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Dysfunction of the superior cluneal nerves is often due to entrapment as the nerves cross the iliac crest – this can result in numbness, tingling or pain in the low back and upper buttocks region. Superior cluneal nerve dysfunction is a clinical diagnosis that can be supported by diagnostic nerve blocks. [1]
The cluneal nerves (or clunial nerves) are cutaneous nerves of the buttocks. They are often classified according to where on the buttocks they innervate. Specifically, the nerves are as follows: Superior cluneal nerves; Medial cluneal nerves; Inferior cluneal nerves
The inferior clunial nerves (also gluteal branches of posterior femoral cutaneous nerve) are branches of the posterior cutaneous nerve of the thigh that innervate the skin of the lower part of the buttocks. [1] [2] They pass inferior to the inferior border of the gluteus maximus muscle. [2]
The medial clunial nerves innervate the skin of the buttocks closest to the midline of the body. Those nerves arise from the posterior rami of spinal sacral nerves (S1, S2, and S3). Additional images
Lumboinguinal nerve (green) and Ilioinguinal nerve (purple). In modern texts, these two regions are often considered to be innervated by the genitofemoral nerve. Medial cluneal nerves (pink) - labeled as "post. division of sacral" Inferior cluneal nerves (pink region, not designated with its own section)
For this reason, a nerve resection may be considered after a failed decompression. Examples of nerves that may be good candidates for resection are lateral femoral cutaneous nerve, [42] zygomaticotemporal branch of the trigeminal nerve, [43] the posterior femoral cutaneous nerve, [44] [45] and the middle/superior cluneal nerves. [46]
The posterior cutaneous nerve of the thigh provides sensory innervation to most of [2] the posterior surface of the thigh (upper leg), [2] [1] and the superior [1] part of the posterior surface of the leg (lower leg), [2] [1] as well as (the inferior part of) the gluteal region (via inferior cluneal nerves, derived from anterior rami of S1-S2 ...
The medial branches run close to the articular processes of the vertebræ and end in the Multifidus.; The lateral branches supply the Sacrospinalis.The upper three give off cutaneous nerves which pierce the aponeurosis of the Latissimus dorsi at the lateral border of the Sacrospinalis and descend across the posterior part of the iliac crest to the skin of the buttock, some of their twigs ...