Sacral Plexus Flashcards

1
Q

What spinal nerves form the sacral plexus?

A

anterior primary rami of L4,L5,S1-3 and part of S4

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2
Q

How do L4 and L5 contribute to the plexus?

A

the lumbo sacral trunk

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3
Q

where does the sacral plexus form?

A

anterior surface of the piriformis muscle

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4
Q

what do the sacral nerve roots divide into after leaving the sacral foramen?

A

anterior and posterior divisions

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5
Q

What are the branches off the anterior divisions?

A

Nerve to the quadrates femoris & Gemellus inferior
Nerve to the obturator interns and gemellus superior
pudendal nerve
pelvic splanchnic nerves

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6
Q

What nerves from the nerve to the quadrates femurs and gemellus inferior?

A

L4, L5, and S1

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7
Q

How does the nerve to the Quadratus femurs and Gemellus Inferior leave the pelvis?

A

Greater sciatic foramen

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8
Q

What motion fdoes the Nerve to the Quadratus Femoris and Gemellus Inferior contribute to?

A

lateral rotation and adduction of the thigh

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9
Q

What spinal nerves form the Obturator Internus and Gemellus superior?

A

L5, S1, S2

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10
Q

How does the nerve to the obturator internus an gemellus superior leave the pelvis?

A

the greater sciatic foramen

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11
Q

What does the nerve to the obturator internus and gemellus superior give off after leaving the pelvis?

A

branches to te gemellus superior

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12
Q

What does the nerve to the obturator internus and gemellus superior re-enter the pelvis?

A

the lesser sciatic foramen

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13
Q

Once the nerve to the obturator interns and gemellus superior re-enters the pelvis, what muscle does it supply?

A

the obturator internus

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14
Q

The muscle supplies by the nerve to the obturator interns and gemelus superior contribute to what motion?

A

lateral rotation and abduction of the thigh

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15
Q

Which spinal nerves make up the pudendal nerve?

A

S2, S3, S4

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16
Q

How does the pudendal nerve exit the pelvis?

A

the greater sciatic foramen

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17
Q

Where does the pudendal nerve travel through to the penis and clitoris?

A

the pudendal canal

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18
Q

How does the pudendal nerve get into the periosteum?

A

the lesser sciatic foramen

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19
Q

what beaches come off of the pudendal nerve within the pudendal canal?

A

inferior rectal nerve
perineal nerve
terminal branch of the pudendal nerve

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20
Q

Where do the inferior rectal nerves carry sensory information from?

A

skin around the anus and inferior 2/3 of anal canal

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21
Q

What muscle does the inferior rectal nerve supply?

A

external anal sphincter

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22
Q

What are two branches of the perineal nerve (pudendal branch)?

A

deep (motor) and superficial (sensory) branches

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23
Q

What muscle do the deep branches of the perineal nerve supply?

A

external anal sphincter
bulbospongeosum
ischiocavernosum
superficial transverse perenius

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24
Q

Where does the superficial branch of the perineal nerve bring sensory info from?

