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Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve: [4] Dermatomes of the lower limb (modified, from Fender, after Foerster) C2 – At least one cm lateral to the occipital protuberance at the base of the skull. Alternately, a point at least 3 cm (1.2 in) behind the ear.
Lower limb. Foot. Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs (including the feet) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which nerves, but there are minor variations in some of the details.
The peripheral nervous system (PNS) is divided into the somatic nervous system, the autonomic nervous system, and the enteric nervous system.However, it is the somatic nervous system, responsible for body movement and the reception of external stimuli, which allows one to understand how cutaneous innervation is made possible by the action of specific sensory fibers located on the skin, as well ...
Similarly a dermatome is an area of skin that a single nerve innervates with sensory fibers. Myotomes are separated by myosepta (singular: myoseptum ). [ 2 ] In vertebrate embryonic development , a myotome is the part of a somite that develops into muscle.
Posterior Dermatomes. The axial line is the line between two adjacent dermatomes that are not represented by immediately adjacent spinal levels. Although dermatomes are shown to be discrete segments on dermatomal maps (like in the image opposite), they are in fact not; adjacent dermatomes overlap with one another.
The nerves then pass through an osteofibrous tunnel created by the thoracolumbar fascia and rim of the superior iliac crest. [6] Cadaver studies have noted that some patients have boney grooves along the rim that house the superior cluneal nerves. On average, these grooves are found between 5–7 cm from the midline.
The anterior branch runs downward on the sartorius, perforates the fascia lata at the lower third of the thigh, and divides into two branches: one supplies the integument as low down as the medial side of the knee; the other crosses to the lateral side of the patella, communicating in its course with the infrapatellar branch of the saphenous nerve.
Another branch observed, that is mentioned in passing in previous literature is the medial branch of the lateral sural cutaneous nerve. [3]In a 2021 study by Steele et al. (Annals of Anatomy), a medial branch of the lateral sural cutaneous nerve was observed in approximately 36% of lower extremities dissected (n=208) with an average diameter of 1.47 ± 0.655 mm with a 95% CI of 1.31 – 1.625 mm.