Posterior branches of thoracic nerves

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Posterior branches of thoracic nerves

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Diagram of the distribution of the cutaneous branches of the posterior divisions of the spinal nerves.
Details
From thoracic nerves
Identifiers
Latin rami posteriores nervorum thoracicorum

Anatomical terms of neuroanatomy

The posterior branches of thoracic nerves branch from the dorsal rami of the thoracic nerves.

Dorsal ramus of spinal nerve

The dorsal ramus of spinal nerve is the posterior division of a spinal nerve. The dorsal ramus is the dorsal branch of a spinal nerve that forms from the dorsal root of the nerve after it emerges from the spinal cord. The spinal nerve is formed from the dorsal and ventral rami. The dorsal ramus carries information that supplies muscles and sensation to the human back.

Contents

Branches

Medial branches

The medial branches of the posterior divisions of the upper six thoracic nerves run between the semispinalis dorsi and multifidus, which they supply. They then pierce the rhomboidei and trapezius, and reach the skin by the sides of the spinous processes.

The medial branches of the lower six are distributed chiefly to the multifidus and longissimus, occasionally they give off filaments to the skin near the middle line.

Longissimus

The longissimus is the muscle lateral to the semispinalis muscles. It is the longest subdivision of the erector spinae muscles that extends forward into the transverse processes of the posterior cervical vertebrae.

Lateral branches

The lateral branches increase in size from above downward.

They run through or beneath the Longissimus dorsi to the interval between it and the Iliocostales, and supply these muscles; the lower five or six also give off cutaneous branches which pierce the Serratus posterior inferior and Latissimus dorsi in a line with the angles of the ribs.

The lateral branches of a variable number of the upper thoracic nerves also give filaments to the skin.

The lateral branch of the twelfth thoracic, after sending a filament medialward along the iliac crest, passes downward to the skin of the buttock.

Medial cutaneous branches

The medial cutaneous branches of the posterior divisions of the thoracic nerves descend for some distance close to the spinous processes before reaching the skin, while the lateral branches travel downward for a considerable distance—it may be as much as the breadth of four ribs—before they become superficial; the branch from the twelfth thoracic, for instance, reaches the skin only a little way above the iliac crest.

Iliac crest

The crest of the ilium is the superior border of the wing of ilium and the superiolateral margin of the greater pelvis.

Additional images

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Spinal nerve nerve that carries signals between the spinal chord and the body

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Axillary nerve

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.

Abdominal external oblique muscle

The external oblique muscle is the largest and the outermost of the three flat muscles of the lateral anterior abdomen.

Intercostal nerves

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.

Posterior cutaneous nerve of thigh

The posterior cutaneous nerve of the thigh provides innervation to the skin of the posterior surface of the thigh and leg, as well as to the skin of the perineum.

Lumbar plexus

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

Iliohypogastric nerve

The iliohypogastric nerve is a nerve that originates from the lumbar plexus that supplies sensation to skin over the lateral gluteal region and motor to the internal and transverse abdominal muscles.

Ilioinguinal nerve

The ilioinguinal nerve is a branch of the first lumbar nerve (L1). It separates from the first lumbar nerve along with the larger iliohypogastric nerve. It emerges from the lateral border of the psoas major just inferior to the iliohypogastric, and passes obliquely across the quadratus lumborum and iliacus. The ilioinguinal nerve then perforates the transversus abdominis near the anterior part of the iliac crest, and communicates with the iliohypogastric nerve between the transversus and the internal oblique muscle.

Lateral cutaneous nerve of thigh

The lateral cutaneous nerve of the thigh is a cutaneous nerve that innervates the skin on the lateral part of the thigh.

Erector spinae muscles

The erector spinae or spinal erectors is a set of muscles that straighten and rotate the back.

Medial cutaneous nerve of forearm

The medial antebrachial cutaneous nerve arises from the medial cord of the brachial plexus.

Medial cutaneous nerve of arm

The medial brachial cutaneous nerve is distributed to the skin on the medial brachial side of the arm.

Intercostobrachial nerve

The intercostobrachial nerves are cutaneous branches of the intercostal nerves.

Wing of ilium

The wing of ilium is the large expanded portion which bounds the greater pelvis laterally. It presents for examination two surfaces—an external and an internal—a crest, and two borders—an anterior and a posterior.

Subcostal nerve

The anterior division of the twelfth thoracic nerve is larger than the others; it runs along the lower border of the twelfth rib, often gives a communicating branch to the first lumbar nerve, and passes under the lateral lumbocostal arch.

Thoraco-abdominal nerves

The anterior divisions of the seventh, eighth, ninth, tenth, and eleventh thoracic intercostal nerves are continued anteriorly from the intercostal spaces into the abdominal wall; hence they are named thoraco-abdominal nerves.

Superior cluneal nerves

The superior cluneal nerves innervate the skin of the upper part of the buttocks. They are the terminal ends of lateral rami of the posterior rami of lumbar spinal nerves.

Anterior cutaneous branches of the femoral nerve

The anterior cutaneous branches of the femoral nerve consist of the following nerves: intermediate cutaneous nerve and medial cutaneous nerve.

The posterior branches of the lumbar nerves branch from the dorsal rami of the lumbar nerves.

Posterior branches of cervical nerves

The posterior branches of cervical nerves branch from the dorsal rami of the cervical nerves.

References

This article incorporates text in the public domain from page 923 of the 20th edition of Gray's Anatomy (1918)