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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 medial calcaneal branches of the tibial nerve (internal calcaneal branches) perforate the laciniate ligament, and supply the skin of the heel and medial side of the sole of the foot. [ 1 ] Structure
The medial dorsal cutaneous nerve (internal dorsal cutaneous branch) is the more medial one of the two terminal branches of the superficial fibular nerve (the other being the intermediate dorsal cutaneous nerve). Through its branches, it provides innervation to parts of the dorsal aspects of the first, second, and third toes.
It passes distally along the lateral part of the dorsum of foot. It gives rise to the lateral dorsal digital nerve of the 5th toe, and sometimes also the medial dorsal digital nerve of the 5th toe as well as the lateral dorsal digital nerve of the 4th toe [1] (thus replacing branches of the intermediate dorsal cutaneous nerve [2]).
The intermediate dorsal cutaneous nerve divides into four dorsal digital branches, which supply the medial and lateral sides of the third and fourth, and of the fourth and fifth toes. The lateral dorsal cutaneous nerve from the sural nerve turns into a dorsal digital nerve and supplies the lateral side of the fifth toe.
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The lateral plantar nerve (external plantar nerve) is a branch of the tibial nerve, in turn a branch of the sciatic nerve and supplies the skin of the fifth toe and lateral half of the fourth, as well as most of the deep muscles, its distribution being similar to that of the ulnar nerve in the hand.
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