Nerve supply to the pelvic limb Flashcards

1
Q

Where do the nerves of the pelvic limb originate from?

A

the lumbosacral plexus

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2
Q

Where does the lumbosacral plexus sit?

A

it lies medial to the wing of the ilium and ventral to the sacrum

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3
Q

What are the flexors of the hip and extensors of the stifle?

A

iliopsoas, quadriceps femoris, sartorius

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4
Q

What are the extensors of the hip and flexors of the stifle?

A

gluteal and hamstring muscles

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5
Q

What are the adductors?

A

the adductor, gracilis, pectineus, obturator, and sartorius

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6
Q

What are the flexors of the hock and extensors of the digits (group name)?

A

the craniolateral group muscles

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7
Q

What are the craniolateral group muscles?

A

tibialis cranialis, long digital extensor, peroneus longus, lateral digital extensor, peroneus brevis, short digital extensor

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8
Q

What are the extensors of the hock and flexors of the digits (group name)?

A

caudomedial group muscles

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9
Q

What are the caudomedial group muscles?

A

gastrocnemius, superficial digital flexor, deep digital flexor, popliteus

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10
Q

What is the largest nerve in the body?

A

the ischiatic nerve

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11
Q

What are the roots of the ischiatic nerve?

A

L6-S1

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12
Q

What does the ischiatic nerve supply?

A

the hamstring muscles, and outward rotators of the thigh

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13
Q

What are the hamstring muscles?

A

the biceps femoris, semimembranosus, semitendinosus, tenuissimus

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14
Q

What are the outward rotators of the thigh?

A

gemelli, internal obturator, quadratus femoris

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15
Q

What does the ischiatic nerve do below the stifle?

A

divides into the tibial and common fibular nerves

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16
Q

What do the common fibular nerves supply?

A

the flexors of the hock on the craniolateral crus and pes

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17
Q

What is the course of the common fibular nerve?

A

passes lateral to the lateral head of gastrocnemius and into the space between the peroneus longus and lateral digital extensor over the head of the fibula

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18
Q

What does the common fibular nerve do at the level of the head of the fibula?

A

splits into the superficial and deep fibular nerve

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19
Q

What is the course of the fibular nerve and what does it supply?

A

runs distally with the cranial tibial artery under the long digital extensor to supply most of the muscles on the dorsolateral aspect of the leg

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20
Q

What can cause injury to the common fibular nerve?

A

prolonged lateral recumbency can compress it

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21
Q

What muscles are affected by fibular nerve injury?

A

the flexors of the hock and extensors of the digits

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22
Q

What are symptoms of fibular nerve injury?

A

loss of sensation to the craniolateral aspect of the leg and dorsal aspect of the pes, the inability to flex the hock and extend the digits; they knuckle over

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23
Q

What reflex test can be used to determine if the fibular nerve is damaged?

A

the cranial tibial reflex test

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24
Q

What is the origin and insertion of the tibialis cranialis?

