Dermatome supply of T1
Medial side of forearm to base of little finger
Dermatome supply of T2
Medial side of upper arm to medial elbow, pec and midscapular region
Dermatome of T3-T12
T3-T6 upper thoracic
T5-T7 costal margin
T8-T12- abdomen/lumbar region
Does a lesion at first 2 thoracic levels give rise to root weakness?
NO
L1 dermatome
Groin, greater trochanter
L1 Paresthesia
Sometimes over groin after holding a position
L2 dermatome
anterior thigh (front of thigh to knee)
L2 weakness
Psoas
Hip adductors
L3 dermatome
Upper buttock
anterior thigh and knee
Lower leg
L3 Weakness
Psoas
Quads
thigh atrophy
L3 reflexes affected
knee jerk slugglish
pain on full SLR
L3 paresthesia
Medial knee
Anterior lower leg
L4 dermatome
medial butt lateral thigh medial leg dorsum of the foot big toe
L4 muscle weakness
Anterior tib
Extensor hallicus
L4 reflex
SLR
Neck flexion pain
Absent knee jerk
side flexion limited
L4 paresthesia
Medial aspect of calf and ankle
L5 dermatome
butt, posterior thigh, lateral thigh, lateral aspect of foot, dorsum of foot, medial half of sole, 1-3 toes
L5 muscle weakness
extensor hallicus peroneals glutes med DF HS calf atrophy
L5 reflexes
SLR
neck flexion pain
ankle decreased
crossed leg raising pain
L5 paresthesia
Lateral aspect of toes
toes
S1 dermatome
lateral and plantar aspect of foot
S1 muscles
calf and hamstrings
glutes
peroneals
PF
S1 reflex
SLR
Achilles absent/weak
S1 paresthesia
lateral foot
lateral 2 toes
plantar aspect of foot