Practical topic 18 Flashcards

Lumbar muscles, plexus lumbalis

1
Q

Give the muscles of the pelvic girdle

A
  1. M. psoas minor
  2. M. iliopsoas
  • M. psoas major
  • M. Iliacus medialis
  • M. iliacus lateralis
  1. M. quadratus lumborumps
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2
Q

M. Psoas minor

A

Origin: Corpus of the last few thoracic vertebrae and L1-5

Insertion: Linea arcurata of Os ilium, near eminentia iliopubica (iliac?)

Action:

  • If the vertebral column is fixed: draws pelvis into a deeper position.
  • When the pelvis is fixed: arches lumbar region and flexes vertebral column.

Innervation: N. Femoralis

Blood supply: A. iliolumbalis

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3
Q

M. Psoas major

A

Origin: Ventrally from corpus and processus transversus of lumbar vertebrae

Insertion:

  • Trochanter minor of femur (medially) between m. Rectus femoris and m. Pectineus.
    • Together with m. Iliacus

Action:

  • Draws pelvic limb forward by flexing the hip joint and turning the stifle outwards.
  • When femur is fixed: stabilizes and arches it dorsally limb drawn backwards - pulls trunk caudally.

Innervation: N. Femoralis

Blood supply: A. iliolumbalis

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4
Q

M. Iliacus

A

Origin: Arising between linea arcurata and lateral border of iliac bone (sacroiliac joint)

Insertion:

  • Trochanter minor of femur (medially) between m. Rectus femoris and m. Pectineus.
    • Together with m. Psoas major.

Action: Enforcement of the sacroiliac joint.

Innervation: N. Femoralis

Blood supply: A. iliolumbalis

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5
Q

M. Quadratus lumbarum

A

Origin:

  • Th11-13 vertebra, ventrally.
  • Last two ribs
  • Processus transversus of lumbar vertebra

Insertion: Ala ossis ilii, medial surface (between articular surface and spina iliaca cranialis ventralis of tuber coxae).

Action: Fixation and dorsal flexion of vertebral column.

Innervation: N. femoralis

Blood supply: A. iliolumbalis

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6
Q

Spinal nerves

A

Dorsal and ventral ramus joins as they leave the spinal column, and divides again after exiting through foramen intervertebrale

  • Each dorsal branch: divides into medial and lateral branch:
    • R. medialis: innervate muscles of the back
    • R. lateralis: innervates the skin over the “rump” region
  • Each ventral branch will interconnect → forms the plexus
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7
Q

Plexus lumbalis:

How many lumbar nerves does the dog have?

A

7

The number of lumbar nerve corresponds with the number of lumbar vertebrae

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8
Q

Which nerves does the plexus lumbalis consists of?

A
  1. N. iliohypogastricus cranialis
  2. N. iliohypogastricus caudalis
  3. N. ileoinguinalis
  4. N. cutaneus femoris lateralis
  5. N. femoris (thickest)
    • N. saphena (given off in canalis femoralis)
  6. N. obturatorius
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9
Q

N. iliohypogastricus

  1. Arises from
  2. Divides into
A
  1. L1 and L2
  2. Divides into:
    • Medial branch
      • Passes through the inguinal region
    • Lateral branch:
      • Innervates the skin of the abdominal wall

In Ca and Fe divided into:

  • N. iliohypogastricus cranialis
  • N. iliohypogastricus caudalis
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10
Q

N. ilioinguinalis

  1. Arises from
  2. Divides into
A
  1. L3
  2. Follow similar path to n. iliohypogastricus
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11
Q

N. genitofemoralis

  1. Arises from
  2. Where does it rum
  3. Innervates
A
  1. L3 and L4
  2. Runs caudally between the lumbar muscles and exit through the canalis inguinalis
  3. Innervates:
    • Medial muscles of the thigh
    • Vulva / scrotum
    • prepuce
    • Autonomous fibers to ensure milk “let-down”
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12
Q

N. cutaneus femoralis lateralis

  1. Arises from
  2. Innervates
A
  1. L4
  2. Innervates:
    • Skin over the distal thigh
    • Articulatio genus (stifle joint)
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13
Q

N. femoralis

  1. Where does it go
  2. Branches
A
  1. Courses through mm. psoas. Along with a. iliaca externa and v. iliaca communis
  2. Branches:
    • N. saphena
      • Branch to m. sartorius, supplies skin over medial aspect of the limb from stifle → metatarsus
    • Muscle branches to m. quadriceps femoris
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14
Q

N. obturatorius

Where does it run?

A

Medial aspect of the shaft of the ilium

→ foramen obturatorium

→ mm. adductors

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15
Q

Truncus lumbosacralis

  1. Where does it leave pelvis?
  2. Give the branches
A
  1. Leaves the pelvis through the greater sciatic formaen
  2. Detach 3 branches:
    • N. gluteus cranialis
    • N. gluteus caudalis
    • N. ischiadicus
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16
Q

Lubosacral plexus

Removed sublumbar musculature and terminal branches of the aorta

A
  • → Ventral branches of spinal nerves
  1. L4
  2. S1
  3. S3
  4. N. femoralis cutanei lateralis
  5. N. femoralis
  6. N. saphena
  7. n. obturatorium
  8. Lumbosacral trunk
    • Formed by L6, L7 and S1 ventral branches
    • Can be seen entering the greater ischiadic notch
  9. Pelvic nerve
  10. Femoral vessels
  11. A. glutea caudalis