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|Nerve: Lumbar plexus|
|Plan of lumbar plexus.|
|The lumbar plexus and its branches.|
|Gray's||subject #212 949|
The lumbar plexus is formed by the loops of communication between the anterior divisions of the first three and the greater part of the fourth lumbar nerves; the first lumbar often receives a branch from the last thoracic nerve.
It is situated in the posterior part of the Psoas major, in front of the transverse processes of the lumbar vertebræ.
The mode in which the plexus is arranged varies in different subjects.
It differs from the brachial plexus in not forming an intricate interlacement, but the several nerves of distribution arise from one or more of the spinal nerves, in the following manner: the first lumbar nerve, frequently supplemented by a twig from the last thoracic, splits into an upper and lower branch; the upper and larger branch divides into the iliohypogastric and ilioinguinal nerves; the lower and smaller branch unites with a branch of the second lumbar to form the genitofemoral nerve.
The remainder of the second nerve, and the third and fourth nerves, divide into ventral and dorsal divisions.
The ventral division of the second unites with the ventral divisions of the third and fourth nerves to form the obturator nerve.
The dorsal divisions of the second and third nerves divide into two branches, a smaller branch from each uniting to form the lateral femoral cutaneous nerve, and a larger branch from each joining with the dorsal division of the fourth nerve to form the femoral nerve.
The accessory obturator, when it exists, is formed by the union of two small branches given off from the third and fourth nerves.
The branches of the lumbar plexus may therefore be arranged as follows:
|Main||Iliohypogastric nerve||1 L.|
|Main||Ilioinguinal nerve||1 L.|
|Main||Genitofemoral nerve||1, 2 L.|
|Dorsal||Lateral femoral cutaneous||2, 3 L.|
|Ventral||Obturator nerve (and Accessory obturator nerve, when present)||2, 3, 4 L.|
|Dorsal||Femoral nerve||2, 3, 4 L.|
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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
Nerves: spinal nerves
anterior (Lumbar plexus, Lumbosacral trunk) - posterior (Posterior branches of the lumbar nerves, Superior cluneal L1-L3)
anterior (Coccygeal plexus) - posterior (Posterior branch of coccygeal nerve)
lumbar plexus: iliohypogastric - ilioinguinal - genitofemoral (femoral branch/lumboinguinal, genital branch) - lateral cutaneous of thigh (patellar) - obturator (anterior, cutaneous, posterior, accessory) - femoral (anterior cutaneous branches, saphenous)
sacral/coccygeal plexus: to quadratus femoris - to obturator internus - to the piriformis - superior gluteal - inferior gluteal - posterior cutaneous of thigh (inferior cluneal, perineal branches)
sciatic: tibial (medial sural cutaneous, sural, medial calcaneal, medial plantar, lateral plantar) - common fibular (lateral sural cutaneous, deep fibular, superficial fibular, medial dorsal cutaneous, intermediate dorsal cutaneous)
- fr:Plexus lombaire
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