Lumbar Plexus Flashcards

1
Q

The lumbar plexus is ocated in the ______ region, within the substance of the _____ muscle and anterior to the ______ of the ____ vertebrae.

A

lumbar

psoas major

transverse processes; lumbar

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2
Q

The plexus is formed by the anterior rami (divisions) of the lumbar spinal nerves ___,__,__,___

It also receives contributions from thoracic spinal nerve ___.

A

L1, L2, L3 and L4.

12

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3
Q

The ______ nerve is the first major branch of the lumbar plexus.

A

iliohypogastric

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4
Q

iliohypogastric nerve

It runs to the _____ , across the ______ muscle of the posterior abdominal wall. It then perforates the _______ , and divides into its terminal branches.

A

iliac crest

quadratus lumborum

transversus abdominis

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5
Q

iliohypogastric nerve

Roots: ________

Motor Functions: Innervates the ______ and _______

A

L1 (with contributions from T12).

internal oblique and transversus abdominis.

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6
Q

Iliohypogastric nerve

Sensory Functions: Innervates the anteromedial gluteal skin in the pubic region.

T/F

A

F

Posterolateral*

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7
Q

The ilioinguinal nerve follows the same anatomical course as the (smaller or larger?) iliohypogastric nerve.

T/F

A

Larger

T

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8
Q

Ilioinguinal Nerve

After innervating the muscles of the anterior abdominal wall, it passes through the _________ to innervate the skin of the ____ and _____ thigh.

A

superficial inguinal ring

genitalia

middle

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9
Q

Ilioinguinal Nerve

Roots: ____

Motor Functions: Innervates the ______ and ____

Sensory Functions: Innervates the skin on the (superior or inferior?) antero-medial thigh.
In males, it also supplies the skin over the ___ of the penis and (anterior or posterior?) scrotum.
In females, it supplies the skin over ______ and _____

A

L1.

internal oblique and transversus abdominis.

Superior

root

Anterior

mons pubis and labia majora.

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10
Q

Genitofemoral Nerve

After leaving the psoas major muscle, the genitofemoral nerve quickly divides into a ____ branch, and a _____ branch.

A

genital

Femoral

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11
Q

Genitofemoral Nerve

Roots: _____

Motor Functions: The genital branch innervates the _____ muscle.

Sensory Functions: The genital branch innervates the skin of the _____ (in males) or the skin over ____ and ____ (in females).

The femoral branch innervates the skin on the (upper or lower ?) (anterior or posterior?) thigh.

A

L1, L2.

cremasteric

anterior scrotum ; mons pubis and labia majora

Upper

Anterior

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12
Q

Lateral Cutaneous Nerve of the Thigh

It enters the thigh at the (medial or lateral?) aspect of the inguinal ligament, where it provides cutaneous innervation to the skin there.

Roots: ___,___

A

Lateral

L2, L3

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13
Q

Lateral Cutaneous Nerve of the Thigh

This nerve has a sensorimotor function

T/F

A

F

purely sensory

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14
Q

Lateral Cutaneous Nerve of the Thigh

Motor Functions: _____ .

Sensory Functions: Innervates the (anterior or posterior ?) and (medial or lateral?) thigh down to the level of the ______.

A

None

Anterior

Lateral

knee

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15
Q

Obturator Nerve

Roots:_____

Motor Functions: Innervates the muscles of the (medial or lateral?) thigh – LIST THEM

Sensory Functions: Innervates the skin over the (medial or lateral?) thigh.

A

L2, L3, L4.

Medial

the obturator externus, adductor longus, adductor brevis, adductor magnus and gracilis.

Medial

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16
Q

A lumbosacral plexopathy is a disorder affecting either only the lumbar plexus of nerves.
T/F

A

F

lumbar or sacral plexus of nerves.

17
Q

lumbosacral plexopathy

They are (common or rare?) syndromes, caused by damage to the nerve bundles.

A plexopathy is suspected if ___________. Patients may complain of neuropathic pains, numbness or weakness and wasting of muscles.

A

Rare

the symptoms cannot be localised to a single nerve

18
Q

One of the main causes of lumbosacral plexopathy is ______ ———, also known as lumbosacral radioplexus neurophagy. In this condition, the __________ damage the nerves.

A

diabetic amyotrophy

high blood sugar levels

19
Q

Idiopathic plexopathy of lumbosacral plexopathy is another cause, being the lumbosacral equivalent of _________ syndrome that affects the brachial plexus

A

Parsonage-Turner

20
Q

Tumours and other local invasions can cause the plexopathy due to the compression of the plexus.

T/F

A

T

21
Q

Treatment of lumbosacral plexopathy depends on what is causing the symptoms. For tumours and space-occupying lesions, they should be _____ if possible. For diabetic and idiopathic causes, treatment with ________ can be useful.

A

removed

high-dose corticosteroids