Lumbar Plexus Anatomy Quiz

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Questions and Answers

What is the primary role of the obturator nerve in regards to muscle movement?

  • Bending and extending the leg from the thigh to the knee (correct)
  • Flexing the knee
  • Extending the spine
  • Rotating the arm

Which nerve is responsible for sensory innervation of the skin on the medial leg and foot?

  • Femoral nerve (correct)
  • Superior gluteal nerve
  • Obturator nerve
  • Inferior gluteal nerve

Which muscle is NOT supplied by the obturator nerve?

  • Adductor longus
  • Gluteus maximus (correct)
  • Gracilis
  • Adductor magnus

What structure does the sacral plexus primarily form from?

<p>Ventral rami of L4-L5 and S1-S4 (D)</p> Signup and view all the answers

Which nerve innervates the hip adductors?

<p>Obturator nerve (C)</p> Signup and view all the answers

What is the primary sensory function of the pudendal nerve?

<p>Supplies sensory information to the skin of the perineum (B)</p> Signup and view all the answers

Which muscle is associated with the superior gluteal nerve?

<p>Tensor fasciae latae (B)</p> Signup and view all the answers

What is one of the sensory functions of the obturator nerve?

<p>Sensory supply to the skin over the proximal part of the medial thigh (D)</p> Signup and view all the answers

Which muscle does the nerve to the quadratus femoris NOT innervate?

<p>Obturator internus (D)</p> Signup and view all the answers

Which nerve branches off the sciatic nerve?

<p>Tibial nerve (D)</p> Signup and view all the answers

Which nerve exits through the greater sciatic foramen above the piriformis muscle?

<p>Superior gluteal nerve (C)</p> Signup and view all the answers

Which area does the posterior femoral cutaneous nerve primarily innervate?

<p>Posterior surface of the thigh (D)</p> Signup and view all the answers

Which of the following muscles is NOT innervated by the tibial nerve?

<p>Short head of the biceps femoris (B)</p> Signup and view all the answers

What is the innervation of the external anal sphincter?

<p>Pudendal nerve (C)</p> Signup and view all the answers

Which of the following is NOT a branch of the sacral plexus?

<p>Long thoracic nerve (D)</p> Signup and view all the answers

Which structure does the tibial nerve primarily provide sensory rami to?

<p>Knee joint (C)</p> Signup and view all the answers

Which nerve is primarily responsible for the sensory innervation of the dorsum of the foot?

<p>Superficial fibular nerve (C)</p> Signup and view all the answers

What is the primary motor function of the deep fibular nerve?

<p>Extension of the toes and dorsiflexion of the ankle (B)</p> Signup and view all the answers

Which of the following muscles is primarily responsible for lateral rotation of the knee?

<p>Popliteus (B)</p> Signup and view all the answers

What sensory function is associated with the sural nerve?

<p>Posterolateral leg and lateral side of the foot (C)</p> Signup and view all the answers

Which muscle does NOT receive innervation from the tibial nerve in the posterior compartment of the leg?

<p>Short head of biceps femoris (C)</p> Signup and view all the answers

Which plantar nerve innervates digits IV and V?

<p>Lateral plantar nerve (B)</p> Signup and view all the answers

Which region does the lateral cutaneous branch of the iliohypogastric nerve provide sensory innervation to?

<p>Posterolateral gluteal region (A)</p> Signup and view all the answers

Which cutaneous nerve is formed by the lateral sural and medial sural nerves?

<p>Sural nerve (C)</p> Signup and view all the answers

Which spinal nerves contribute to the lumbar plexus?

<p>L1 – L4 and T12 (B)</p> Signup and view all the answers

What is the primary motor innervation provided by the iliohypogastric nerve?

<p>Transvers abdominis muscle (B)</p> Signup and view all the answers

Which muscle is responsible for flexing the great toe?

<p>Flexor hallucis longus (D)</p> Signup and view all the answers

What can result in damage to the iliohypogastric nerve?

<p>Surgical trauma during appendectomy (C)</p> Signup and view all the answers

Which nerve arises from L1 and is positioned posterior to the psoas major?

<p>Genitofemoral nerve (D)</p> Signup and view all the answers

What is the primary function of the ilioinguinal nerve?

<p>Sensory innervation to the abdominal wall and groin (B)</p> Signup and view all the answers

Which muscle is NOT innervated by the iliohypogastric nerve?

<p>Rectus abdominis (B)</p> Signup and view all the answers

Which condition can lead to burning pain in the suprapubic area associated with iliohypogastric nerve damage?

