Subcostal nerve

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Subcostal nerve
Gray820.png
Cutaneous distribution of thoracic nerves.
Details
From T12
Identifiers
Latin nervus subcostalis
TA98 A14.2.04.016
TA2 6485
FMA 65567
Anatomical terms of neuroanatomy

The subcostal nerve (anterior division of the twelfth thoracic nerve [1] ) 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.

Contents

It then runs in front of the quadratus lumborum, innervates the transversus, and passes forward between it and the abdominal internal oblique to be distributed in the same manner as the lower intercostal nerves.

It communicates with the iliohypogastric nerve and the ilioinguinal nerve of the lumbar plexus, [1] [2] and gives a branch to the pyramidalis muscle and the quadratus lumborum muscle. [3] It also gives off a lateral cutaneous branch that supplies sensory innervation to the skin over the hip.

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See also

Related Research Articles

Spinal nerve

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system.

Genitofemoral nerve

The genitofemoral nerve refers to a nerve that is found in the abdomen. Its branches, the genital branch and femoral branch supply sensation to the upper anterior thigh, as well as the skin of the anterior scrotum in males and mons pubis in females. The femoral branch is different from the femoral nerve, which also arises from the lumbar plexus.

Cervical plexus

The cervical plexus is a plexus of the anterior rami of the first four cervical spinal nerves which arise from C1 to C4 cervical segment in the neck. They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk.

Pectineus muscle Adductor of the thigh

The pectineus muscle is a flat, quadrangular muscle, situated at the anterior (front) part of the upper and medial (inner) aspect of the thigh. The pectineus muscle is the most anterior adductor of the hip. The muscle does adduct and internally rotate the thigh but its primary function is hip flexion.

Abdominal external oblique muscle

The abdominal external oblique muscle is the largest and outermost of the three flat abdominal 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.

Femoral nerve

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.

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 and hypogastric regions and motor to the internal oblique 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.

Lumbar nerves

The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions.

Obturator nerve

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.

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.

Lumbar arteries

The lumbar arteries are arteries located in the lower back or lumbar region. The lumbar arteries are in parallel with the intercostals.

Retromandibular vein

The retromandibular vein is a major vein of the face.

Greater sciatic foramen Part of the pelvis

The greater sciatic foramen is an opening (foramen) in the posterior human pelvis. It is formed by the sacrotuberous and sacrospinous ligaments. The piriformis muscle passes through the foramen and occupies most of its volume. The greater sciatic foramen is wider in women than in men.

Iliac crest

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

Lateral arcuate ligament

The lateral arcuate ligament is a ligament under the diaphragm that arches across the upper part of the quadratus lumborum muscle. It is traversed by the subcostal nerve, artery and vein.

Vertebra

In the vertebrate spinal column, each vertebra is an irregular bone with a complex structure composed of bone and some hyaline cartilage, the proportions of which vary according to the segment of the backbone and the species of vertebrate.

References

This article incorporates text in the public domain from page 948 of the 20th edition of Gray's Anatomy (1918)

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  2. Suresh, Santhanam; Polaner, David M.; Coté, Charles J. (2019-01-01), Coté, Charles J.; Lerman, Jerrold; Anderson, Brian J. (eds.), "42 - Regional Anesthesia", A Practice of Anesthesia for Infants and Children (Sixth Edition), Philadelphia: Elsevier, pp. 941–987.e9, doi:10.1016/b978-0-323-42974-0.00042-2, ISBN   978-0-323-42974-0 , retrieved 2020-11-23
  3. Cramer, Gregory D. (2014-01-01), Cramer, Gregory D.; Darby, Susan A. (eds.), "Chapter 7 - The Lumbar Region", Clinical Anatomy of the Spine, Spinal Cord, and Ans (Third Edition), Saint Louis: Mosby, pp. 246–311, doi:10.1016/b978-0-323-07954-9.00007-4, ISBN   978-0-323-07954-9 , retrieved 2020-11-23