lumbar plexus Flashcards
L1 anterior rami
supplies quadratus lumborum and psoas major
L2 anterior rami
supplies quadratus lumborum and both psoas muscles
L3 and L4 anterior rami
supplies quadratus lumborum and psoas major
iliohypogastric nerve
fibers from T12 and L1
supplies internal abdominal oblique, and transverseabdominal. also gives off two branches
lateral cutaneous branch which supplies skin of the posterolateral gluteal region
anterior cutaneous branch supplies skin of the pubic region
ilioinguinal nerve
fibers from T12 and L1
supplies internal abdominal oblique, and transverse abdominal
cutaneous supply to the skin of the upper medial thigh, also supplies the base of the penis and anterior scrotum in men, and the mons pubis and labium majus in women
genitofemoral nerve
fibers from L1 and L2
passes through psoas major muscleand divides into genital branch and femoral branch
genital branch - motor supply to the cremaster muscle and sensory to the skin of the superior anterior scrotumin men, and mons pubis and labium majus in women
femoral - supplies skin of the upper anterior thigh
lateral cutaneous nerve of the thigh
fibers from L2 and L3
supplies skin of the lateral thigh superior to the knee
Femoral nerve (abdominal)
fibers from L2 L3 and L4
supplies iliacus, and pectineus, also sends fibers to the femoral artery
femoral (anterior division)
gives rise to three nerves
Intermediate cutaneous nerve of the thigh - supplies the anterior thigh down to the knee, also communicates with the femoral branch of the genitofemoral nerve
medial cutaneous nerve of the thigh - supplies the skin of the medial thigh, medial knee, and knee across to the lateral side of the patella
nerve to the sartorius - supplies sartorius muscle
femoral (posterior division)
muscular branches - sartorius, rectus femoris, vastus lateralis, vastus medialis, vastus intermedialis
also sends vascular branches to femoral artery and saphenous nerve
femoral nerve clinical considerations
patellar reflex and sensory deficits
obturator nerve (anterior branch)
fibers from L2 L3 and L4
communicates with the femoral nerve forming subsartorial plexus which contributes to the skin of the medial thigh
supplies - adductor longus gracilis, pectinius, and adductor brevis
also sends articular branches to the hip joint
obturator nerve (posterior branch)
supplies obturator externus, adductor magnus and possibly adductor brevis
sends articular fibers to the knee joint
obturator clinical considerations
muscular weakness and sensory deficits