A

origin: lateral condyle of the tibia
insertion: II metatarsal

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25
What does the tibial nerve supply?
the extensors of the hock and flexors of the digit (caudomedial group muscles) and the skin on the plantar pes
26
What is the course of the tibial nerve?
it runs between the two heads of gastrocnemius caudal to the stifle then distal on the caudal surface of the lateral head of the deep digital flexor through the tarsal canal to the pex
27
What happens when the tibial nerve is damaged?
there is a dropped hock, and the patient is unable to bear weight on the hock, there is also a sensory deficit on the caudal aspect of the leg and foot
28
What reflex tests are used to determine if the tibial nerve is injured?
gastrocnemius tendon reflex, extensor thrust reflex
29
What does the gastrocnemius tendon reflex test test?
the extension of the hock
30
What does the extensor thrust reflex test test?
posture
31
What is the caudal cutaneous sural nerve a branch of and what does it supply?
the ischiatic nerve, the skin on the caudolateral thigh and crus
32
What does the ischiatic nerve start as and when does it become the ischiatic nerve.
It starts as the lumbosacral trunk and travels ventrally from the plexus over the inner surface of the ilium. It is named the ischiatic as it passes over the gemelli, caudal to the greater trochanter
33
After becoming the ischiatic nerve, what is its course?
it passes distally medial to the caudal part of the biceps femoris, ten just proximal to the stifle it divides into the peroneal and tibial branches
34
What can cause nerve damage to the ischiatic nerve?
compression against the bony pelvis at parturition, fractures of the sacrum, ilium, or femur, or the use of the inappropriate size hypodermic needles
35
What are the roots of the femoral nerve?
L4-L6
36
What does the femoral nerve supply?
the main hip flexor, all of the stifle extensors
37
What is the main hip flexor?
iliopsoas
38
What is the main stifle extensor?
the quadriceps femoris
39
What is the branch of the femoral nerve?
the saphenous nerve
40
What does the saphenous nerve supply?
the sartorius and is sensory to the medial thigh, crus, and pes
41
When does the saphenous break off and what is the course of it?
it branches off from the main trunk the femoral nerve while in the iliopsoas and runs distally through the femoral triangle on the medial aspect of the thigh along the caudal border of the sartorius
42
in the femoral triangle, where is the saphenous nerve in relation to the femoral artery and vein?
it is located cranial to them
43
What does the saphenous do at the distal thigh?
it divides into cranial and caudal branches
44
What do the cranial and caudal branches of the saphenous nerve accompany?
the cranial and caudal branches of the saphenous artery
45
What is the course of the femoral nerve?
it is imbedded deep in the iliopsoas muscle and then enters the quadriceps femoris
46
What can cause nerve damage to the femoral nerve?
overextension of the hip
47
What does femoral nerve damage cause?
motor and sensor deficit, cannot bear weight
48
Why is the patient non weight bearing if the femoral nerve is damaged?
because the quadriceps femoris is not functional
49
What are the roots of the obturator nerve?
L5-L6
50
What does the obturator nerve innervate?
the adductor group muscles
51
What is the course of the obturator nerve?
courses across the interior surface of the pelvic cavity, dorsal to the cranial part of the ischium, hooks over the cranial edge of the obturator foramen as it runs ventrally out of the pelvic cavity into the pelvic limb
52
What can cause nerve damage to the obturator?
it can become compressed against the ilium by large sized puppies or excessive abduction
53
What does nerve ddamage to the obturator cause?
loss of adduction, the limb splays laterally
54
What is the course of the cranial and caudal gluteal nerves?
passes along with the artery of the same name over the dorsal border of the greater ischiatic notch to reach target muscles
55
What is the course of the cranial gluteal muscle to its target muscles?
it is larger and more cranial and passes through the middle gluteus
56
What does the cranial gluteal nerve innervate?
the middle and deep gluteal and the tensor fascia lata
57
What does the caudal gluteal nerve innervate?
superficial gluteal, piriformis, and a small portion of the biceps femoris
58
What is the caudal gluteal nerve partly responsible for?
hip extension and abduction
59
What can cause damage to the gluteal muscles?
fractures of the ilium
60
Where is the pudendal nerve located?
lateral to the coccygeus muscle towards the floor of the pelvis
61
What does the pudendal nerve divide into?
the caudal rectal nerve and cutaneous nerves
62
What does the caudal rectal nerve of the pudendal supply?
the external sphincter muscle
63
What do the cutaneous nerves of the pudendal supply?
the skin of the external genitalia and perineal region
64
What could damage the pudendal nerve?
it could be damaged in surgery in this region while correcting a perenial hernia
65
What does damage to the pudendal nerve cause?
failure to retract the distended penis into the prepuce, anal sphincter dysfunction, lack of sensation in the perineal region
66
What tests damage to the pudendal nerve?
the perineal reflex test
67
What is the perineal reflex test?
sticking an object into the anal orifice
68
What nerves supply the dorsal surface of the paw?
the superficial and deep peroneal (fibular) nerve
69
What supplies the superficial structures of the plantar surface of the paw?
the medial plantar nerve of the tibial nerve
70
What supplies the deep structures of the plantar surface of the paw?
the lateral plantar nerves of the tibial nerve
71
What supplies the medial side of digit II?
the saphenous nerve