<p>Rapid abdomen expansion during pregnancy (A)</p> Signup and view all the answers

What potential complication is associated with inguinal hernia repair regarding ilioinguinal nerve?

<p>Chronic groin pain lasting over three months (D)</p> Signup and view all the answers

The upper lateral border of which muscle does the iliohypogastric nerve emerge from?

<p>Quadratus lumborum (D)</p> Signup and view all the answers

Which of the following conditions can lead to ilioinguinal nerve damage?

<p>Surgical trauma during hernia repairs (D)</p> Signup and view all the answers

Which area of the body does the lateral femoral cutaneous nerve primarily supply?

<p>Anterior and lateral thigh (D)</p> Signup and view all the answers

Which muscles are supplied by the ilioinguinal nerve?

<p>Transversus abdominis and internal oblique (D)</p> Signup and view all the answers

Which of the following correctly describes the genitofemoral nerve?

<p>Divides into femoral and genital branches upon leaving the psoas major muscle (A)</p> Signup and view all the answers

What sensation is provided by the femoral branch of the genitofemoral nerve?

<p>Anterior thigh skin (B)</p> Signup and view all the answers

The cremaster muscle is innervated by which nerve branch?

<p>Genital branch of the genitofemoral nerve (B)</p> Signup and view all the answers

Flashcards

Femoral Nerve

Nerve responsible for sensation in the skin of the anteromedial thigh, medial leg, and foot, as well as for motor control of the quadriceps muscle (thigh extension).

Anterior Cutaneous Branch and Saphenous nerve

Branches of the femoral nerve that supply sensory innervation to the skin of the anterior and medial thigh.

Obturator Nerve

A nerve that originates from the lumbar plexus and supplies motor innervation primarily to the hip adductor muscles, aiding in thigh adduction movements.

Obturator Nerve Motor Innervation

Muscles innervated by the obturator nerve: obturator externus, adductor longus, adductor brevis, adductor magnus, gracilis, and pectineus.

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Ilioinguinal nerve: Sensory

A nerve that provides sensory innervation to the anterior labial/scrotal skin, skin over the pubis, and superior antero-medial thigh.

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Ilioinguinal nerve: Motor

A nerve that provides motor innervation to the transversus abdominis and the internal oblique muscles.

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Obturator Nerve Sensory Innervation

This nerve provides sensory innervation to the proximal medial thigh and contributes to hip joint sensation.

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Ilioinguinal nerve injury

The ilioinguinal nerve can be injured during inguinal hernia repair surgeries, potentially causing chronic groin pain.

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Sacral Plexus

The sacral plexus is located on the posterior pelvic wall and is formed by the ventral rami of spinal nerves L4, L5, S1-S4. This plexus gives rise to numerous nerves that innervate the lower limb.

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Genitofemoral nerve: Femoral branch

This branch of the genitofemoral nerve provides sensation to the anterior, upper, and medial parts of the thigh.

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Superior Gluteal Nerve

A branch of the sacral plexus that innervates the gluteus medius, gluteus minimus, and tensor fasciae latae muscles, all responsible for hip abduction and external rotation.

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Inferior Gluteal Nerve

A branch of the sacral plexus that innervates the gluteus maximus muscle, responsible for hip extension and external rotation.

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Genitofemoral nerve: Genital branch

This branch of the genitofemoral nerve provides sensation to the anterior scrotal skin in males and the mons pubis and labia majora in females.

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Genitofemoral nerve: Genital motor

The genital branch of the genitofemoral nerve supplies the cremaster muscle in males, which elevates the testes.

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Lateral femoral cutaneous nerve: Origin and location

This nerve originates from the lateral border of the psoas major muscle and emerges anterior to the sartorius muscle.

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Lateral femoral cutaneous nerve: Sensory

The lateral femoral cutaneous nerve provides sensory innervation to the skin of the anterior and posterior lateral thigh, extending down to the knee.

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What is the perforating cutaneous nerve and where does it innervate?

The perforating cutaneous nerve arises from spinal nerve roots S2-S3, exits the pelvis through the greater sciatic foramen, and provides cutaneous innervation to the inferior medial part of the buttock.

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What nerve supplies sensation to the back of the thigh and leg?

The posterior femoral cutaneous nerve originates from the posterior divisions of the sacral plexus (S1-S3), exits the pelvis through the greater sciatic foramen, and travels deep to the gluteus maximus to supply the posterior surface of the thigh and leg.

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What nerve innervates the quadratus femoris muscle?

The nerve to the quadratus femoris originates from L4-S1, exits the pelvis through the greater sciatic foramen, and supplies the quadratus femoris and inferior gemellus muscles as well as a branch to the hip joint.

