Table 1.
Compartment | Nerves | Considerations | Joint Supply | Cutaneous Supply |
---|---|---|---|---|
Anterior | Femoral nerve | Crosses behind the inguinal ligament and lateral to the femoral artery and provides branches to innervate each muscular component of the quadriceps muscle (Vastus Medialis, intermedious and lateralis branches) | The vastus medialis to the medial collateral ligament, The vastus lateralis branches end at the quadriceps tendon without innervating the capsule of the knee | The vastus medialis to the superomedial aspect, The vastus Intermedius to the anterosuperior aspect of the knee |
Common fibular nerve | Provides articular (genicular) branches to knee, lateral superior, lateral inferior, recurrent. | Inferolateral capsule of the knee joint, proximal tibiofibular joint | Lateral aspect of the knee | |
Saphenous nerve | Cutaneous branch of the Femoral nerve Runs into the adductor canal |
Infrapatellar Branch Descending Branch Antero inferior capsule of knee joint |
Medial and inferior aspect of the knee | |
Posterior | Tibial nerve | Branch of the Sciatic nerve, provides the posterior articular nerve. | Articular (genicular) branches to knee medial superior, medial inferior, middle and capsular branches | Medial portion of the capsule, retinaculum, collateral ligaments of knee joint proximal and distal tibiofibular joint |
Obturator nerve | Originates two main branches: anterior and posterior | Posterior branch to joint capsule, cruciate ligaments and synovial membrane | Anterior branch to medial aspect and mid-thigh | |
Plexuses | Contributors to the plexus | Sensory innervation | ||
Peripatellar | Femoral nerve: medial, intermediate, lateral femoral cutaneous nerves Saphenous nerve: infrapatellar branch Retinacular nerves: medial (terminal branch of nerve to vastus medius), lateral (direct branch of sciatic nerve) Nerve to vastus intermedius | Skin anterior, superior, inferior, medial and lateral to patella; retinacula; collateral ligaments and capsule of knee joint | ||
Subsartorial | Saphenous nerve: infrapatellar branch Obturator nerve: anterior division Medial femoral cutaneous nerve Nerve to vastus medius | Cutaneous to medial side of knee, retinaculum, collateral ligaments and capsule of knee joint | ||
Popliteal | Tibial nerve Sciatic nerve Obturator nerve | Retinaculum, anterior and posterior cruciate ligaments, collateral ligaments and capsule of knee joint |
Adapted from Pulsed radiofrequency of the composite nerve supply to the knee joint as a new technique for relieving osteoarthritic pain: a preliminary report. Pain Physician.2014;17(6):493-506.