T116 Pelvis and Perineum Flashcards
Nerves: a. motor target b. sensory target c. spinal contributions d. course
sacral plexus
?
pelvic splanchnic nerves
?
sciatic nerve
?
pudendal nerve
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor target: skeletal muscles in perineum (external urethral sphincter, anal sphincter, levator ani)
b. sensory target: penis, clitoris, and skin of perineum
c. S2 to S4
d.
1. forms anteriorly to the lower part of the piriformis
2. passes through the greater sciatic foramen
3. around the sacropspinous ligament
4. through the lesser sciatic foramen
superior gluteal
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor target: gluteus mediu, gluteus minimus, tensor fasciae latae
b. none
c. L4-S1
d. 1. leaves pelvic cavity superior to piriformis through greater sciatic foramen
inferior gluteal
a. motor target
b. sensory target
c. spinal contributions
d. course
a. gluteus maximus
b. sensory: none
c. L5 to S2
d. leave pelvic cavity inferior to piriformis through greater sciatic foramen
nerve to obdurator internus and superior gemellus
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor target; obturator internus and sup. gell.
b. sensnory: none
c. L5-S2
d. leaves through greater sciatic foramen
nerve to quadratus femoris & inferior gellemus
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor: quadratus femoris and inferior gellemus
b. sensory: none
c. L4 to S1
d. 1. leave pelvic cavity through the greater sciatic foramen inferior to piriformis muscle 2. course to muslces and skin
posterior femoral cutaneous
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor: none
b. sensor; skin on the posterior aspect of the thigh
c. S1, S3
d. 1. leave pelvic cavity through the greater sciatic foramen inferior to piriformis muscle 2. course to muslces and skin
perorating cutaneous
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor: piriformis muscle
b. sensory: none
c. L5, S1, S2
d. 1. leaves pelvic cavity by penetrating directly through the sacrotuberous ligament 2. courses to skin over the inferior aspect of the buttock
nerve to piriformis
a. motor target
b. sensory target
c. spinal contributions
d. course
a. piriformis muscle, poserior pelvic wall
b. piriformis muscle
c.
d. S1, S2 sacral plexus and passes directly to its target
nerves to levator ani, coccygeus, and external anal sphincter
a. motor target
b. sensory target
c. spinal contributions
d. course
a. motor: overlaps with pudendal
b. sensory: cutaneous, between anus/ occyx
c. spinal contributions: S4
d. arise from sacral plexus and passes directly to its target
pelvic splanchnic nerves
a. motor target
b. sensory target
c. spinal contributions
d. course
a. preganglionic parasympathetic
stimulates erection, modulate mobility in gastrointestinal system distal to the left colic flexure, inhibitory to internal urethral sphincter
b. sensory: visceral afferent from pelvic viscera, pain from cervix, possibly bladder/ proximal urethra
c. S2, S3, sometimes S4
d.
coccygeal plexus
a. motor target
b. sensory target
c. spinal contributions
d. course
a. none
b. sensory: cutaneous innervation of perianal skin
c. S4 to Co
d.
ganglion impar
wh: a single small ganlion at the union of the two sympathetic trunks in front of the coccyx
sacral splanchnic nerves
? connect the sympathetic trunk and inferior hypogastric plexus
hypogastric nerves
branches of the superior hypogastric plexus that meet preganglionic parasympathetic fibers from S2 to S4 to form the inferior hypogastric plexus
superior hypogastric plexus
whr: anterior to vertebra LV
fibers: sympathetic, parasympathetic, visceral afferent
descent: form hypogastric “nervs”
pelvic plexuses (inferior hypogastric plexuses)
whr: inferior around the pelvic wall, medial to major vessels
formation: superior hypogastric plexus + preganlgionic parasympathetic fibers, S2 to S4
rectal plexus
a branch of the hypogastric plexus that innervates the rectum
uterovaginal plexus
a branch of the hypogastric plexus that innervates the uterus/ vagina
prostatic plexus
a branch of the hypogastric plexus that innervates the prostate
vesical plexus
?
cavernous nerves
inferior hypogastric plexus> prostatic plexus> cavernous nerves
internal iliac artery
posterior trunk
a. iliolumbar artery
b. lateral sacral artery
c. superior gluteal artery
anterior trunk
a. umbilical artery
b. superior vesicular artery
c. inferior vesical artery
d. vaginal artery
e. middle rectal
f. obturator artery
g. internal pudendal artery
h. inferior gluteal artery
i. uterine artery
suspensory ligament of the ovary carries ?
gonadal vessels, the vaginal and ovarian arteries, both branches of the anterior trunk of the internal iliac artery