Sacral Plexus Flashcards
What is the sacral plexus formed by
anterior primary rami of L4, L5, S1-3, and part of S4
where do the contributions of L4 and L5 come from?
lumbosacral trunk
the plexus forms on the anterior surface of what muscle
piriformis
nerve to quadratus femoris and gemellus inferior fibers and actions
L4, L5, S1 lateral rotation and adduction of the thigh
this nerve leaves the pelvis through the greater sciatic foramen before re-entering the pelvis through the lesser sciatic foramen
nerve to the obturator internus and gemellus superior
nerve to the obturator internus and gemellus superior fibers and action
L5, S1, S2, lateral rotation and abduction
branches off of the pudendal nerve within the pudendal canal
inferior rectal and perineal
nerve that carries sensor info from the skin around the anus and inferior 2/3 of the anal canal, provides motor supply to the external anal sphincter
inferior rectal nerves
deep branch of the perineal nerve supplies these muscles
external anal sphincter, bulbospongiosus, ischiocavernosus, superficical transverse perineus
superifical branch of the perineal nerve carry sensory fibers from this
in males: posterior scrotum, urethral mucosa, and bulb of penis
In females: labium majus, external urethral orifics, and vestibule
the terminal branch of the pudendal nerve
males: dorsal nerve of the penis females: clitoris
the dorsal nerve of the penis or clitoris supply these muscles
deep transverse perineus, urethral sphincter
the dorsal nerve also carries sensory information from these areas
males: corpus cavernosum, glans penis, and skin covering penis
females: corpus cavernosum, clitoris
nerve to the piriformis fibers
s1 and s2
superior gluteal nerve fibers
l4, l5, s1
the superior branches of the superior gluteal nerve supply these muscles
gluteus medius and minimus
the inferior branches of the superior gluteal nerve supply these muscles
gluteus medius, gluteus minimus, tensor fascia lata
inferior gluteal nerve fibers
l5, s1, s2
inferior gluteal nerve supplies these muscles
gluteus maximus
the perforating cutaneous nerve pierces this membrane
sacrotuberous ligament
the perforating cutaneous nerve fibers
anterior divisions s2, s3 and posterior divisions of s1 and s2
Nerves that make up the sciatic nerve and their fibers
medial = tibial nerve formed from the anterior divisions of L4-S3
Lateral = common fibular nerve formed from the posterior divisions of L4-S2
the sciatic nerve travels posterior to this muscle
adductor magnus
common fibular nerve supplies this muscle in the thigh
biceps femoris (short head)
sensory branches of the common fibular nerve
the lateral sural cutaneous nerve - supplies the skin of the lateral aspect of the leg
fibular communicating branch - forms the sural nerve after combining with the medial sural cutaneous
the common fibular divides into a superficial fibular nerve that supplies these muscles
fibularis longus and fibularis brevis
common fibular –> superficial fibular –> medial dorsal cutanous and intermediate dorsal cutaneous nerves sensory supply
dorsum of foot except for skin between first two toes
common fibular nerve damage, specifically to the deep fibular nerve that supplies the extensors
steppage gait aka foot drop
while combined with the common fibular nerve the tibial nerve supplies these muscles
biceps femoris (long head), semitendinosus, semimembranosus, adductor magnus
in the popliteal fossa the tibial nerve gives off two branches, an articular branch supplying the knee and the muscular branches supplying these muscles
popliteus, gastrocnemius, soleus, and plantaris
muscular branches of the tibial nerve supply these muscles in the leg and a medial calcaneal sensory branch
flexor digitorum longus, flexor hallicus longus, tibialis posterior
after traveling around the medial malleolus to the planter surface of the foot it divides into these two termianl branches
medial plantar nerve, lateral plantar nerve
medial plantar nerve muscle supply
abductor hallicus, flexor digitorum brevis, flexor hallicus brevis
medial plantar nerve divisions
common plantar digital nerves - motor supply to lumbricals 1 and 2
proper plantar digital nerves - sensory supply to skin between the toes
lateral plantar nerve division
superficial branch - skin around 5th digit
deep branch - adductor hallicus, flexor digiti minimi brevis, abductor digit minimi, quadratus plantae, lateral lumbricals interossei muscles