lower limb : innervation Flashcards

1
Q

what does the sciatic nerve innervate?

A

motor : all myscles in posterior copartment of thigh and part of the aductor magnus attached to ischium. all muscles in the leg and foot.
sensory: skin over lateral side of leg and foot, and over the sole and dorsal of foot

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2
Q

what does the superior gluteal nerve innervate?

A

(L4-S1)

muscles of the gluteal region (medius, minimus, tensor fasciae latae)

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3
Q

what does the inferior gluteal nerve innervate?

A

(L5-S2)

gluteus maximus

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4
Q

what does the lateral cutaneous nerve of the thigh innervate?

A

sensory - parietal peritoneum in illiac fossa, skin over anterolateral and posterior thigh.

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5
Q

what does the posterior cutaneous nerve of the thigh innervate?

A

sensory -skin over perineum and posterior thigh and leg

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6
Q

what innervates quadratus femoris? what else does it innervate

A

nerve to quadratus femoris, also gemellus inferior

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7
Q

what innervates the obturator internus and what else does it innervate?

A

nerve to obturator internus. also gemellus superior

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8
Q

what does the perforating cutaneous nerve innervate?

A

sensory - skin over media aspect of gluteal fold

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9
Q

what does the ilio-inguinal nerve innervate?

A

(L1)
motor - muscles of abdominal wall.
sensory- skin, anteromedial part of upper thigh and adjacent skin of perineum

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10
Q

what does genitofemoral nerve innervate?

A

(L1-L2)
motor - no motor function in lower limb, but genital branch innervates cremaster muscle in the wall of the spermatic cord in men
sensory - femoral branch innervates skin on anterior central part of upper thigh. the genital branch innervates skin in anterior part of perineum (anterior scrotum in men, and mons pubis and anterior labia majora in women)

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11
Q

what does the femoral nerve innervate?

A

(L2-L4)
motor - all muscles in the anterior compartment of the thigh.; quadriceps (vastus laterals, intermdialis, medialis), sartorius, illiacus, psoas major, and pectineus muscles. in the abdomen it branches to nerves that supply the illiacus and pectineus.
sensory - skin over the anteriomedial thigh , anteromedial knee(anterior cutaneous nerves) , medial side of leg, and medial side of the foot (saphenous nerve)

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12
Q

what does the obturator nerve innervate?

A

(L2-L4)
motor- all muscles in the medial compartment of the thigh (except pectineus and part of adductor magnus attached to the ischium) - graliis, obturator exernus, adductor magnus, brevis and longus muscles.

sensory - skin over upper medial aspect of thigh

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13
Q

what forms the lumbar plexus? what are its major terminal nerves

A

anterior rami T12-L4.
major terminal nerves; lateral femoral cutaneous nerve, genitofemoral nerve, femoral nerve
other nerves : iliohypogastric nerve, ilioinguinal nerve, obturator nerve

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14
Q

what does the iliohypogastric nerve innervate?

A

(t12 and L1)
-external and internal oblique and transverse abdominis muscles. receives sensory info from skin over inferior abdomen and buttox

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15
Q

what are the terminal nerves of the sacral plexus?

A

(L40S4)
part of L4 and L5 make lumbosacral trunk, which joins sacral plexus.
five major: superior gluteal nerve, inferior gluteal nerve, sciatic nerve, posterior femoral cutaneous nerve, and branches of sciatic nerve (TIBIAL NERVE AND FIBULAR NERVE)

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16
Q

what are the branches of the sciatic nerve?

A

fibular and tibial

17
Q

what does the tibial nerve innervate?

A

flexors of knee and plantarflexors of ankle. flexors of toes

skin- over posterior surface of leg and plantar of foot

18
Q

what does the fibular nerve innervate?

A

short head of biceps femoris muscle, fibularis longus, fibularis brevis, tibialis anterior uscles, and extensors of toes.
sensory- anterior of leg and skin over lateral of foot through the sural nerve (also a branch of tibial nerve)

19
Q

what innervates the skin of upper, medial of thigh ?

A

obturator nerve.
also - innervates muscles in the medial compartment of thigh EXCEPT for pectineus and part of adductor magnus
(obturator externus, adductor brevis/longus, gracilis, part of adductor magnus)

20
Q

sensory - what does the obturator nerve innervate?

A

upper, medial thigh

21
Q

sensory- what does the lateral cutaneous nerve of thigh innervate?

A

anterolateral and posterolateral of thigh

22
Q

sensory -what does the femoral nerve innervate?

A

anterior cutaneous part innervates anterior thigh and anterolateral knee.
saphenous part innervates the anteromedial lower leg and posteromedial lower leg.

23
Q

sensory - what does the common fibular nerve innervate?

A

lateral cutaneous part - lateral anterior/posterior knee to above ankle.
superficial branch - anterior/lateral lower leg and dorsal of food (except toes)

24
Q

sensory - what innervates the ankle?

A

lateral side is tibial nerve (sural nerve) which also gets lateral of foot.
superficial branch gets anterior ankle and dorsal of foot
femoral/saphenous part gets medial ankle.
tibail nerve, medial calcaneal branch gets the heel

25
Q

sensory - what innervates plantar foot?

A

medial plantar (1-half of 4th toes) and medial
lateral plantar nerve half of 4th toe and 5th, lateral
sural nerve - lateral edge
saphenous nerve. - medial edge
tibial nerve - heel

(lateral and medial are terminal of tibial nerve)