sacral plexus Flashcards

1
Q

what is the spinal root value of the sacral plexus

A

anterior fibres of S1-S4

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2
Q

what nerves originate from the sacral plexus

A
superior gluteal 
inferior gluteal 
sciatic 
posterior femoral cutaneous 
pudendal nerve
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3
Q

what muscle does the sacral plexus sit on

A

piriformis

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4
Q

what foramen do most of the nerves pass through

A

greater sciatic

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5
Q

root value of superior gluteal nerve

A

L4-S1

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6
Q

what muscles does the superior gluteal nerve innervate

A

gluteus minimus
gluteus medius
tensor fascia lata

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7
Q

what is the root value for the inferior gluteal nerve

A

L5-S2

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8
Q

what muscle does the inferior gluteal nerve innervate

A

gluteus maximus

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9
Q

what is the root value for the sciatic nerve

A

L4-S3

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10
Q

what muscles does the sciatic nerve innervate

A

all muscles in posterior compartment of thigh, leg and sole of foot

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11
Q

what areas of skin does the sciatic nerve supply

A

tibial branch - posterolateral leg, lateral foot, sole of foot
common fibular - lateral leg, dorsum of foot

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12
Q

what is the root value of the posterior femoral cutaneous nerve

A

S1-S3

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13
Q

what area of skin does the posterior femoral cutaneous nerve innervate

A

posterior surface of thigh and leg

perineal branch innervates most skin of perineum

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14
Q

root value of pudendal nerve

A

S2-S4

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15
Q

what muscles does the pudendal nerve innervate

A

skeletal muscles in perineum
external anal sphincter
external urethral sphincter
levator ani

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16
Q

what area of skin does the pudendal nerve innervate

A

penis
clitoris
skin around anus
anal canal

17
Q

what foramina does the pudendal nerve pass through

A

greater sciatic foramen

lesser sciatic foramen

18
Q

what ligament does the pudendal nerve cross to go from the greater to lesser sciatic foramen

A

sacrospinous ligament

19
Q

what forms the pudendal canal

A

the fascia of the obturator internus

20
Q

where is the pudendal canal

A

inner aspect of ischium
below obturator foramen
moves posterior to anterior

21
Q

what are the contents of the pudendal canal

A

internal pudendal artery and veins

pudendal nerve

22
Q

what branches does the pudendal nerve give off in the pudendal canal

A

inferior rectal

perineal nerve

23
Q

what does the pudendal nerve continue as in the pudendal canal

A

dorsal nerve of penis or clitoris

24
Q

what muscles does the perineal nerve inervate

A

levator ani muscles
bulbospongiosus
ischiocavernosus

25
what does the dorsal nerve innervate
skin of penis or clitoris
26
what anatomical pathway does the pudendal nerve take
goes through greater sciatic foramen anterior to piriformis | follows ischial spine to enter pelvis again through the lesser sciatic foramen and supplies the perineum
27
describe the anatomical pathway of the superior gluteal nerve
passes through greater sciatic foramen over piriformis to supply gluteus medius and minimus
28
describe the anatomical pathway of the inferior gluteal nerve
passes under piriformis through greater sciatic foramen to supply gluteus maximus
29
describe the anatomical pathway of the obturator nerve
from lumbar plexus runs along lateral wall of pelvis enters obturator canal over the top of psoas major and exists the pelvis to supply the medial thigh
30
obturator nerve route
L2-4
31
superior and inferior gluteal nerve routes
L4-S1 sup | L5-S2 inf
32
where does autonomic innervation of the pelvis come from
sacral and lumbar sympathetic trunks (located medial to spinal nerves)
33
what nerve innervates the skin of the external genitalia
ilioinguinal
34
what effect do parasympathetic nerves have on bladder, rectum and penis
contracts bladder contracts rectum erection
35
what nerves cause ejaculation
sympathetic point and shoot para for erection, symp for ejaculation