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What nerve innervates the obturator internus muscle?

The nerve to the obturator internus originates from L5-S2, exits the pelvis through the greater sciatic foramen, enters the lesser sciatic foramen, and supplies the obturator internus and superior gemellus muscles.

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What nerve supplies the perineum with both motor and sensory functions ?

The pudendal nerve (S2-S4) is a branch of the sacral plexus and provides motor and sensory innervation to the perineum.

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What is the largest nerve in the body?

The sciatic nerve (L4-S3) is the largest nerve in the human body and arises from the sacral plexus.

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What nerve innervates the posterior muscles of the leg?

The tibial nerve is a branch of the sciatic nerve that supplies motor innervation to the posterior muscles of the leg.

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What nerve innervates the muscles on the front and outside of the leg and provides sensation to the top of the foot?

The common fibular nerve is a branch of the sciatic nerve and innervates the anterior and lateral compartments of the leg, providing sensation to the dorsum of the foot.

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What is the origin and path of the iliohypogastric nerve?

The iliohypogastric nerve originates from spinal nerves T12 and L1, runs along the psoas major muscle, pierces the transversalis muscle near the iliac crest, and branches into anterior and lateral cutaneous branches.

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What areas are innervated by the iliohypogastric nerve?

The iliohypogastric nerve provides sensory innervation to the skin of the posterolateral gluteal region through its lateral cutaneous branch, and to the skin of the suprapubic region via its anterior cutaneous branch.

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What muscles are innervated by the iliohypogastric nerve?

The iliohypogastric nerve contributes to the motor function of the transversalis muscle, internal oblique muscle, and the conjoint tendon, all involved in abdominal wall movement.

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How can the iliohypogastric nerve be damaged and what are the clinical signs?

Damage to the iliohypogastric nerve can occur due to surgical procedures, sports injuries, or pregnancy-related abdominal expansion. Symptoms include burning pain in the suprapubic and inguinal regions.

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Describe the origin and path of the ilioinguinal nerve.

The ilioinguinal nerve originates from spinal nerve L1, travels behind the psoas major muscle, crosses the quadrates lumborum muscle, pierces the transversalis muscle, and passes through the internal oblique muscle.

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Which spinal nerves form the lumbar plexus?

T12, L1, L2, L3, and L4 spinal nerves form the lumbar plexus. The anterior ramus of T12 also contributes.

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What is the origin and function of the femoral nerve?

The femoral nerve is a major nerve of the lumbar plexus, originating from spinal nerves L2-L4, and responsible for innervating the anterior thigh muscles and providing sensory input for the anterior thigh and knee.

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What is the origin and function of the obturator nerve?

The obturator nerve, originating from spinal nerves L2-L4, innervates the medial thigh muscles and provides sensory input for the medial thigh.

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Medial Sural Cutaneous Nerve

The medial sural cutaneous nerve is a branch of the tibial nerve. It provides sensory innervation to the medial aspect of the leg.

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Tibial Nerve

The tibial nerve provides motor innervation to the muscles of the posterior compartment of the leg. This includes muscles involved in plantarflexion of the ankle and flexion of the knee.

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Lateral Plantar Nerve

The lateral plantar nerve is a branch of the tibial nerve that innervates the lateral aspect of the foot. It supplies motor innervation to muscles controlling movement of the little toe and its surrounding region.

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Medial Plantar Nerve

The medial plantar nerve is a branch of the tibial nerve responsible for innervating the medial aspect of the foot. It primarily controls the movement and sensation of the big toe and the area around it.

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Common Fibular Nerve

The common fibular nerve is a major nerve in the lower limb that branches into the deep and superficial fibular nerves. It provides motor innervation to muscles involved in dorsiflexion and eversion of the foot, as well as sensory innervation to the lateral and anterior parts of the leg and foot.

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Deep Fibular Nerve

The Deep fibular nerve supplies motor function to the muscles of the anterior compartment of the leg, which are responsible for dorsiflexion and inversion of the foot. It also provides sensory innervation to the skin between the big toe and the second toe.

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Superficial Fibular Nerve

The superficial fibular nerve provides motor function to muscles involved in eversion of the foot. It also provides sensory innervation to the anterior surface of the leg and the dorsal (top) surface of the foot.

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Sural Nerve

The sural nerve is formed by the union of the medial sural cutaneous nerve and the lateral sural cutaneous nerve. It provides sensory innervation to the back of the leg and the lateral side of the foot.

