Lp #99 The Sciatic Nerve Flashcards

1
Q
  • largest nerve in body: 2cm wide
  • major part of sacral plexus
  • originates from ventral rami of L4-S3
  • components:
  • tibial n & common fibular n
  • bound together in common sheath
A

Sciatic nerve

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2
Q

Sciatic nerve pathway:

  • ventral rami ___-___
  • exits pelvis via ______ ____ ______ inferior to ______
  • travels deep to ____ ____ B/w _____ _____ & ______ ______
  • descends along posterior thigh b/w _____ & ____ ______
  • splits above popliteal fossa into tibial & _____ _____ (_____) __
A
  • L4-S3
  • Greater sciatic foramen & Piriformis
  • Glute max & greater trochanter & Ischial tuberosity
  • Hamstrings & Adductor Magnus
  • Common fibular (peroneal) nn
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3
Q

Cutaneuous Innervation:

A

Most of lower limb

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4
Q

Motor Innervation:

A
  • semitendinosus
  • semimembranosus
  • biceps femoris
  • adductor Magnus- hamstring portion
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5
Q

Tibial nerve pathway:

  • Ventral rami ___-___
  • down posterior _____
  • enters _____ _____
  • descends leg deep to _____
  • enters foot posterior to ___ ____
  • splits into medial & lateral ____ _____
A
  • L4-S3
  • Thigh
  • Popliteal fossa
  • Gastrocnemius
  • Medial malleolus
  • Plantar branches
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6
Q

Tibial nerve sensory Innervation:

  • ________: skin of posterolateral leg & dorsolateral foot
  • _______& ____ _____ __: skin of plantar aspect of foot
  • ______ ______: knee, distal tibiofibular joint, ankle joint
A
  • sural n
  • medial & lateral plantar nn
  • articular branches
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7
Q

Motor Innervation tibial nerve:

A
  • superficial & deep posterior compartments of leg

- plantar mm of foot

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8
Q

Tibial nerve branches

A
  • medial sural cutaneuous nerve

- sural nerve

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9
Q
  • arises in popliteal fossa

- meets w/ a branch of common fibular nerve to form sural nerve

A

Medial sural cutaneous nerve

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10
Q

Innervates skin of posterolateral leg & dorsolateral foot

A

Sural nerve

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11
Q

Tibial motor Innervation:

Superficial & deep posterior compartments of the leg?

A
  • gastrocnemius
  • soleus
  • plantaris
  • popliteus
  • Tibialis posterior
  • flexor digitorum longus
  • flexor hallucis longus
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12
Q

Tibial nerve motor Innervation:

*plantar mm of foot- medial plantar n?

A
  • flexor digitorum brevis
  • abductor hallucis
  • flexor hallicis brevis
  • 1st lumbrical
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13
Q

Tibial nerve motor Innervation:

Plantar mm of foot- lateral plantar n?

A
  • Quadratus plantae
  • abductor digit minimi
  • flexor digit minimi
  • opponents digit minimi
  • adductor hallucis
  • plantar Interossei
  • dorsal interossei
  • lumbricals
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14
Q
  • originates from ventricular rami L4-S2

- lateral, smaller branch of sciatic n

A

Common fibular nerve

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15
Q

Common fibular nerve: Cutaneous Innervation

  • superficial fibular n?
  • deep fibular n?
A

Superficial:

  • skin on anterolaterla surface of leg
  • skin of dorsum of foot & ankle (not web between 1st & 2nd toes)

deep:
- skin o dorsal web space b/w 1st & 2nd toes

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16
Q

Common fibular nerve: motor Innervation

  • deep fibular n- anterior compartment?
  • superficial fibular n- lateral compartment?
A

Deep:

  • Tibialis anterior
  • extensor digitorum longus
  • extensor hallucis longus
  • fibularis tertius
  • extensor digitorum brevis

Superficial:

  • fibularis longus
  • fibularis brevis