Lateral dorsal cutaneous nerve

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Lateral dorsal cutaneous nerve
Gray834.svg
Diagram of the segmental distribution of the cutaneous nerves of the sole of the foot.
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Cutaneous nerves of the right lower extremity. Front and posterior views.
Details
From sural nerve
Identifiers
Latin nervus cutaneus dorsalis lateralis
TA98 A14.2.07.063
TA2 6587
FMA 44694
Anatomical terms of neuroanatomy

The lateral dorsal cutaneous nerve is a cutaneous branch of the foot.

This nerve is the terminal nerve portion of the sural nerve. The common convention for where the sural nerve transitions into the lateral dorsal cutaneous nerve is after the sural nerve wraps underneath the lateral malleolus. This turns into a dorsal digital nerve and supplies the lateral side of the fourth and fifth toe. [1]

The course of this nerve influences the surgical approach to fixation of fractures of the fifth metatarsal, as the most direct surgical approach is at risk of damaging it. [2]

Additional images

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Anatomical snuffbox Indent on back of hand between tendons

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Axillary nerve

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Ulnar nerve Nerve which runs near the ulna bone

In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.

Musculocutaneous nerve Nerve in the arm

The musculocutaneous nerve arises from the lateral cord of the brachial plexus, opposite the lower border of the pectoralis major, its fibers being derived from C5, C6 and C7.

In human anatomy, the dorsalis pedis artery is a blood vessel of the lower limb. It arises from the anterior tibial artery, and ends at the first intermetatarsal space. It carries oxygenated blood to the dorsal side of the foot. It is useful for taking a pulse. It is also at risk during anaesthesia of the deep peroneal nerve.

Tibial nerve Branch of the sciatic nerve

The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.

Fibularis brevis Shorter and smaller of the fibularis (peroneus) muscles

In human anatomy, the fibularis brevis is a muscle that lies underneath the fibularis longus within the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to extend the foot downward away from the body at the ankle.

The common fibular nerve is a nerve in the lower leg that provides sensation over the posterolateral part of the leg and the knee joint. It divides at the knee into two terminal branches: the superficial fibular nerve and deep fibular nerve, which innervate the muscles of the lateral and anterior compartments of the leg respectively. When the common fibular nerve is damaged or compressed, foot drop can ensue.

Superficial fibular nerve Nerve in the human leg and foot

The superficial fibular nerve innervates the fibularis longus and fibularis brevis muscles and the skin over the antero-lateral aspect of the leg along with the greater part of the dorsum of the foot.

Femoral nerve Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee.

Lateral cutaneous nerve of thigh Nerve of the thigh

The lateral cutaneous nerve of the thigh is a cutaneous nerve of the thigh. It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under the inguinal ligament to reach the thigh. It supplies sensation to the skin on the lateral part of the thigh by an anterior branch and a posterior branch.

Sural nerve

The sural nerve(L4-S1) is generally considered a pure cutaneous nerve of the posterolateral leg to the lateral ankle. The sural nerve originates from a combination of either the sural communicating branch and medial sural cutaneous nerve, or the lateral sural cutaneous nerve. This group of nerves is termed the sural nerve complex. There are eight documented variations of the sural nerve complex. Once formed the sural nerve takes its course midline posterior to posterolateral around the lateral malleolus. The sural nerve terminates as the lateral dorsal cutaneous nerve.

Intermediate dorsal cutaneous nerve

The intermediate dorsal cutaneous nerve, the smaller, passes along the lateral part of the dorsum of the foot, and divides into dorsal digital branches, which supply the contiguous sides of the third and fourth, and of the fourth and fifth toes.

Superior cluneal nerves

The superior cluneal nerves are pure sensory nerves that innervate the skin of the upper part of the buttocks. They are the terminal ends of the L1-L3 spinal nerve dorsal rami lateral branches. They are one of three different types of cluneal nerves. 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.

Lateral sural cutaneous nerve Sensory nerve of the leg that supplies part of the posterolateral side of the leg

The lateral sural cutaneous nerve of the lumbosacral plexus supplies the skin on the posterior and lateral surfaces of the leg. The lateral sural cutaneous nerve originates from the common fibular nerve(L4-S2) and is the terminal branch of the common fibular nerve.

Medial sural cutaneous nerve Sensory nerve of the leg that supplies part of the medial side of the leg

The medial sural cutaneous nerve(L4-S3) is a sensory nerve of the leg. It supplies cutaneous innervation the posteromedial leg.

Sural communicating branch of common peroneal nerve Communicating nerve transfering nerve fascicles to the medial sural cutaneous nerve

The sural communicating nerve(SCN) is a separate and independent nerve from both the medial and lateral sural cutaneous nerves, often arising from a common trunk of the common fibular nerve The primary purpose of the sural communicating branch is to provide the structural path for transferring tibial nerve fascicular components to the sural nerve.

Dorsal digital nerves of foot Various nerve branches that supply the toes

Dorsal digital nerves of foot are branches of the intermediate dorsal cutaneous nerve, medial dorsal cutaneous nerve, sural nerve and deep fibular nerve.

Sural nerve complex

The sural nerve complex are the contributing nerves that form the sural nerve. There are eight documented anatomic variations of the sural nerve complex.

References

  1. Steele, Robert (November 2021). "Anatomy of the sural nerve complex: Unaccounted anatomic variations and morphometric data". Annals of Anatomy. 238: 151742. doi:10.1016/j.aanat.2021.151742.
  2. Fansa, AM; Smyth, NA; Murawski, CD; Kennedy, JG (August 2012). "The lateral dorsal cutaneous branch of the sural nerve: clinical importance of the surgical approach to proximal fifth metatarsal fracture fixation". The American Journal of Sports Medicine. 40 (8): 1895–8. doi:10.1177/0363546512448320. PMID   22679294. S2CID   40289788.