Lumbar Plexus Overview

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Questions and Answers

Which spinal nerves contribute to the lumbar plexus?

  • L1 - L4 (correct)
  • T12 - L1
  • T12 - L4
  • L1 - L2

What is the sensory innervation provided by the iliohypogastric nerve's lateral cutaneous branch?

  • Skin of the medial side of the leg
  • Skin of the suprapubic region
  • Skin of the anterior thigh
  • Skin of the posterolateral gluteal region (correct)

What muscle is NOT innervated by the iliohypogastric nerve?

  • Internal oblique muscle
  • Conjoint tendon
  • External oblique muscle (correct)
  • Transversus abdominis

Which of the following conditions is a common cause of damage to the iliohypogastric nerve?

<p>Open appendectomy (C)</p> Signup and view all the answers

Which spinal nerve segments are involved in the formation of the femoral nerve?

<p>L2 - L4 (B)</p> Signup and view all the answers

What is primarily supplied by the ilioinguinal nerve's motor innervation?

<p>Transversus abdominis muscle (C)</p> Signup and view all the answers

Which muscle is responsible for plantarflexion of the ankle?

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

Where does the ilioinguinal nerve primarily travel?

<p>In front of the quadratus lumborum muscle (D)</p> Signup and view all the answers

What is the primary sensory function of the superficial fibular nerve?

<p>Dorsum of the foot (C)</p> Signup and view all the answers

What clinical sign is associated with damage to the iliohypogastric nerve?

<p>Burning pain in the suprapubic area (A)</p> Signup and view all the answers

Which area of the body receives sensory innervation from the femoral branch of the genitofemoral nerve?

<p>Skin of the anterior thigh (C)</p> Signup and view all the answers

What is a common consequence of damage to the ilioinguinal nerve?

<p>Chronic groin pain (C)</p> Signup and view all the answers

Which nerve originates from both the medial and lateral sural cutaneous nerves?

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

What structure does the iliohypogastric nerve pierce?

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

Which of the following muscles does NOT receive innervation from the tibial nerve?

<p>Fibularis brevis (D)</p> Signup and view all the answers

What muscle is innervated by the genital branch of the genitofemoral nerve in males?

<p>Cremaster muscle (A)</p> Signup and view all the answers

Which of the following nerves provides sensory innervation to the skin over the pubis?

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

Which nerve is responsible for lateral rotation of the knee?

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

Which terminal branch of the tibial nerve innervates the medial aspect of toes I to IV?

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

What structure does the lateral femoral cutaneous nerve pass beneath as it emerges from the lateral border of the psoas major muscle?

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

Which muscle is NOT located in the posterior compartment of the leg?

<p>Tibialis anterior (C)</p> Signup and view all the answers

Which nerve originates from the lower lateral border of the psoas major muscle?

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

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

<p>Dorsiflexion of the foot (D)</p> Signup and view all the answers

Which branch of the genitofemoral nerve provides sensory innervation to the anterior scrotal skin in males?

<p>Genital branch (D)</p> Signup and view all the answers

Which nerve is responsible for the motor supply of the hip adductors?

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

What is the primary sensory innervation provided by the saphenous nerve?

<p>Skin of the anteromedial thigh (C)</p> Signup and view all the answers

Which nerve innervates the gluteus maximus muscle?

<p>Inferior gluteal nerve (A)</p> Signup and view all the answers

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

<p>Gluteus medius (C)</p> Signup and view all the answers

What function does the obturator nerve NOT primarily assist with?

<p>Extending the hip (A)</p> Signup and view all the answers

Which branch is specifically associated with skin over the proximal part of the medial thigh?

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

The sacral plexus is formed by the ventral rami of which spinal nerves?

<p>L4-L5 and S1-S4 (B)</p> Signup and view all the answers

Which muscle does the superior gluteal nerve NOT innervate?

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

What is the primary function of the pudendal nerve?

<p>Motor function to perineum muscles (D)</p> Signup and view all the answers

Which nerve supplies the inferior gemellus muscle?

<p>Nerve to quadratus femoris (A)</p> Signup and view all the answers

Which area does the posterior femoral cutaneous nerve primarily supply?

<p>Back of the thigh and leg (B)</p> Signup and view all the answers

What is the composition of the sciatic nerve?

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

Which muscles do the tibial nerve innervate?

<p>Posterior muscles of the leg, except short head of biceps femoris (A)</p> Signup and view all the answers

Where does the nerve to the obturator internus exit the pelvic cavity?

<p>Greater sciatic foramen (A), Lesser sciatic foramen (C)</p> Signup and view all the answers

Which structure is NOT directly innervated by the pudendal nerve?

<p>Muscles of the anterior compartment of the thigh (A)</p> Signup and view all the answers

Which branch of the sacral plexus originates from S2 to S4?

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

Flashcards

Lumbar Plexus

A nerve originating from spinal nerves L1-L4, with a contribution from the anterior ramus of T12. It's responsible for innervating the lower abdominal wall and parts of the thigh.

Ilioinguinal Nerve

It arises from the T12 and L1 spinal nerves. It travels along the psoas muscle, crosses the quadratus lumborum, and pierces the transversus abdominis muscle.

