Hilton's law

Hilton's law expoused by John Hilton in a series of medical lectures given in 1860-1862, is the observation that in the study of anatomy, one often finds that a nerve that innervates a joint also tends to innervate the muscles that move the joint and the skin that covers the distal attachments of those muscles.

For example, the musculocutaneous nerve supplies the elbow joint of humans with pain and proprioception fibres. It also supplies biceps brachii, brachialis, and the forearm skin close to the insertion of each of those muscles.

Hilton's law arises as a result of the embryological development of humans (or indeed other animals). Hilton based his law upon his extensive anatomical knowledge and clinical experiences. As with most British surgeons of his day [1805-1878] he intensely studied anatomy.

Extensions of the law

Hilton's law is described above. Similar observations can be made, to extend the theory; often a nerve will supply both the muscles and skin relating to a particular joint. The observation often holds true in reverse - that is to say, a nerve that supplies skin or a muscle will often supply the applicable joint.

See also

• John Hilton (surgeon)
• Hilton's Line
• Hilton's Muscle
• Hilton's Pit

References

Orthopedics By Leonard F. Peltier, pg 122

• Tasker, Dain L (1913). Principles of Osteopathy (3rd edition ed.). Los Angeles, California: Bireley & Elson Printing. http://books.google.com/books?id=OimV7SuBVqoC. Retrieved 2008-03-22.