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Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs (including the feet) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which nerves , but there are minor variations in some of the details.
The sural nerve (L4-S1) is a cutaneous sensory nerve of the posterolateral calf with cutaneous innervation to the distal one-third of the lower leg. [1] Formation of the sural nerve is the result of either anastomosis of the medial sural cutaneous nerve and the sural communicating nerve, or it may be found as a continuation of the lateral sural cutaneous nerve [2] traveling parallel to the ...
The peripheral nervous system (PNS) is divided into the somatic nervous system, the autonomic nervous system, and the enteric nervous system.However, it is the somatic nervous system, responsible for body movement and the reception of external stimuli, which allows one to understand how cutaneous innervation is made possible by the action of specific sensory fibers located on the skin, as well ...
Hilton's law, espoused by John Hilton in a series of medical lectures given in 1860–1862, [1] is the observation that in the study of anatomy, the nerve supplying the muscles extending directly across and acting at a given joint not only supplies the muscle, but also innervates the joint and the skin overlying the muscle.
In human anatomy, cutaneous nerves are primarily responsible for providing cutaneous innervation, sensory innervation to the skin.In addition to sympathetic and autonomic afferent (sensory) fibers, most cutaneous nerves also contain sympathetic efferent (visceromotor) fibers, which innervate cutaneous blood vessels, sweat glands, and the arrector pilli muscles of hair follicles. [1]
The lateral cutaneous branch ("iliac branch") pierces the internal oblique muscles and the external oblique muscles immediately above the iliac crest. [4] It is distributed to the skin of the gluteal region, behind the lateral cutaneous branch of the subcostal nerve; the size of this branch bears an inverse proportion to that of the lateral cutaneous branch of the subcostal nerve.
The intermediate cutaneous nerve (middle cutaneous nerve) pierces the fascia lata (and generally the sartorius) about 7.5 cm below the inguinal ligament, and divides into two branches which descend in immediate proximity along the forepart of the thigh, to supply the skin as low as the front of the knee.
Another branch observed, that is mentioned in passing in previous literature is the medial branch of the lateral sural cutaneous nerve. [3]In a 2021 study by Steele et al. (Annals of Anatomy), a medial branch of the lateral sural cutaneous nerve was observed in approximately 36% of lower extremities dissected (n=208) with an average diameter of 1.47 ± 0.655 mm with a 95% CI of 1.31 – 1.625 mm.