Anterior Cutaneous Branch (Ilioinguinal)

A branch of the ilioinguinal nerve, responsible for supplying the skin of the superior pubic region.

Lateral Cutaneous Branch (Ilioinguinal)

A branch of the ilioinguinal nerve, responsible for providing sensory innervation to the posterolateral gluteal region.

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Motor Innervation of the Ilioinguinal Nerve

This nerve provides motor innervation to the transversus abdominis and internal oblique muscles, as well as the conjoint tendon.

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Ilioinguinal Nerve Damage

This condition can occur as a result of surgical procedures, sports injuries, or even pregnancy. Symptoms include burning pain in the suprapubic and inguinal areas.

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Ilioinguinal Nerve Sensory Innervation

The ilioinguinal nerve provides sensory innervation to the skin over the pubis, genital region, and superior antero-medial thigh.

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Ilioinguinal Nerve Motor Innervation

The ilioinguinal nerve innervates the transversus abdominis and internal oblique muscles.

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Genitofemoral Nerve Branches

The genitofemoral nerve divides into two branches: the femoral branch and the genital branch.

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Genitofemoral Nerve - Femoral Branch

The femoral branch of the genitofemoral nerve provides sensory innervation to the anterior, upper, and medial parts of the thigh.

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Genitofemoral Nerve - Genital Branch

The genital branch of the genitofemoral nerve supplies sensory innervation to the anterior scrotal skin in males and the mons pubis and labia majora in females.

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Genitofemoral Nerve - Genital Motor Innervation

The genital branch of the genitofemoral nerve innervates the cremaster muscle in males, which helps control the elevation of the testicles.

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Lateral Femoral Cutaneous Nerve

The lateral femoral cutaneous nerve emerges from the lateral border of the psoas major muscle and supplies sensory innervation to the anterior and posterior lateral thigh to the knee, and the parietal peritoneum of the iliac fossa.

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Femoral Nerve Function

The femoral nerve provides both motor and sensory innervation to the thigh and leg.

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Femoral Nerve Branches

The branches of the femoral nerve are the anterior cutaneous branch and the saphenous nerve.

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Obturator Nerve Function

The obturator nerve supplies motor innervation to the hip adductors.

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Obturator Nerve Muscles

These muscles include the obturator externus, adductor longus, adductor brevis, adductor magnus, gracilis, and pectineus.

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Obturator Nerve Pathway

The obturator nerve enters the medial thigh via the obturator canal.

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Sacral Plexus Formation

The sacral plexus is formed by ventral rami of the L4-L5 and S1-S4 spinal nerves.

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Superior Gluteal Nerve Function

The superior gluteal nerve is responsible for innervating the tensor fasciae latae, gluteus medius, and gluteus minimus muscles.

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Inferior Gluteal Nerve Function

The inferior gluteal nerve innervates the gluteus maximus muscle, which is responsible for hip extension.

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Medial Sural Cutaneous Nerve

A nerve that arises from the tibial nerve and supplies sensory innervation to the medial aspect of the leg and foot, including the heel.

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Medial Plantar Nerve

A branch of the tibial nerve that supplies the medial aspect of the foot, innervating the first three and a half toes, as well as the plantar surface of the foot.

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Lateral Plantar Nerve

A branch of the tibial nerve that supplies the lateral aspect of the foot, innervating the last one-and-a-half toes and the plantar surface of the foot.

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Medial Calcaneal Branches

Branches of the tibial nerve that supply the heel, providing sensory innervation to the skin of the heel.

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Tibial Nerve Branch to Plantaris Muscle

A nerve that arises from its parent nerve and innervates the muscles in the posterior compartment of the leg, responsible for plantarflexion of the ankle and flexion of the knee.

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Tibial Nerve Branch to Soleus Muscle

A nerve that arises from its parent nerve and innervates the soleus muscle responsible for plantarflexion of the ankle.

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Tibial Nerve Branch to Gastrocnemius Muscle

A nerve that arises from its parent nerve and innervates the gastrocnemius muscle responsible for plantarflexion of the ankle and flexion of the knee.

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Tibial Nerve Branch to Popliteus Muscle

A nerve that arises from its parent nerve and innervates the popliteus muscle, involved in lateral rotation of the knee.

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What nerve provides cutaneous sensation to the inferior medial buttock?

The perforating cutaneous nerve, a branch of the sacral plexus, supplies sensation to the inferior medial part of the buttock. It arises from the anterior rami of spinal nerves S2-S3 and exits the pelvis through the greater sciatic foramen.

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Which nerve supplies sensation to the back of the thigh and part of the leg?

The posterior femoral cutaneous nerve, another branch of the sacral plexus, provides sensory innervation to the posterior surface of the thigh and leg. It originates from spinal nerves S1-S3 and exits the pelvis through the greater sciatic foramen, passing deep to the gluteus maximus muscle.

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Which nerve innervates the quadratus femoris and inferior gemellus muscles?

The nerve to the quadratus femoris, stemming from spinal nerves L4-S1, innervates the quadratus femoris and inferior gemellus muscles, and contributes to hip joint innervation. It exits the pelvis through the greater sciatic foramen and enters the gluteal region.

