The sural cutaneous nerve consists of the fusion of the medial sural cutaneous nerve ( MSCN ) which is a terminal branch of the tibial nerve and the lateral sural cutaneous nerve ( LSCN ) which is one of the terminal branches of the common fibular nerve.
32.
One branch, the " peroneal anastomotic " ( n . communicans fibularis ), arises near the head of the fibula, crosses the lateral head of the gastrocnemius to the middle of the leg, and joins with the medial sural cutaneous nerve to form the sural nerve.
33.
-The medial dorsal cutaneous nerve ( internal dorsal cutaneous branch ) passes in front of the ankle-joint, and divides into three dorsal digital branches, one of which supplies the medial side of the great toe, the other, the adjacent sides of the second and third toes.
34.
They pierce the fascia of the urogenital diaphragm, and run forward along the lateral part of the urethral triangle in company with the posterior scrotal branches of the perineal artery; they are distributed to the skin of the scrotum or labia and communicate with the perineal branch of the posterior femoral cutaneous nerve.
35.
The upper three give off cutaneous nerves which pierce the aponeurosis of the latissimus dorsi at the lateral border of the erector spinae muscles, and descend across the posterior part of the iliac crest to the skin of the buttock, some of their twigs running as far as the level of the greater trochanter.
36.
This nerve communicates above the knee with the anterior cutaneous branches of the femoral nerve; below the knee, with other branches of the saphenous; and, on the lateral side of the joint, with branches of the lateral femoral cutaneous nerve, forming a plexiform net-work, the plexus patellae.
37.
It then descends in the interval between the greater trochanter of the femur and tuberosity of the ischium, accompanied by the sciatic and posterior femoral cutaneous nerves, and covered by the gluteus maximus, and is continued down the back of the thigh, supplying the skin, and anastomosing with branches of the perforating arteries.
38.
The lower branch pierces the deep fascia below the insertion of the Deltoideus, and descends along the lateral side of the arm and elbow, and then along the back of the forearm to the wrist, supplying the skin in its course, and joining, near its termination, with the dorsal branch of the lateral antebrachial cutaneous nerve.
39.
The branches of the superficial peroneal nerve supply the skin of the dorsal surfaces of all the toes excepting the lateral side of the little toe, and the adjoining sides of the great and second toes, the former being supplied by the lateral dorsal cutaneous nerve from the sural nerve, and the latter by the medial branch of the deep peroneal nerve.
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