Lumbar Plexus Flashcards

1
Q

What nerves form the lumbar plexus?

A

anterior primary rami of T12-L3, part of L4

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2
Q

How does the lumbar plexus receive fibers from T12?

A

communication with the L1 nerve

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3
Q

What muscles do L1 anterior primary rami supply?

A

quadratus lumborum and psoas minor

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4
Q

What muscles do L2 anterior primary rami supply?

A

quadratus lumborum and both psoas minor and major

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5
Q

What muscles do L3 and L4 anterior primary rami supply?

A

quadratus lumborum and psoas major

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6
Q

which nerve contains fibers from T12 and L1

A

Iliohypogastric nerve and Ilioinguinal Nerve

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7
Q

What branch does the iliohypogastric nerve give off?

A

lateral cutaneous brach

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8
Q

What does the lateral cutaneous branch supply?

A

sensory to the posterolateral gluteal region

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9
Q

After the lateral cutaneous branches off, what does the iliohypogastric nerved become?

A

the anterior cutaneous branch

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10
Q

What does the anterior cutaneous branch supply?

A

sensory to the skin of the pubic region

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11
Q

What two muscles does the iliohypogastric nerve supply?

A

internal abdominal oblique and transverse abdominal

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12
Q

What is the sensory function of the ilioinguinal nerve?

A

skin of the upper medial thigh
base of penis
anterior scrotum
mons pubis and labium majus

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13
Q

what muscles do the ilioinguuinal nerve supply?

A

internal abdominal oblique and transverse abdominal muscle

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14
Q

What nerve contains fibers from L1 and L2?

A

Genitofemoral nerve

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15
Q

After passing through the psoas major, the Genitofemoral nerve divides into which two branches?

A

the genital and femoral branches

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16
Q

What does the Genitofemoral nerve pass through before branching off?

A

the psoas major

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17
Q

Which Genitofemoral branch passes through the inguinal ligament?

A

Genital branch

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18
Q

what muscle does the genital branch supply?

A

Cremaster muscle

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19
Q

What is the sensory function of the genital branch?

A

superior anteriro scrotum

skin of the mons pubis and labium magus

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20
Q

What does the femoral branch supply?

A

sensory to the skin of the anterior upper thigh

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21
Q

How does the femoral branch get into the posterior thigh?

A

passes through the posterior to inguinal ligament

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22
Q

Which nerve contains fibers from L2 and L3?

A

Lateral cutaneous Nerve of the Thigh

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23
Q

What does the lateral cutaneous nerve of the thigh supply?

A

sensory to the skin on the lateral thigh and superior knee

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24
Q

How does the lateral cutaneous nerve of the thigh leave the body cavity?

A

it passes under the inguinal ligament

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25
What is the largest nerve of the lumbar plexus?
the femoral nerve
26
What nerve fibers does the femoral nerve contain?
L2, L3, L4
27
Other than the femoral nerve, what other nerve contains nerve fibers L2, L3, L4?
the obturator nerve
28
What artery does the femoral nerve supply?
the femoral artery
29
In the abdomen, what does the femoral nerve supply?
iliacus and pectineus
30
After passing posterior to the inguinal ligament, the femoral nerve divides into which two divisions?
anterior and posterior division
31
What three nerves does the anterior divisions of the femoral nerve give rise to?
Intermediate cutaneous Nerve of the thigh Medial cutaneous nerve of the thigh nerve to the sartorius
32
What does the intermediate nerve of the thigh supply?
sensory to the skin on the anterior thigh down to the knee
33
What nerve does the intermediate nerve of the thigh communicate with?
genitofemoral nerve
34
How does the intermediate nerve of the thigh communicate with the genitofemoral nerve?
the lateral branch of the intermediate nerve of the thigh
35
Where does the medial cutaneous nerve of the thigh cross in relationship to the femoral artery?
anterior
36
What does the medial cutaneous nerve of the thigh supply?
sensory to the skin other the medial thigh, medial one, and knee across the lateral side of the patella
37
The medial cutaneous nerve of the thigh supplies sensory for the skin of the medial leg through communication of what other nerve?
saphenous nerve
38
What muscle does the sartorius supply?
the sartorius muscle
39
What do the muscular branches of the posterior division of the femoral nerve supply?
``` sartorius, rectus femorus, vastus lateralis vastus medialis vastus intermedius ```
40
what do the vascular branches of the posterior division of the femoral nerve supply?
the femoral artery and its branches
41
After the knee joint, what happens to the posterior division of the femoral nerve?
it branches and continues as the saphenous nerve
42
Where does the posterior division of the femoral nerve branch before continuing as the saphenous nerve?
after the adductor canal | `
43
Where does the saphenous nerve lie in relationship to the femoral after?
medial
44
What does the saphenous nerve supply?
sensory to the skin medial and anterior to the patella | and medial leg and foot
45
What does the saphenous nerve travel with in the leg?
the great saphenous vein
46
What are clinical considerations of the femoral nerve?
Patellar reflex and sensory deficits
47
What is the principle contributor to the obturator nerve?
L3; L2 contribution is minimal
48
The obturator muscle travels medial to what muscle and posterior to which vein
psoas major; common iliac vein
49
after descending through the pelvis, what dos the obturator muscle travel along?
obturator internus
50
How does the obturator nerve leave the pelvis?
obturator foramen
51
After leaving the obturator foramen, the obturator splits into?
anterior and posterior branches
52
What are the anterior and posterior branches separated by?
obturator externus and adductor brevis
53
What does the termination of the anterior branch supply?
femoral artery
54
What forms the sub sartorial plexus?
the anterior branch of the obturator nerve and branches of the femoral nerve
55
What does the sub sartorial plexus supply?
sensory to the skin on the medial thigh
56
What does the articular branches of the anterior branch of the obturator nerve supply?
the hip joint
57
What muscles do the anterior branch of the obturator nerve supply?
obturator externus adductor magnus adductor brevis
58
Fibers from the obturator nerve connect with what other nerves to supply the skin of the upper medial side of the leg?
accessory obturator nerve medial cutaneous nerve of the thigh saphenous nerve
59
What muscles does the posterior branch of the obturator nerve supply?
obturator externus adductor magnus adductor brevis
60
What articular fibers of the posterior branch of the obturator nerve supply?
the knee joint
61
What are clinical considerations of the obturator nerve?
muscular weakness and sensory deficit