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What nerve supplies the obturator internus and superior gemellus muscles?

The nerve to the obturator internus, arising from spinal nerves L5-S2, innervates the obturator internus and superior gemellus muscles. It emerges through the greater sciatic foramen and then enters the lesser sciatic foramen.

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Which nerve is responsible for both motor and sensory functions in the perineum?

The pudendal nerve, originating from the sacral plexus (spinal nerves S2-S4), governs motor function in the perineum, including the muscles controlling urination and defecation, as well as sensation in the penis/clitoris and perineal skin.

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What is the largest nerve in the human body and what are its branches?

The sciatic nerve, formed from spinal nerves L4-S3, is the largest nerve in the body. It exits the pelvis through the greater sciatic foramen, passing deep to the gluteus maximus and other muscles, and then runs down the posterior thigh into the popliteal fossa. It branches into the tibial and common fibular nerves.

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What nerve innervates most posterior leg muscles and provides sensory input to the knee?

The tibial nerve, a branch of the sciatic nerve, innervates the posterior muscles of the leg (hip extensors and knee flexors), except the short head of the biceps femoris. It provides sensory innervation to the knee joint and branches into medial and lateral plantar nerves.

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Which nerve controls movement of the foot and provides sensation to the anterolateral leg?

The common fibular nerve, another branch of the sciatic nerve, is responsible for innervating the muscles controlling foot dorsiflexion and eversion. It is a mixed nerve providing sensory innervation to the anterolateral leg and a sensory branch to the knee joint.

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Study Notes

Lumbar Plexus

  • Spinal nerves L1-L4 contribute to the lumbar plexus, along with the anterior ramus of T12.

Iliohypogastric Nerve (T12 - L1)

  • Originates from spinal nerves T12 and L1.
  • Innervates the quadratus lumborum muscle and the transverse abdominal muscle.
  • Has anterior and lateral cutaneous branches.
  • Anterior branch innervates the skin of the suprapubic region.
  • Lateral branch innervates the skin of the posterolateral gluteal region.

Ilioinguinal Nerve (L1)

  • Originates from spinal nerve L1.
  • Posterior to the psoas major, passing through the quadratus lumborum and internal oblique muscles.
  • Exits the inguinal canal through the superficial inguinal ring.
  • Innervates the skin over the pubis, genital regions, and superior antero-medial thigh.
  • Motor innervations to the transversus abdominis and internal oblique muscles

Genitofemoral Nerve (L1-L2)

  • Arises from lumbar spinal nerves L1 and L2.
  • Divides into femoral and genital branches after passing the psoas major muscle.
  • Femoral branch innervates the skin of the anterior, upper, and medial thigh aspects.
  • Genital branch supplies the anterior scrotal skin in males and the mons pubis, labia majora in females.
  • Motor innervation to the cremaster muscle in males.

Lateral Femoral Cutaneous Nerve (L2-L3)

  • Originates from the lateral border of the psoas major muscle.
  • Passes through the inguinal ligament, anterior to the sartorius muscle.
  • Sensory innervation to the parietal peritoneum of the iliac fossa.
  • Innervates the skin of the anterior and posterior lateral thigh to the knee.

Femoral Nerve (L2-L4)

  • Originates from the lower lateral border of the psoas major muscle.
  • Travels below the inguinal ligament, reaching the thigh.
  • Mixed nerve providing motor and sensory innervation to the thigh and leg.
  • Branches to the quadriceps femoris muscles and skin of the anteromedial thigh and medial leg and foot.

Obturator Nerve (L2-L4)

  • The nerve enters the medial thigh via the obturator canal.
  • Motor supply: adductor externus, adductor longus, adductor brevis, adductor magnus, gracilis, and pectineus muscles.
  • Sensory innervations to skin over the proximal area of the medial thigh and the articular branch.

Sacral Plexus

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

Sciatic Nerve (L4-S3)

  • Exits the pelvic cavity through the greater sciatic foramen, under the gluteus maximus.
  • Branches; Tibial nerve; Common fibular (peroneal) nerve.

Superior Gluteal Nerve (L4-S1)

  • Travels through the greater sciatic foramen, superior to the piriformis.
  • Innervates the gluteus medius, gluteus minimus, and tensor fasciae latae muscles.
  • Functions in stabilizing pelvis and abducting the hip.

Inferior Gluteal Nerve (L5-S2)

  • The nerve travels through the greater sciatic foramen, inferior to the piriformis.
  • Innervation to the gluteus maximus muscle.
  • Function in extending the hip and laterally rotating the thigh.

Pudendal Nerve (S2-S4)

  • Responsible for the perineum muscles and sensory function of the penis/clitoris and the skin of the perineum.
  • Motor functions: external urethral sphincter and external anal sphincter muscles.

Sural Nerve (S1-S2)

  • Originates from the medial sural cutaneous nerve (branch of the tibial nerve) and lateral sural cutaneous nerve (branch of the common fibular nerve).
  • Branches to the lateral dorsal cutaneous nerve of the foot and lateral calcaneal branches

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