Anatomy · General Anatomy / Applied Anatomy

Dermatomes and their clinical applications

2 min read

  • Dermatome: area of skin supplied by one spinal nerve, through both its rami.

General Rules of Dermatomal Distribution

  • With the exception of the first cervical nerve (C1), every spinal nerve is associated with a specific dermatome.
  • A dermatome typically extends from the anterior median line to the posterior median line: its upper half is supplemented by the nerve above and its lower half by the nerve below.
  • No area of skin is supplied by a single spinal nerve alone because adjacent dermatomes overlap.

Dermatomes of the Trunk and Limbs

  • In the trunk, dermatomes are arranged simply, each extending around the body wall from the posterior median line to the anterior median line.
  • In the limbs, the dermatomal arrangement is complicated.
  • Limb dermatomes are complicated because spinal nerves supply the limb through plexuses before innervating the skin, and because the limbs rotate during embryonic life.