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Study Notes

Lumbar Plexus

  • Spinal nerves L1-L4 form the lumbar plexus
  • Contains contributions from the anterior ramus of T12

Iliohypogastric Nerve (T12 - L1)

  • Innervates quadratus lumborum muscle and transversus abdominis muscle
  • Sensory branches supply skin on the posterolateral gluteal region and suprapubic region
  • Motor branches supply the transversus abdominis and internal oblique muscles

Ilioinguinal Nerve (L1)

  • Located posterior to psoas major, anterior to quadratus lumborum
  • Passes through transverse abdominis and internal oblique muscles before exiting via the superficial inguinal ring
  • Sensory function for skin over the pubis and superior antero-medial thigh
  • Motor function for the transversus abdominis and internal oblique muscles

Genitofemoral Nerve (L1-L2)

  • Divides into femoral branch, which supplies anterior skin of upper and medial thigh, and genital branch, which supplies anterior scrotal skin in males and mons pubis and labia majora in females.
  • Motor function for cremaster muscle in males

Lateral Femoral Cutaneous Nerve (L2-L3)

  • Emerges from the lateral border of psoas major
  • Passes through the inguinal ligament
  • Supplies sensory input to the parietal peritoneum of the iliac fossa
  • Supplies the skin of the anterior and posterior lateral thigh to the knee

Femoral Nerve (L2-L4)

  • Emerges from the lower lateral border of psoas major and passes below the inguinal ligament
  • Supplies motor and sensory innervation to the thigh and leg
  • Contains Anterior Compartment of Thigh
    • Sartorius
    • Pectineus
    • Psoas Major
    • Iliacus
  • Contains Extensors of Knee (Quadriceps Femoris)
    • Rectus femoris
    • Vastus lateralis
    • Vastus medialis
    • Vastus intermedius

Obturator Nerve (L2-L4)

  • Enters the medial thigh through the obturator canal
  • Motor supply to the following muscles:
    • Obturator externus
    • Adductor longus
    • Adductor brevis
    • Adductor magnus
    • Gracilis
    • Pectineus
  • Sensory information across proximal medial thigh and articular branch

Sacral Plexus

  • Formed by ventral rami of L4-L5 and S1-S4
  • Located on the posterior pelvic wall.

Superior Gluteal Nerve (L4-S1)

  • Passes through the greater sciatic foramen superior to piriformis
  • Supplies Gluteus medius, Gluteus minimus, Tensor fascia latae

Inferior Gluteal Nerve (L5-S2)

  • Passes through the greater sciatic foramen inferior to piriformis, superficial to sciatic nerve
  • Supplies Gluteus maximus

Perforating Cutaneous Nerve (S2-S3)

  • Passes through the greater sciatic foramen
  • Supplies inferior medial regions of the buttock.

Pudendal Nerve (S2-S4)

  • Supplies external urethral sphincter, external anal sphincter, penis/clitoris and perineum skin

Sciatic Nerve (L4-S3)

  • Exits the pelvic cavity through the greater sciatic foramen
  • Divides into tibial and common fibular nerves
  • Supplies a variety of muscles and regions of the thigh and lower leg

Tibial Nerve (Sciatic Nerve Branch)

  • Supplies muscles in the posterior compartment of the leg including plantaris, soleus, gastrocnemius.
  • Supplies deeper muscles including, popliteus, flexor digitorum longus, flexor hallucis longus, and tibialis posterior

Common Fibular Nerve (Sciatic Nerve Branch)

  • Divides into superficial and deep fibular nerves
  • Supplies muscles in the lateral compartment of the leg, including fibularis longus and brevis
  • Provides sensory innervation to the sural nerve

Superficial Fibular Nerve (Common Fibular Nerve Branch)

  • Supplies the muscles of the lateral compartment of the lower leg
  • Provides sensory innervation for the lateral foot and the distal anterior aspect of the lower leg

Deep Fibular Nerve (Common Fibular Nerve Branch)

  • Supplies anterior compartment muscles of the lower leg
  • Sensory innervation to the triangular area between the 1st and 2nd toes

Sural Nerve (S1-S2)

  • A mixed nerve that emerges from the medial and lateral sural cutaneous nerves
  • Provides sensory innervation to the skin of the posterior lateral leg from the knee to the heel, and the lateral dorsal foot

Sciatic Nerve Injury

  • Causes include herniated discs, degenerative disk disease, injuries, and tumors/cysts
  • Manifestations include pain, paresthesia, numbness, and muscle weakness

Superior Gluteal Nerve Injury

  • The Trendelenburg sign is a characteristic sign of injury
  • In a patient standing on the affected leg, the pelvis often drops on the opposite side

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