The Lumbar Plexus - Gross Anatomy

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  • čas přidán 22. 06. 2017
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    Lumbar plexus
    The lumbar plexus is a complex neural network formed by the lower thoracic and lumbar ventral nerve roots (T12 to L5) which supplies motor and sensory innervation to the lower limb and pelvic girdle.
    origin: ventral rami of T12 to L5
    course: formed within the substance of the psoas major muscle, anterior to the lumbar transverse processes
    major (terminal) branches
    -------------------------------------------
    ​Iliohypogastric nerve
    ilioinguinal nerve
    genitofemoral nerve
    lateral femoral cutaneous nerve
    femoral nerve
    obturator nerve
    motor supply: lower limb and pelvic girdle
    sensory supply: lower anterior abdominal wall, groin, upper thigh and pudenda
    Gross anatomy
    The branches that arise from the lumbar plexus are:
    subcostal nerve: T12
    Iliohypogastric nerve: L1
    ilioinguinal nerve: L1
    genitofemoral nerve: L1, 2
    lateral femoral cutaneous nerve: L2, 3
    femoral nerve: L2, 3, 4
    obturator nerve: L2, 3, 4
    lumbosacral trunk: L4, 5
    this contributes to the sacral plexus
    The branches of the lumber plexus are covered in this mnemonic.
    Variant anatomy
    Variation in the lumbar plexus appears to be common (~90% in one study) 1:
    absent iliohypogastric nerve (~20%)
    early branching (within psoas muscle) of the genitofemoral nerve (~20%)
    accessory obturator nerve (~10%)
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