Medial sural cutaneous nerve | |
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Details | |
From | Tibial nerve |
Identifiers | |
Latin | n. cutaneus surae medialis |
TA98 | A14.2.07.061 |
TA2 | 6585 |
FMA | 44687 |
Anatomical terms of neuroanatomy |
The medial sural cutaneous nerve(L4-S3) is a sensory nerve of the leg. It supplies cutaneous innervation the posteromedial leg. [1]
The medial sural cutaneous nerve originates from the posterior aspect of the tibial nerve of the sciatic nerve. [2] [3] It descends between the two heads of the gastrocnemius muscle. [2] [3] Around the middle of the back of the leg, it pierces the deep fascia to become superficial. [3] It unites with the lateral sural cutaneous nerve to form the sural nerve. [3] [1]
According to a large cadaveric study in which 208 sural nerves were dissected in their native position (by Steele et al.) the medial sural cutaneous nerve was consistently present in most lower extremities. This information aligns with other research as well. Only one sample in Steele et al. did not contain a medial sural cutaneous nerve. [4] The diameter (at the medial sural cutaneous nerve origin) is found to be 2.74mm ± 0.93 (2.62–2.86) in 207 samples. Two new variations (as of 2021) of the sural nerve complex were observed where the MSCN is observed to travel to the lateral ankle and provides the branches for the lateral calcaneal nerves of the lateral ankle. Normally the sural nerve serves this purpose. [2]
The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.
The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus.
In human anatomy, the fibularis longus is a superficial muscle in 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 axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein to innervate the deltoid and teres minor.
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.
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.
The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.
The superficial fibular nerve is a mixed nerve that provides motor innervation to the fibularis longus and fibularis brevis muscles, and sensory innervation to skin over the antero-lateral aspect of the leg along with the greater part of the dorsum of the foot.
The deep fibular nerve begins at the bifurcation of the common fibular nerve between the fibula and upper part of the fibularis longus, passes infero-medially, deep to the extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small.
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.
The lateral pectoral nerve arises from the lateral cord of the brachial plexus, and through it from the C5-7.
The saphenous nerve is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve. The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial 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.
Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs which are supplied by specific cutaneous nerves.
Cutaneous innervation of the upper limbs is the nerve supply to areas of the skin of the upper limbs which are supplied by specific cutaneous nerves.
The lateral dorsal cutaneous nerve is a cutaneous branch of the foot.
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 are branches of the intermediate dorsal cutaneous nerve, medial dorsal cutaneous nerve, sural nerve and deep fibular nerve.
The sural nerve complex are the contributing nerves that form the sural nerve. There are eight documented anatomic variations of the sural nerve complex.
This article incorporates text in the public domain from page 962 of the 20th edition of Gray's Anatomy (1918)
Referenced papers: