L4 L5 Dermatome Mappaediatric Neurological Examination Osce Guide Geeky Medics

L4 L5 Dermatome Mappaediatric Neurological Examination Osce Guide Geeky MedicsThe term “dermatome” is a combination of 2 Ancient Greek words; “derma” indicating “skin”, and “tome”, meaning “cutting” or “thin section”. It is a location of skin which is innervated by the posterior (dorsal) root of a single back nerve. As posterior roots are organized in segments, dermatomes are. This is why the term “dermatome” refers to the segmental innervation of the skin.

L4 L5 Dermatome Mappaediatric Neurological Examination Osce Guide Geeky Medics

Dermatomes And Myotomes Sensation Anatomy Geeky Medics – Dermatomes And Myotomes Sensation Anatomy Geeky Medics

Neighboring dermatomes often, if not always overlap to some degree with each other, as the sensory peripheral branches representing one posterior root usually surpass the limit of their dermatome. As such, the thin lines seen in the dermatome maps are more of a medical guide than a genuine limit. L4 L5 Dermatome Mappaediatric Neurological Examination Osce Guide Geeky Medics

This suggests that if a single spine nerve is impacted, there is most likely still some degree of innervation to that sector of skin originating from above and below. For a dermatome to be entirely numb, usually two or three neighboring posterior roots require to be impacted. In addition, it’s essential to note that dermatomes undergo a large degree of interindividual variation. A visual representation of all the dermatomes on a body surface chart is described as a dermatome map. L4 L5 Dermatome Mappaediatric Neurological Examination Osce Guide Geeky Medics

Dermatome maps

Dermatome maps depict the sensory distribution of each dermatome throughout the body. Clinicians can assess cutaneous experience with a dermatome map as a method to localize lesions within main nervous tissue, injury to specific spinal nerves, and to figure out the extent of the injury. Numerous dermatome maps have been established over the years however are typically contrasting.

The most typically used dermatome maps in significant books are the Keegan and Garrett map (1948) which leans towards a developmental interpretation of this principle, and the Foerster map (1933) which correlates better with medical practice. This short article will evaluate the dermatomes using both maps, recognizing and comparing the significant differences between them.

Why Are Dermatomes Important?

To understand dermatomes, it is necessary to comprehend the anatomy of the spine. The spine is divided into 31 sections, each with a pair (right and left) of anterior and posterior nerve roots. The types of nerves in the anterior and posterior roots are various.

Anterior nerve roots are accountable for motor signals to the body, and posterior nerve roots receive sensory signals like discomfort or other sensory symptoms. The anterior and posterior nerve roots combine on each side to form the back nerves as they exit the vertebral canal (the bones of the spinal column, or backbone).