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L1
L2
L3
L4
L5
Lumbosacral trunk
(Ⅲ) Branches of Lumbar Plexus
Iliohypogastric nerve
Cutaneous branch:
psoas major
Skin of the hypogastric region & quadratus lumborum
medial part of the inguinal region.
Muscular branch:
Muscles of the lower part of the
abdominal wall.
transversus illohypogastric n.
abdominis(deep)
Obliquus
internus
abdominis
Muscular branch:
Muscles of lower part of the
abdominal wall.
ilioinguinal n.
transversus
abdominis
(deep)
Obliquus
internus
abdominis
aponeurosis of the obliquus spermatic cord
externus abdominis
scrotum
superficial inguinal ring
3. Lateral femoral cutaneous nerve: skin of
the anterior & lateral aspect of the thigh.
LFCN
C. → cutaneous
B. → branch
M. → muscular
5. Obturator nerve
Muscular branch:
medial group
muscles of the thigh
& the obturator
externus.
Cutaneous branch:
skin of the medial
side of the thigh.
Obturator nerve
6. Genitofemoral nerve
Skin of the scrotum
Cutaneous branch
Skin of the greater lip of pudendum
Muscular branch→Cremaster
Genitofemoral n.
Ⅴ. Sacral plexus Part of anterior branch of L4
Anterior branch of L5
Lumbosacral trunk
(Ⅰ) Formation Anterior branches of the sacral n. (S1-S5)
Anterior branch of the coccygeal n. (Co)
(Ⅱ) Position:
In the lesser pelvis, before the piriformis & the sacrum, behind the iliac
vessels. L
4
L
5
S
1
S2
S3
S4
S5 piriformis
Co
L Lumbosacral trunk
L
4
S5
S
1
S2
S3
S
4 Coccygeal n.
5
Lumbosacral trunk
greater sciatic foramen
(Ⅱ) Branches of Sacral Plexus Suprapiriform
/infrapiriform
inferior gluteal n.
1. Sciatic nerve
Biceps femoris
piriformis
Distribution Semimembranosus
Semitendinosus gluteus
maximus
Tibial nerve
Branches
Common peroneal nerve
biceps
femoris
semimembranosus,
semitendinosus
popliteal fossa
There is tenderness on this line
in the sciatica(Sciatic
Neuralgia ).
Variation of Sciatic Nerve
medial
malleolus
1) Tibial nerve
Muscular branch:
to posterior compartment
of the leg.
Cutaneous branch:
Terminal branches
Medial plantar nerve medial and lateral plantar
Lateral plantar nerve
Medial/
lateral
sural
cutaneo
us n.
2) Common peroneal nerve
Distribution:
Muscles of the anterior & lateral compartment of the leg.
Skin over lateral surface of the leg & dorsum of the foot.
Ischiorectal fossa
1) Anal nerve (inferior rectal nerve):
sphincter ani externus & skin of the
anus.
2) Perineal nerve: muscles of the
perineum & the skin of the scrotum or
the greate lip of
pudendum.
1) Dorsal nerve of
penis ( clitoris):
skin of the penis (
clitoris) & the
cavernous body.
Highlights