Lumbosacral Plexus Flashcards
Pelvis
- Ilium
- Ischium
- Pubis
Fused together at acetabulum (hip socket)
Muscles & Nerves
Glutei → gluteal nerve Adductors → obturator Quadriceps → femoral Hamstrings & ankle/toe flexors → tibial Ankle & toe extensors → peroneal (fibular)
Posterior Divisions
Ventral surface elevators
Hip abductors & flexors
Knee & foot extensors
Anterior Divisions
Medial & dorsal surface depressors
Hip extensors
Knee & foot flexors
Medial
Adductors
Lateral
Glutei
Extensors
Anterior
Ilio-psoas & quadriceps
Posterior
Hamstrings
Flexors
Quadriceps (Vasti)
Hip flexion & knee extension RESIST - prevent knee collapse - Rectus femoris - Vastus lateralis - Vastus intermedius - Vastus medialis FEMORAL nerve
Adductors
Hip aDduction
OBTURATOR nerve
Gluteals
Hip aBduction
Superior & inferior GLUTEAL nerve
Anterior Leg
Dorsiflexion & toe extension
Common PERONEAL nerve
Posterior Thigh/Leg
Hip extension, knee flexion, plantar flexion, & toe flexion
TIBIAL nerve
Sciatic Nerve
Common peroneal (fibular) & tibial nerves
Posterior compartment thigh, leg, & foot sole
Emerges under piriformis
Midpoint b/w greater trochanter & posterior superior iliac spine
Peroneal Nerve
Lateral to fibula neck
Lateral cutaneous calf
Obturator Nerve
Medial thigh compartment
Femoral Nerve
Anterior thigh compartment
Femoral Triangle
Superior angle - inguinal ligament
Lateral - sartorius muscle
Medial - adductor longus
Lateral → medial
Femoral nerve → femoral artery → femoral vein
Hamstrings
Innervation = tibial portion sciatic nerve
Extend hip & flex knee
Prevent trunk jack-knifing
- Biceps femoris (short head receives peroneal innervation)
- Semitendinosus
- Semimembranous
Adductors
Innervation = obturator nerve Thigh (hip) aDduction - Adductor brevis - Adductor longus - Adductor magnus
Extrinsic Plantar Flexors
Innervation = tibial nerve Plantar flexion Drives toe off & able to store energy - Gastrocnemius (medial & lateral head) → Achilles tendon - Plantaris - Soleus
Ankle & Toe Extensors
Innervation = peroneal (fibular) nerve
- Extensor digitorum longus
- Extensor hallucis longus
- Peroneus tertius
- Tibialis anterior
Foot Inverters
Tibialis post
Flexor digitorum longus
Popliteus
Flexor hallucis longus
Foot Everters
Peroneus longus Peroneus brevis Brevis tendon Longus tendon Extensor hallucis longus Peroneus tertius
Intrinsic Foot Muscles
Superficial layer - abductor hallucis, flexor digitorum brevis, & abductor digiti minimi
Deeper layer - flexor hallucis brevis, flexor digiti minimi brevis, adductor hallucis, oblique head (control the big toe)
Gluteus Maximus
Thigh (hip) extension
Extensor provides upright stability
Prevent trunk jack-knifing
Gluteus Medius & Minimus
Thigh (hip) aBduction
Provide pelvis balance
Iliopsoas
Flex thigh (hip) Functions to initiate limb swing
Anterior Tibial Muscles
Dorsiflex
Function to control foot position during swing & position foot for heel-strike
Lateral Ankle → Plantar Foot
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Popliteal
Lateral → medial
Tibial nerve → popliteal vein → popliteal artery