Cutaneous branch of the obturator nerve Cutaneous branch of the obturator nerve Occasionally the communicating branch to the anterior cutaneous and saphenous branches of the femoral is continued down, as a cutaneous branch, to the thigh and leg, as the cutaneous branch of the obturator nerve. When this is so, it emerges from beneath the lower border of the Adductor longus, descends along the posterior margin of the sartorius to the medial side of the knee, where it pierces the deep fascia, communicates with the saphenous nerve, and is distributed to the skin of the tibial side of the leg as low down as its middle.
Ultrasonography of chronic venous insufficiency of the legs 1/3 of the thigh. It can also but rarely, drain in the vein of the semimembranosus (thigh muscle) (shown below). Usually though, it connects with a perforator vein at its middle 1/3. To check for insufficiency, the Paraná maneuver is very useful. The Giacomini vein mostly acts as a bypass between the GSV and SSV territories. Usually its flow is in the normal anterograde direction, from bottom to top. However it can become retrograde without pathology. For example, after a GSV stripping, laser ablation or after its ligation at the sapheno-femoral junction, the Giacomini vein will drain into the SSV,