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Perforating cutaneous nerve

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Perforating cutaneous nerve
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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]

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Structure

Origin

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

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

Distribution

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

Variation

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]

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See also

References

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