Sacral plexus Flashcards

0
Q

L4 and L5 are able to contribute to the sacral plexus due to what

A

the lumbosacral trunk

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1
Q

what forms the sacral plexus

A

anterior primary rami of L4,L5 S1-S3 and part of S4

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2
Q

where does the sacral plexus form

A

on the piriformis muscle

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3
Q

where do the nerve roots that contribute to the sacral plexus divide into anterior and posterior divisions

A

shortly after exiting their IVF/sacral foramina

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4
Q

what roots contribute to quadratus femoris and gemllus inferior nerve

A

L4,L5, and S1

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5
Q

how does the nere to the quadratus femoris and gemellus inferior leave the pelvis

A

through the greater sciatic foramen

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6
Q

what is the action of the quadratus femoris and inferior gemellus

A

lateral rotation and adduction of the femur

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7
Q

what roots contribute to the nerve to the obturator internus and gemellus superior

A

L5, S1 and S2

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8
Q

how does the nerve to the obturator internus and gemellus superior leave the pelvis

A

through the greater sciatic foramen gibing off branches to the gemllus superior

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9
Q

how does the nerve to the obturator internus and gemllus superior supply the obturator internus

A

after exiting the pelvis it reenters the pelvis via the lesser sciatic foramen

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10
Q

what is the action of the obturator internus and gemllus superior

A

lateral rotation and abduction of the femur

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11
Q

what roots contribute to the pudendal nerve

A

S2,S3, and S4

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12
Q

what branches come off of the pudendal nerve within the pudendal cnal

A

the inferior rectal nerves, perineal nerve, and the dorsal nerve of the penis/clitoris

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13
Q

what sensory information does the inferior rectal nerves carry

A

the skin around the anus and the inferior 2/3 of the anal canal

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14
Q

what muscles are innervated by the inferior rectal nerves

A

the external anal sphincter

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15
Q

what does the perineal nerve divide into

A

deep and superficial branches

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16
Q

what muscles are supplied by the deep branches of the perineal nerve

A

the external anal sphincter, bulbocavernous , ishiocavernous, superficial transverse perineus

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17
Q

the deep branches of the perineal nerve carry primarily what type of information

A

motor

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18
Q

the superficial branches of the perineal nerve carry primarily what type of information

