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The medial dorsal cutaneous nerve (internal dorsal cutaneous branch) is the more medial one of the two terminal branches of the superficial fibular nerve (the other being the intermediate dorsal cutaneous nerve). Through its branches, it provides innervation to parts of the dorsal aspects of the first, second, and third toes. [1]
Cutaneous innervation of the upper limbs is the nerve supply to areas of the skin of the upper limbs (including the arm, forearm, and hand) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which cutaneous nerves, but there are minor variations in some of the details.
The carpal tunnel is an anatomical compartment located at the base of the palm. Nine flexor tendons and the median nerve pass through the carpal tunnel that is surrounded on three sides by the carpal bones that form an arch. The median nerve provides feeling or sensation to the thumb, index finger, long finger, and half of the ring finger.
In the palm of the hand, the median nerve is covered by the skin and the palmar aponeurosis, and rests on the tendons of the Flexor muscles.Immediately after emerging from under the transverse carpal ligament the median nerve becomes enlarged and flattened and splits into a smaller, lateral, and a larger, medial portion.
the second common palmar digital nerve splits into two proper digital nerves for the adjoining sides of the third and fourth digits. Each proper digital nerve , opposite the base of the first phalanx, gives off a dorsal branch which joins the dorsal digital nerve from the superficial branch of the radial nerve , and supplies the integument on ...
The procedure is used as a treatment for carpal tunnel syndrome and according to the American Academy of Orthopaedic Surgeons (AAOS) treatment guidelines, early surgery is an option when there is clinical evidence of median nerve denervation or the patient elects to proceed directly to surgical treatment. [5]
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