| Superior cluneal nerves | |
|---|---|
) Cutaneous nerves of the right lower extremity. Front and posterior views. (Posterior division of lumbar visible in yellow at top right.) | |
| Details | |
| From | posterior branches of the lumbar nerves |
| Innervates | buttocks |
| Identifiers | |
| Latin | nervi clunium superiores |
| TA98 | A14.2.05.006 |
| TA2 | 6493 |
| FMA | 75468 |
| Anatomical terms of neuroanatomy | |
The superior cluneal nerves innervate the skin of the upper part of the buttocks. They are the terminal ends of the T12-L3 spinal nerve posterior rami lateral branches.[1]
Clinicals
Superior Cluneal Nerve Entrapment
The medial branch of the superior cluneal nerve passes over the iliac crest through a tunnel formed by the thoracolumbar fascia and the superior rim of the iliac crest. This branch of the superior cluneal nerve may become restricted in its osteofibrous tunnel against the iliac crest, just as osteofibrous tunnels affect other nerves, such as in carpal tunnel syndrome. The clinical symptoms include pain at low back which may radiate to the ipsilateral leg. The clinical signs include marked tenderness at iliac crest rim just above the dimple at the buttock and decreased touch sensation of the buttock just below the iliac crest. The treatment includes elimination of inappropriate use such as forward bending or acute twisting of the low back, NSAID therapy and local steroid injection. Surgical treatment by nerve decompression is used for cases of severe pain with failure of conservative treatment.
Additional images
Diagram of the distribution of the cutaneous branches of the posterior divisions of the spinal nerves.
Areas of distribution of the cutaneous branches of the posterior divisions of the spinal nerves.
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References
- ^ Trescot, Andrea.2016."Peripheral Nerve Entrapments -- Clinical Diagnosis and Management."Springer.ISBN 978-3-319-27480-5
- Hammer, Warren. 1998. "Superior Cluneal Nerve Entrapment -- An Overlooked Cause of Low Back Pain," Dynamic Chiropractic, 16(10). link
- Lu J, Ebraheim NA, Huntoon M, Heck BE, Yeasting RA (1998). "Anatomic considerations of superior cluneal nerve at posterior iliac crest region". Clin. Orthop. Relat. Res. (347): 224–8. PMID 9520894.
External links
- glutealregion at The Anatomy Lesson by Wesley Norman (Georgetown University)
- Anatomy photo:11:07-0102 at the SUNY Downstate Medical Center - "Superficial Anatomy of the Lower Extremity: Cutaneous Nerves of the Posterior Aspect of the Lower Extremity"