lower limb dermatomes and myotomes Flashcards
L1 dermatome
- Inguinal region
- Skin over upper anterior aspect of thigh
L1 myotome
Hip flexion
* iliopsoas
L2 dermatome
Anterolateral aspect of upper thigh
L2 myotome
Hip flexion
* iliopsoas
L3 dermatome
Anteromedial area of thigh
L3 myotome
Hip adduction
* adductor group
Knee extension
* quadriceps femoris
Hip flexion
L4 dermatome
Anteromedial aspect of leg and medial malleolus
L4 myotome
Knee extension
* quadriceps femoris
Hip adduction
* adductor group
Ankle dorsiflexion
L5 dermatome
- Lateral aspect of the thigh and knee
- Anterolateral aspect of the leg
- Dorsum of the foot,
- The big toe + 1st 4 toes
L5 myotome
Ankle dorsiflexion
*Tibialis anteriormuscle: difficulty heel walking (foot drop)
First toe dorsiflexion:
* Extensor hallucis longus muscles
Knee flexion
* hamstring muscles
Hip extension
* hamstring
* gluteus maximus
S1 dermatome
- Dorsolateral aspect of thigh and leg
- lateralaspect of the foot + heel (posterior)
- pinky toe
S1 myotome
Foot plantarflexion:
* Gastrocnemius muscle
Foot eversion
* Peroneus longus and brevis muscles
S2-4 dermatome
Posterioraspect of the thigh and leg (S2),perineum(S3–S4), perianal (S4)
S2-4 myotome
Abduction of digits (S2-3)
Ilioinguinal nerve roots
L1
Ilioinguinal nerve dermatome
- skin over anteromedial part of upper thigh
- adjacent skin of perineum
Genitofemoral nerve roots
L1-L2
Genitofemoral dermatome
(femoral branch)
* skin on anterior central part of upper thigh
(genital branch)
* anterior part of perineum