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    Examination of Nerves of Lower Limb Objectives

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    Wasim R. Issa
    1) The document discusses the major nerves involved in innervating the lower limb, including the femoral nerve, sciatic nerve, obturator nerve, and others. 2) Examination of these nerves involves assessing motor function of associated muscles through inspection, palpation, and specific movement tests. Sensory function is also examined. 3) Lesions to different nerves can cause abnormalities such as muscle wasting or an inability to perform certain movements. Identifying which nerves are involved helps to localize neurological problems in the lower limb.

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    Examination of Nerves of Lower Limb Objectives

    Uploaded by

    Wasim R. Issa
    34 views10 pages
    1) The document discusses the major nerves involved in innervating the lower limb, including the femoral nerve, sciatic nerve, obturator nerve, and others. 2) Examination of these nerves involves assessing motor function of associated muscles through inspection, palpation, and specific movement tests. Sensory function is also examined. 3) Lesions to different nerves can cause abnormalities such as muscle wasting or an inability to perform certain movements. Identifying which nerves are involved helps to localize neurological problems in the lower limb.

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    examination of LL

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    lec1-2010-03-22

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    1) The document discusses the major nerves involved in innervating the lower limb, including the femoral nerve, sciatic nerve, obturator nerve, and others. 2) Examination of these nerves involves assessing motor function of associated muscles through inspection, palpation, and specific movement tests. Sensory function is also examined. 3) Lesions to different nerves can cause abnormalities such as muscle wasting or an inability to perform certain movements. Identifying which nerves are involved helps to localize neurological problems in the lower limb.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    34 views10 pages

    Examination of Nerves of Lower Limb Objectives

    Uploaded by

    Wasim R. Issa
    1) The document discusses the major nerves involved in innervating the lower limb, including the femoral nerve, sciatic nerve, obturator nerve, and others. 2) Examination of these nerves involves assessing motor function of associated muscles through inspection, palpation, and specific movement tests. Sensory function is also examined. 3) Lesions to different nerves can cause abnormalities such as muscle wasting or an inability to perform certain movements. Identifying which nerves are involved helps to localize neurological problems in the lower limb.

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    of 10

    EXAMINATION OF NERVES OF LOWER

    LIMB

    OBJECTIVES
    At the end of this lecture the students should know:

    The sensory and motor nerve supplies of the


    different regions of lower limb

    Examination of nerves of lower limb

    Significance of lesions of different nerves of


    lower limb and what abnormality would appear in
    case of a lesion
    Major Nerve supply of lower limbs
    Through Lumbar and Sacral Plexuses:

    Femoral Nerve
    Obturator Nerve
    Lateral Cutaneous Nerve of thigh
    Sciatic Nerve

    Lumbar and Sacral Plexus

    Femoral Nerve (L2, L3, L4)


    Motor Supply
    Iliopsoas (HIP FLEXORS)
    Quadriceps Group (KNEE EXTENSORS)
    Rectus Femoris
    Vastus Medialis
    Vastus Lateralis
    Vastus Intermedius
    Sartorius Muscle

    Sensory (Saphenous Nerve)


    Skin on the medial aspect of the thigh (inner
    thigh) and inner calf

    Reflex
    Knee jerk (requires the quadriceps to be
    working)

    Examination Of Femoral
    Nerve
    Inspection
    Look for:
    Swelling in the groin & evidence of trauma
    Bruising
    Wasting of the Quadriceps
    Inability to bear weight on the affected leg
    Muscle fasciculation, muscle atrophy (QUADRICEPS)
    The back (L2-4) for evidence of disease

    Palpation
    Palpate the:
    Inguinal ligament for pain
    Inguinal area (bone and soft tissue)
    Spine
    Flanks
    Quadriceps (for tone)

    Motor Examination of Femoral Nerve


    HIP FLEXION (LYING)

    HIP FLEXION (SITTING)

    Motor Examination of Femoral Nerve


    KNEE EXTENSION (LYING)

    KNEE EXTENSION (SITTING)

    Motor Examination Of Femoral Nerve


    KNEE REFLEX (LYING)

    KNEE REFLEX (SITTING)

    Sensory Examination of Femoral Nerve


    Medial aspect of the thigh through anterior cutaneous
    branch of Femoral nerve.

    Calf through Saphenous nerve

    Sciatic Nerve (L4, L5, S1, S2)


    Supplies :
    ALL OF THE MUSCLES BELOW THE KNEE via:
    The Tibial nerve
    Common Peroneal nerve.

    THIGH (Motor)
    Hamstring Group (KNEE FLEXORS)
    Semimembranosus
    Semitendinosus
    Long and Short heads of biceps
    Adductor Magnus

    Nerve splits just above popliteal fossa to become tibial nerve


    and common peroneal nerve
    Examination of Sciatic Nerve
    KNEE FLEXION

    Common Peroneal Nerve (L4, L5, S1)


    Division of Sciatic nerve
    Divides into superficial and deep branches

    SUPERFICIAL PERONEAL NERVE


    Motor
    Foot Evertors (Peroneus longus and Peroneus brevis)

    Sensory
    Sural nerve sensation to lateral calf and dorsum of the
    foot

    DEEP PERONEAL NERVE


    Motor
    Foot dorsiflexors (Tibialis anterior)
    Toe dorsiflexors (Extensor digitorum longus, extensor hallucis
    longus)

    Sensory
    Small area of web space between the 1st and 2nd toes

    Examination of Deep Peroneal Nerve


    DORSIFLEXION
    TOE DORSIFLEXION

    Tibial Nerve (L4, L5, S1, S2)


    Division of Sciatic nerve

    Motor
    Foot plantarflexors (Gastrocnemius, Soleus,
    Popliteus)
    Foot Invertors (Tibialis Posterior)
    Toe Flexors (Flexor digitorum longus, Flexor hallucis
    longus)

    Reflex
    Ankle reflex (S1, S2)

    Continues on as the Posterior tibial nerve


    Supplies the muscles of the foot via the medial and lateral
    plantar nerves.

    Examination Of Tibial Nerve


    TOE PLANTARFLEXION
    PLANTARFLEXION

    Ankle Reflex

    Sensory Examination of Sciatic


    Nerve
    COMMON PERONEAL NERVE
    Deep peroneal nerve
    Superficial peroneal nerve
    Lateral sural cutaneous nerve

    TIBIAL NERVE
    Sural nerve
    Medial sural cutaneous nerve
    Calcaneal nerve
    Medial and lateral planter nerve

    Obturator Nerve (L2, L3, L4)


    Motor
    Adductor group (HIP ADDUCTORS)
    Adductor Brevis
    Adductor Magnus
    Adductor Longus
    Gracilis

    Sensory
    Distal medial thigh

    Examination Of Obturator Nerve

    Sensory Examination of Obturator


    Nerve
    Distal medial thigh

    Superior Gluteal
    Nerve
    Hip Abduction

    Gluteus medius
    Gluteus minimus

    Nerve root: L4, L5, S1


    Inferior Gluteal Nerve
    Hip extension

    Gluteus maximus

    Nerve root: L5, S1, S2

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