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    Lumbo - Sacral Plexus

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    hariniselvam95dr

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    Lumbo - Sacral Plexus

    Uploaded by

    hariniselvam95dr
    8 views41 pages

    Original Title

    Lumbo- Sacral Plexus

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    © © All Rights Reserved

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    Copyright:

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    Download as pptx, pdf, or txt
    8 views41 pages

    Lumbo - Sacral Plexus

    Uploaded by

    hariniselvam95dr

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 41

    LUMBAR PLEXUS

    Iliohypogastric nerve - transverse abdominis & internal oblique


    • skin over the lateral gluteal and hypogastric regions

    Ilioinguinal nerve - transverse abdominis & internal oblique


    • sensory innervation - region of the upper anteromedial thigh.
    In males- anterior surface of the scrotum and root
    of the penis
    females - labia majora and mons pubis.
    Genitofemoral

    • The Genital branch


    innervates the cremasteric
    muscle.
    • It supplies sensation to the
    skin of the anterior scrotal
    area in males, mons pubis
    in females.
    • Femoral branch - upper
    segment of the anterior
    thigh in both males and
    females.
    Lateral cutaneous nerve of thigh
    OBTURATOR NERVE
    • Innervates the muscles of the medial
    compartment of the thigh
    • obturator externus

    • Adductor longus

    • Adductor brevis

    • Adductor magnus

    • gracilis.
    • Cutaneous branches of the
    obturator nerve innervate
    the skin of the medial thigh.
    The obturator nerve innervates all the muscles in the medial compartment of the thigh– except the

    hamstring part of the adductor magnus (innervated by the tibial nerve).

    • They are collectively known as the hip adductors:

    • Adductor longus – adducts thigh

    • Adductor brevis – adducts thigh

    • Adductor magnus:
    • Adductor part – adducts and flexes thigh

    • Hamstring part – extends thigh

    • Gracilis – adducts thigh

    • Obturator externus – laterally rotates thigh


    Femoral nerve
    Anterior division of femoral nerve Posterior division of femoral nerve

    • Anterior cutaneous branches • Saphenous nerve


    • Branch to sartorius • Branches to quadriceps femoris
    • Branch to pectineus
    FEMORAL NERVE
    • Motor functions: Innervates
    the anterior thigh muscles
    that flex the hip joint
    (pectineus, iliacus, sartorius)
    and extend the knee
    (quadriceps femoris: rectus
    femoris, vastus lateralis,
    vastus medialis and vastus
    intermedius),
    • Sensory functions: Supplies
    cutaneous branches to the
    anteromedial thigh (anterior
    cutaneous branches of the
    femoral nerve) and the
    medial side of the leg and
    foot (saphenous nerve).
    The femoral nerve supplies the muscles of the anterior thigh.

    Hip flexors:
    • Pectineus – adducts and flexes the thigh, assists with medial rotation of the thigh.
    • Iliacus – acts with psoas major and psoas minor (forming iliopsoas) to flex the thigh at the hip
    joint and stabilise the hip joint.
    • Sartorius – flexes, abducts and laterally rotates the thigh at the hip joint. Flexes the leg at the
    knee joint.

    Knee extensors:
    • Quadriceps femoris (rectus femoris, vastus lateralis, vastus medialis and vastus intermedius) –
    extends the leg at the knee joint. Rectus femoris also steadies the hip joint and assists iliopsoas
    in flexing the thigh.
    Sensory Functions

    There are two main sensory branches that arise from the femoral
    nerve:

    • Anterior cutaneous branches – derived from the anterior division of


    the femoral nerve. They supply the skin of the anteromedial thigh.

    • Saphenous nerve – a continuation of the posterior division of the


    femoral nerve. It supplies the skin of the medial leg and foot.
    Sacral plexus

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