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-Dr. Monica Dhanani
 DEFINATIOM
the sensory distribution of each nerve root
is called the dermatomes.

The area of the skin supplied by a single nerve root

• There are 31 segments of spinal cord each with a pair of
ventral ana dorsal that innervate motor and sensory function
resp.
• The anterior and posterior nerve roots combine on each side
to form the spinal nerve as they exit the vertebral canal
through IV foramina
• The 31 spines segment on each side give rise to 31 spinal
nerves which are composed of 8C, 12T, 5L ,5s and 1C
spinal nerve
• Dermatomes exist for each of the spinal nerve except Ci
• Sensory information form a specific dermatomes is
transmitted by the sensory nerve fibers to the spinal nerve of
a specific segment of spinal cord
• Dermatomes along the arms and legs differs from the
pattern of the trunk dermatomes because they run
 longitudinally along the limbs
Clinical Significance
• dermatomes are useful to help localize neurological levels
particularly in radiculopathy.
Effacement or encroachment of a spinal nerve may or may
not exhibited symptoms in dermatomic area covered by the
compressed nerve root in addition to weakness or dtr loss
Viruses that infect spinal nerves such as herpes zoster
reveal their origin by showing up as a pain full dermatomic
area
C2-forehead occiput
C3-neck,temporal area
C4_shoulder area,clavicles,upper scap
C5_deltoid,ant arm till base of thumb
C6-ant arm,rad side of hand to thumb n index finger Cy-Lat
arm n forearm to index,long and ring fingers C8-medial arm
and forearm to long,ring and little finge Ti-medial side of
forearm to base of little finger
T2-medial side of upp arm to med elbow,pectoral and
midscapular area
T3 to T12- T3 to T6 upper thorax
T5-T7 coastal margin T8-T12 abdomen and
lumbar region
c 2002 Slnauof Associates. I © 2002 Sınauot AsiocUitos Inc
(Li-back,over trochanter and groin
L2-back,front of thigh and knee
• L3-back,upper buttock,ant. thigh and knee,medial lower leg
L4-medial buttock,lateral thigh,med.leg,dorsum of foot,big toe
L5_buttock,post.and lat.thigh,lat.aspect of leg,dorsum of
foot,med.half of sole,first second and third toes
Si-buttock,thigh,and leg post.
• S2-same as si
 S3-groin,med.thigh to knee
• S4-perineum,genitals,lower sacrum
 DEFINITION

are defined as groups of

muscles supplied by a single nerve root.
Clinical Significance
• Info, about the level in the spine where a lesion may be present.
・Muscle weakness
IV disc herniation
•-<i-C2 : Cervical flexion
• C3: Cerviacl lateral flexion
• C4: shoulder elevation
• C5: shoulder abduction
• C6: elbow flexion
• C7: elbow extension
• C8: thumb extension
• Ti: finger abd/add
• L2： hip flexion
• L3: knee extension
• L4: ankle DF
• L5: great toe extension
• Si: ankle Evn/hip extension/ankle PF/knee flexion
• S2: knee flexion
IHMKYOI