A

sensory

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19
Q

what does the superficial branches of the perineal nerve supply in males

A

posterior scrotum, urethral mucosa and bulb of the penis

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20
Q

what does the superficial branches of the perineal nerve supply in females

A

labium majus, external urethral orifice and vestibule

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21
Q

what is the terminal branch of the pudendal nerve

A

the dorsal nerve of the penis/clitoris

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22
Q

what muscles does the dorsal nerve of the penis/clitoris supply

A

deep transverse perineus, urethral sphincter muscles

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23
Q

what sensory information is carried in the dorsal nerve of the penis/clitoris

A

in males the corpus cavernosum, glans penis and skin covering the penis

in females the corpus cavernosum, and clitoris

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24
what do individual muscular branches from the anterior division of the sacral plexus that contain S4 fibers supply
levator ani and cocygeus muscles
25
what type of information do pelvic splanchnic nerves carry
parasympathetic
26
what are the nerves that come off the posterior division of the sacral plexus
the nerve to the piriformis, superior gluteal nerve, inferior gluteal nerve, and the perforating cutaneous nerve
27
what fibers contribute to the nerve to the piriformis
S1, S2
28
what roots contribute to the superior gluteal nerve
L4,L5, and S1
29
what does the superior branch of the superior gluteal nerve supply
the gluteus medius and gluteus minimus
30
what does the inferior branch of the superior gluteal nerve supply
the gluteus medius, gluteus miniumus, and tensor fascia lata
31
what roots contribute to the inferior gluteal nerve
L5, S1, and S2
32
what does the inferior gluteal nerve supply
the gluteus maximus
33
what roots contribute to the perforating cutaneous nerve
S2 and S3
34
what two landmarks can the sacrotuberous ligament be found between
the sacrum and ischial tuberocity
35
what nerves are formed by both anterior and posterior divisions of the sacral plexus
the posterior cutaneous nerve of the thigh and the sciatic nerve
36
what forms the posterior cutaneous nerve of the thigh
fibers from the anterior divisions of S2 and S3 as well as posterior divisions S1 and S2
37
what does the posterior cutaneous nerve of the thigh supply
skin on the posterior and medial thigh
38
what is the largest nerve in the human body
Sciatic nerve
39
what is the diameter of the sciatic nerve
2cm
40
what two nerves combine to from the sciatic nerve
tibial nerve (anterior division L4-S3) and common fibular nerve ( posterior division L4-S2)
41
what roots contribute to the fibular nerve
anterior division of L4-S2
42
what muscles fibers are given off from the common fibular nerve before the tibal nerve fibers separate from it
biceps femoris (short head)
43
what does the lateral sural cutaneous nerve supply
skin on the lateral aspect of the leg
44
what does the fibular communicatin branch combine with to form the sural nerve
the medial sural cutaneous nerve
45
what two muscles are supplied by the superficial fibular nerve
fibularis longus and fibularis brevis
46
what compartment are the fibularis longus and brevis located in
lateral compartment
47
what does the medial dorsal cutaneous nerve and the intermediate dorsal cutaneous nerve supply
the skin ove the dorsum of the foot, except for the skin between the first two toes
48
what muscles does the deep fibular branch supply
tibialis anterior, extensor digitorum longus and brevis, extensor hallicus longus, extensor hallucis brevis, and fibularis tertius
49
what compartment are the following muscles located in and what is the main function as a group: tibialis anterior, extensor digitorum longus and brevis, extensor hallicus longus, extensor hallucis brevis, and fibularis tertius
the anterior compartment functioning to dorsiflex the foot
50
what does the terminal branch of the deep fibular nerve supply
the skin between the first two toes
51
what is a clinical consideration with the common fibular nerve
steppage gait/foot drop
52
is the common fibular nerve more lateral or medial
lateral
53
is the tibial nerve more lateral or medial
medial
54
what is larger the common fibular nerve or the tibial nerve
tibial
55
what roots contribute to the tibial nerve
L4-S3
56
while still combined with the common fibular nerve what muscles does the tibial nerve innervate
biceps femoris ( long head), semitendinosus, semimembranosus, adductor magnus
57
``` what do the following muscles all have in common: biceps femoris ( long head), semitendinosus, semimembranosus, ```
they are part of the hamstring group and all originate on the ischial tuberocity
58
what is given off in the popliteal fossa by the tibial nerve
articular braches that supply the knee joint as well as muscular branches, and a popliteal branch
59
what muscles are supplied by the muscular branches given off in the popliteal fossa by the tibial nerve
popliteus, gastrocnemius (both heads), soleus, plantaris
60
what compartment are the following muscles in, and what joints do each of them cross: popliteus, gastrocnemius (both heads), soleus, plantaris
all in the superfiscial-posterior compartment , the popliteus cross the knee joint, the gastrocnemius (both heads) crosses both the knee and ankle joint. soleus and plantaris do not cross a joint
61
what sensory information is carried by the interosseous nerve of the leg
from the tibial periosteum, ankle, and tibiofibular joints
62
while in the leg the tibial nerve give off muscular branches to what muscles
flexor digitorum longus, and flexor hallucis longus
63
while in the leg the tibial nerve gives off what sensory branch and what does it supply
the medial calcaneal branches that supply the skin over the medial heel
64
what are the terminal branches of the tibial nerve
the medial plantar nerve and the lateral plantar nerve
65
what muscles does the medial plantar nerve supply before it devides
abductor hallucis, flexor digitorum brevis, flexor hallucis brevis
66
what does the medial plantar nerve divide into
the common plantar digital nerves
67
what motor supply is from the common plantar digital nerves supply
motor supply to lumbercals 1 and 2
68
how is sensory innervation to between the toes accomplished by the common plantar digital nerves
by dividing into propler plantar digital nerves
69
what branches does the lateral plantar nerve divide into
superficial and deep branches
70
what does the superficial branch of the lateral plantar nerve supply
skin around the 5th digit
71
what does the deep branch of the lateral plantar nerve supply
adductor hallucis, flexor digiti minimi brevis, lateral lumricals, and interossei muscles
72
what are the clinical considerations associated with the tibial nerve
flexor paralysis, hammer toes, "claw foot"