Lumbar Plexus - Part 2 Flashcards
Which is the largest branch of the lumbar plexus?
The femoral nerve
The femoral nerve contains fibers from what?
L2, L3, and L4
The femoral nerve forms where?
Posterior to the psoas major
The femoral nerve emerges where?
Lateral to psoas and anterior to the iliacus
The femoral nerve pass posterior to what?
The inguinal ligament
Once the femoral nerve passes the inguinal ligament it enters what area?
The femoral triangle
Once the femoral nerve enters the femoral triangle it is just lateral to what?
The femoral artery
From the femoral triangle, the femoral nerve runs inferior and _______ through what?
Medically,
Adductor canal
The femoral nerve enters the leg on which side of the knee?
medial
The femoral nerve only gives off branches in which two areas?
In abdomen and femoral triangle
In which area does the femoral nerve give of muscular branches?
abdomen
The muscular branches given off by the femoral nerve in the abdomen supply what?
Iliacus
pectineus
The muscular branches given off by the femoral nerve in the abdomen supply the iliacus and pectineus and also sends fibers to what other structure?
The femoral artery
One the femoral nerve passes the inguinal ligament it divides into what?
Anterior and posterior division
The anterior division of the femoral nerve gives rise to what three nerves?
Intermediate cutaneous nerve of the thigh
Medial cutaneous nerve of the thigh
Nerve to the sartorius
The intermediate cutaneous nerve of the thigh and supplies what?
Skin on the anterior thigh down to the knee
The lateral branch of the intermediate cutaneous nerve of the thigh communicates with what branch of what nerve?
The femoral branch of the genitofemoral nerve
The medial cutaneous nerve of the thigh crosses anterior to what?
The femoral artery
The medial cutaneous nerve of the thigh sends branches to supplies what?
Skin of medial thigh,
Medial knee,
Knee across to the lateral side of the patella
Some branches of the medial cutaneous nerve of the thigh will supply skin of medial leg through communications with what nerve?
saphenous nerve
The nerve to the sartorius supplies what?
Sartorius muscle
The posterior division of the femoral nerve gives rise to what types of branches?
Muscular branches
Vascular branches
Articular branches
After the posterior division of the femoral artery gives rise to its branches, it becomes what nerve?
Saphenous nerve
The muscular branches of the posterior division of the femoral nerve supply what muscle?
Quadriceps muscles
The vascular branches of posterior division of the femoral nerve supply what?
The femoral artery and its branches
The articular branches of the posterior division of the femoral nerve supply what?
The knee joint
What muscles (specifically) are supplied by the muscular branches of the posterior division of the femoral nerve?
Sartorius Rectum femoris vastus lateralis vastus medialis vastus intermediate
Where are the muscular branches of the femoral nerve given off?
In the femoral triangle
The saphenous nerve is transmitted through what?
The adductor canal
The saphenous nerve cross what in the canal and emerges ______ to this structure when exiting the abductor canal?
Femoral artery
medial
The saphenous nerve supplies what?
Skin medial and anterior to the patella
In the leg the saphenous nerve travels with what?
The great saphenous vein
What nerve is the only cutaneous supply for the posterior division of the femoral nerve?
The saphenous nerve
The saphenous nerve supplies what in the leg?
Skin of the medial leg and foot
What are some clinical considerations with the femoral nerve?
Patellar reflex and
Sensory deficits
If there is any discrepancy in the quads (patellar reflex) what nerve should you be thinking?
Femoral nerve
What sensory deficits could show up with the femoral nerve??
Paresthesia (tingling numbness), 2 pt touch discrimination, pain, temp, unilateral issues
The obturator nerve contains fibers from what?
L2, L3, and L4
What nerve is the principal contributor to the obturator nerve?
L3
What nerve is the minimal contributor the obturator nerve?
L2
The obturator nerve travels medial to what?
Psoas major
The obturator nerve travels posterior to what?
Common iliac vessels
The obturator nerve descends into the pelvis, traveling on what?
Obturator internus
The obturator nerve leaves the pelvis through what?
The obturator foramen
After leaving the obturator foremen, the obturator nerve divides into a _____ and ___ .
Posterior and anterior branch
The anterior and posterior branch of the obturator nerve are separated initially by what muscle? And then by what muscle?
Obturator externus
Adductor brevis
The anterior branch of the obturator nerve travels anterior to what?
Obturator externus
Adductor brevis
The anterior branch of the obturator nerve travels posterior to what muscles?
Pectineus
Adductor longus
The anterior branch of the obturator nerve will communicate with branches of what nerve?
Femoral nerve
When the anterior branch sends branches to communicate with the branches of the femoral nerve, what does this form?
subsartorial plexus
The subsartorial plexus contributes to the supply of what?
Skin on the medial thigh
The termination of the anterior branch of the obturator nerve supplies what?
Femoral artery
The anterior branch of the obturator nerve sends articular branches to what?
The hip joint
The anterior branch sends muscular branches to what main 2 muscles?
Abductor longus
gracilis
The muscular branches of the obturator nerve can also supply what other two muscles?
Pectineus
Abductor brevis
What muscle does the muscular branches of the obturator nerve (anterior branch) share with another nerve? What other nerve supplies this muscle?
Pectineus
Femoral nerve
The anterior branch of the obturator nerve may send fibers to connect with what nerve, if present?
Accessory obturator nerve
The anterior branch of the obturator nerve may send fibers to communicate with what other two nerves off of the femoral nerve?
Medial cutaneous nerve
Saphenous nerve
If the anterior branch of the obturator nerve sends fibers to communicate with the medial cutaneous nerve and the saphenous nerve, what will it contribute supply to?
Skin on upper medial side of the leg
The posterior branch of the obturator nerve travels through what?
Obturator externus
The posterior branch of the obturator nerve travels through the obturator externus posterior to ___ and anterior to ____?
Adductor brevis
Adductor magnus
The posterior branch of the obturator nerve will send muscular branches to supply what two muscles?
Obturator externus
Adductor magnus
If the anterior branch does not supply this muscle the posterior branch of the obturator nerve will. What muscle is this?
Adductor brevis
The posterior division of the obturator nerve supplies articular branches to what?
The knee joint
All muscles supplied by the obturator nerve have what action?
Adduction of hip
Problems with the obturator nerve resulting in muscular weakness will show what?
Hip adduction weakened
What sensory deficits can be seen with a compromised obturator nerve?
Medial aspect of thigh (overlap with branches of femoral)