The lateral dorsal cutaneous nerve is the continuation/terminal sensory branch of the sural nerve, and is ultimately derived from the 1st sacral nerve (S1). It passes distally along the lateral part of the dorsum of foot. It gives rise to the lateral dorsal digital nerve of the 5th toe, and sometimes also the medial dorsal digital nerve of the 5th toe as well as the lateral dorsal digital nerve of the 4th toe[1] (thus replacing branches of the intermediate dorsal cutaneous nerve[2]).
Anatomy
Origin
The sural branch becomes the lateral dorsal cutaneous nerve as it winds around[1]/underneath[3] the lateral malleolus.[1][3]
The course of this nerve influences the surgical approach to fixation of fractures of the fifth metatarsal, as the most direct surgical approach is at risk of damaging it.[4]
Additional images
Cutaneous nerves of the right lower extremity. Front and posterior views.
^Fansa, AM; Smyth, NA; Murawski, CD; Kennedy, JG (August 2012). "The lateral dorsal cutaneous branch of the sural nerve: clinical importance of the surgical approach to proximal fifth metatarsal fracture fixation". The American Journal of Sports Medicine. 40 (8): 1895–8. doi:10.1177/0363546512448320. PMID22679294. S2CID40289788.