Perforating cutaneous nerve

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Perforating cutaneous nerve
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Plan of sacral and pudendal plexuses.
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Cutaneous nerves of the right lower extremity. Front and posterior views. (Perforating cutaneous nerve not labeled, but region visible.)
Details
FromS2-S3, [1] sacral plexus
Innervates Gluteal sulcus
Identifiers
Latin nervus cutaneus perforans
TA98 A14.2.07.036
TA2 6546
FMA 19040
Anatomical terms of neuroanatomy

The perforating cutaneous nerve is a cutaneous nerve of the sacral plexus that provides sensory innervation to the skin of the buttocks. [2]

Contents

Structure

Origin

The perforating cutaneous nerve typically [3] arises from the posterior divisions of [4] anterior rami of sacral spinal nerves S2 and S3 of the sacral plexus. [3]

Course

It pierces the inferior part of the sacrotuberous ligament, [4] then passes along the inferior border of the gluteus maximus muscle. [4] [2]

Distribution

The perforating cutaneous nerve innervates the skin that overlies the inferomedial portion of gluteus maximus muscle. [3]

Variation

Origin

The perforating cutaneous nerve may arise from the pudendal nerve. It is occasionally united with the pudendal nerve at its origin. [3]

It may be absent (this is the case in 36% of individuals) in which case it is replaced by a branch from either the posterior cutaneous nerve of thigh or from the anterior rami of either S3-S4 or S4-S5. [3]

Course

Instead of piercing the sacrotuberous ligament, the perforating cutaneous may instead run with the pudendal nerve, or pass in between the sacrotuberous ligament and the gluteus maximus muscle. [3]

See also

Related Research Articles

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References

  1. Adam Mitchell; Drake, Richard; Gray, Henry David; Wayne Vogl (2005). Gray's anatomy for students. Elsevier/Churchill Livingstone. p. 423. ISBN   0-443-06612-4.
  2. 1 2 Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). p. 310. ISBN   978-0-7295-3752-0.
  3. 1 2 3 4 5 6 Apaydin, Nihal (2015). "Chapter 47 - Variations of the Lumbar and Sacral Plexuses and Their Branches". Nerves and Nerve Injuries (1: History, Embryology, Anatomy, Imaging, and Diagnostics ed.). Academic Press. p. 635. doi:10.1016/B978-0-12-410390-0.00049-4. ISBN   978-0-12-410390-0.
  4. 1 2 3 Mirjalili, S. Ali (2015). "Chapter 46 - Anatomy of the Sacral Plexus L4-S4". Nerves and Nerve Injuries. Vol. 1: History, Embryology, Anatomy, Imaging, and Diagnostics. Academic Press. p. 626. doi:10.1016/B978-0-12-410390-0.00048-2. ISBN   978-0-12-410390-0.