Perforating cutaneous nerve

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Perforating cutaneous nerve
Plan of sacral and pudendal plexuses.
Cutaneous nerves of the right lower extremity. Front and posterior views. (Perforating cutaneous nerve not labeled, but region visible.)
Details
FromS2-S3,[1] sacral plexus
InnervatesGluteal sulcus
Identifiers
Latinnervus cutaneus perforans
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Anatomical terms of neuroanatomy
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The perforating cutaneous nerve is a cutaneous nerve of the sacral plexus that provides sensory innervation to the skin of the buttocks.[2]

Structure

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Origin

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The perforating cutaneous nerve typically[3] arises from the posterior divisions of[4] anterior rami of sacral spinal nerves S2 and S3 of the sacral plexus.[3]

Course

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It pierces the inferior part of the sacrotuberous ligament,[4] then passes along the inferior border of the gluteus maximus muscle.[4][2]

Distribution

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The perforating cutaneous nerve innervates the skin that overlies the inferomedial portion of gluteus maximus muscle.[3]

Variation

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Origin

The perforating cutaneous nerve may arise from the pudendal nerve. It is occasionally united with the pudendal nerve at its origin.[3]

It may be absent (this is the case in 36% of individuals) in which case it is replaced by a branch from either the posterior cutaneous nerve of thigh or from the anterior rami of either S3-S4 or S4-S5.[3]

Course

Instead of piercing the sacrotuberous ligament, the perforating cutaneous may instead run with the pudendal nerve, or pass in between the sacrotuberous ligament and the gluteus maximus muscle.[3]

See also

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References

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