheral nerves of the lower extremity. Fine branching from the tibial and fibular nerves