quiz 5: sacral plexus Flashcards
how many pairs of sacral spinal nerves are there
5
the nerves descend inside the dura to form much of the
cauda equina
each sacral nerve divides into
an anterior and posterior primary ramus
what makes up the posterior primary rami
s1-s4
what do the posterior primary rami travel through
the 4 posterior sacral foramina
what does s5 travel through
sacral hiatus
the sacral posterior rami decrease in size from
superior to inferior
the posterior primary rami of s1-s3 divide into
medial and lateral branches
what do the medial branches supply
the adjacent multifidi
what do the lateral branches combine with
L5 and s4
what do the lateral branches supply
skin over the buttocks
the posterior primary rami of ___ unite with the coccygeal posterior rami
S4 and S5
what does the posterior primary rami of S4 and S5 and the coccygeal posterior rami supply
the skin over the coccyx
what do the anterior primary rami of S1-S4 travel through
the 4 anterior sacral foramina
what does the anterior primary rami contribute to
the sacral (S1-S4) and coccygeal (S4,S5) plexuses
3 or 4 sacral sympathetic ganglia communicate with the
sympathetic trunk
what will each sacral nerve of the anterior primary rami receive
postganglionic sympathetic fibers
what does each nerve receive postganglionic sympathetic fibers from
gray ramus communicans
what forms the sacral plexus
L4, L5, S1-S3, and part of S4
the contributions from L4 and L5 are by way of the
lumbosacral trunk
where does the plexus form
on the anterior surface of the piriformis muscle
when do the nerve roots divide into an anterior and posterior division
shortly after exiting their IVF/sacral foramen
what fibers make up the nerve to the quadratus femoris and gemellus inferior
L4, L5 and S1
where does the nerve to the quadratus femoris and gemellus inferior leave the pelvis
through the greater sciatic foramen
what is the function of the nerve to the quadratus femoris and gemellus inferior
muscles that contribute to lateral rotation and adduction of the thigh
what fibers make up the nerve to the obturator internus and gemellus superior
L5, S1, and S2
where does the nerve to the obturator internus and gemellus superior leave the pelvis
through the greater sciatic foramen-> then gives off branches to the gemellus superior
where does the nerve to the obturator internus and gemellus superior reenter the pelvis
via the lesser sciatic foramen
what does the lesser sciatic foramen supply
the obturator internus
what is the function of the nerve to the obturator internus and gemellus superior supply
muscles that contribute to lateral rotation and abduction of the thigh
what fibers make up the pudendal nerve
S2, S3 and S4
where does the pudendal nerve leave the pelvic cavity
through the greater sciatic foramen
what does the pudendal nerve arch around
ischial spine
what does the pudendal nerve enter the perineum via
lesser sciatic foramen
what does the pudendal nerve travel in
the pudendal canal
what does the pudendal nerve travel inferior to
the pubic symphysis
what does the pudendal nerve supply
the dorsal side of the penis or clitoris
what comes off the pudendal nerve within the pudendal canal
several branches
what do the inferior rectal nerves supply
skin around the anus and the inferior 2/3 of the anal canal
what nerve is associated with the anal pucker response
inferior rectal nerves
what muscle does the inferior rectal nerve supply
external anal sphincter
the ___ nerve is given off the pudendal nerve and divides into deep and superficial branches
perineal nerve
what muscles does the deep branch of the perineal nerve supply
external anal sphincter, bulbosponsiosus, ischiocavernosus, superficial transverse perineus
what does the superficial branches of the perineal nerve supply
posterior scrotum, urethral mucosa, bulb of the penis, labium magus, external urethral orifice and vestibule
the terminal branch of the pudendal nerve (dorsal nerve of the penis or clitoris) supplies what muscles
deep transverse perineus and urethral sphincter muscles
what does the dorsal nerve supply
sensory to the corpus cavernous, glans penis, skin covering the penis, corpus cavernosum and clitoris
what fibers form the muscular branches off the sacral plexus
S4