A
posterior scrotum
urethral mucosa
bulb of penis
labium malus
external urethral orifice
vistibule
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25
What is the terminal branch of the pudendal nerve?
the dorsal nerve of the penis/clitoris
26
What does the dorsal nerve supply?
deep transverse perineum and urethral sphincter muscles
27
Where does the dorsal nerve carry fibers from in males?
corpus cavernosum glans penis skin covering penis
28
Where does the dorsal nerve carry fibers from in females?
corpus cavernosum and clitoris
29
What do the individual muscle fibers of the anterior division supply?
levator ani and coccygeal muscles
30
What fibers are in the Pelvic Splachnic Nerve?
S2, S3, S4,
31
What are the branches of the posterior division of the Sacral Plexus?
Nerve to the piriformis superior gluteal nerve inferior gluteal nerve perferating cutaneous nerve
32
What does the nerve to the piriformis supply?
the piriformis
33
What spinal nerves contribute to the nerve to the piriformis?
S1 and S2
34
What spinal nerves make up the superior gluteal nerve?
L4, L5, S1
35
How does the superior gluteal nerve leave the plexus?
The greater sciatic foramen
36
What two branches does the superior gluteal nerve become after leaving the pelvis?
superior and inferior branches
37
What does the superior branch of the superior gluteal nerve supply?
Gluteus Medius and minimus
38
What does the inferior branch of the Superior Gluteal Nerve supply?
Gluteus medius, gluteaus minimus, and tensor fascia lata
39
The inferior gluteal nerve caries which spinal nerves?
L5, S1, S2
40
How does the inferior gluteal nerve leave the pelvis?
the Greater Sciatic foramen
41
What muscle does the inferior gluteal nerve innervate?
Gluteus maximus
42
What fibers are in the perforating cutaneous nerve?
S2 and S3
43
What structure does the perforating cutaneous nerve travel through to reach the lower medial aspects of the buttocks?
sacrotuberous ligament
44
The Perferating Cutaneous Nerve is ALWAYS present.
False; sometimes it is absent, sometimes it is a branch off of the pudendal nerve
45
What spinal nerves does the posterior cutaneous nerve of the thigh carry?
anterior divisions of S2 and S3 | posterior divisions of S1 and S2
46
How does the posterior cutaneous nerve of he thigh leave the pelvis?
the greater sciatic foramen
47
What nerve will the posterior cutaneous nerve of the thigh communicate with while descending the posterior thigh and inferior leg?
Sural nerve
48
What does the Posterior Cutaneous nerve of the thigh supply?
skin on the posterior and medial thigh
49
What is the largest nerve in the human body?
the Sciatic nerve
50
How large is the sciatic nerve?
2 cm diameter
51
How does the sciatic nerve leave the pelvis?
Through the greater sciatic foramen (below the piriformis)
52
The sciatic nerve plits 2/3 the way down before the knee into which two nerves?
tibial and common fibular
53
Which of the two sciatic nerve branches is medial?
Tibial nerve
54
Before separating, where does the sciatic nerve branch to supply a muscle?
biceps femoris (short head)
55
What is ter nerve course of the common fibular nerve?
around the lateral aspect of the fibula
56
What two branches are given off the common fibular nerve at the lateral popliteal fossa?
lateral sural cutaneous nerve and fibular communicating branch
57
What does the lateral sural cutaneous nerve supply?
the skin on the lateral aspect of the leg
58
what happens to the fibular communicating branch?
it becomes the aural nerve after combining with the medial sural cutaneous
59
After leaving the popliteal fossa, the common fibular nerve splits into what two nerves?
superficial and deep fibular nerves
60
What two muscles does the superficial fibular nerve supply?
fibularis longus and fibularis brevis
61
Superficial fibular nerve splits into what two nerves in the foot?
medial and intermediate dorsal cutaneous nerve
62
What does the medial an intermediate dorsal cutaneous nerve of the foot combine to supply?
sensory from the skin on the dorsum of the food
63
What muscles does the deep fibular nerve supply?
``` Tibialis anterior extensor digitorum longus extensor digitorum brevis extensor hllicus longus extensor hallicus brevis fibularis tertius ```
64
What branch of the common fibular nerve supplies the extensor muscles of the foot and toes?
deep fibular nerve
65
which nerve off the common fibular nerve has a terminal sensory branch that supplies the skin between the first two toes?
Deep fibular nerve
66
What is a clinical aspect of the common fibular nerve?
steppage gate
67
What nerve is larger than the common fibular nerve?
Tibial nerve
68
Before leaving the common fibular nerve, what muscle does the tibial nerve supply?
biceps femoris (long head) semitendinosus semimembranosis adductor magnus
69
In the popliteal fossa, what branches are given off of the tibial nerve?
articular branches muscular branches popliteal branch
70
What does the articular branch of the tibial nerve supply?
knee joint
71
What do the muscular branches of the tibial nerve supply?
popliteus gastrocnemius soleus plantaris
72
What does the popliteal branch of the tibial nerve become as id travels inferior?
interosseous nerve of the leg
73
What information does the interosseous nerve of the leg carry?
sensory from the tibial periosteum | also from the ankle and tibiofibular joints
74
In the leg, the tibial nerve gives rise to what sensory branches?
medial calcaneal branches
75
What information does the medial calcaneal branches carry?
sensory for the skin over the medial heel
76
The tibial nerve travels around the medial malleolus to what part of the foot?
dorsal plantar
77
At the plantar portion of the foot, the tibial nerve terminates into which two nerves?
the medial plantar nerve and the lateral plantar nerve
78
What muscles do the medial plantar nerves supply?
abductor hallicuces flexor digitorum brevis flexor hallucis brevis
79
the medial plantar nerve divides into what secondary nerves?
common plantar digital nerves
80
What do the common plantar nerves supply?
motor to lumbercals 1 &2 | sensory to skin between toes by way of the prober plantar digital nerves
81
What two branches do the lateral plantar nerves split into?
superficial and deep branches
82
What does the superficial branch of the lateral plantar nerves supply?
sensory to the skin around the 5th digit
83
What does the deep branch of the lateral plantar nerves supply?
adductor allicuses flexor digiti minimi brevis lateral lumbercles interossei muscles
84
What are the clinical considerations of the tibial nerve?
flexor paralysis hammer toes "claw foot"