Scribd Logo
Upload

Welcome to Scribd!

  • 25 views

    Sacral Plexus

    Uploaded by

    scribdarnab
    The sacral plexus forms from the ventral rami of spinal nerves L4-S4. It provides branches that supply the perineum, gluteal region, back of thigh, and entire leg. The largest branch is the sciatic nerve, which divides into the tibial and common peroneal nerves. These supply muscles of the posterior thigh and leg. Other branches include the superior and inferior gluteal nerves, which innervate gluteal muscles, and the pudendal nerve, which supplies the perineum.

    Copyright:

    © All Rights Reserved
    Download as ODP, PDF, TXT or read online from Scribd

    Sacral Plexus

    Uploaded by

    scribdarnab
    25 views29 pages
    The sacral plexus forms from the ventral rami of spinal nerves L4-S4. It provides branches that supply the perineum, gluteal region, back of thigh, and entire leg. The largest branch is the sciatic nerve, which divides into the tibial and common peroneal nerves. These supply muscles of the posterior thigh and leg. Other branches include the superior and inferior gluteal nerves, which innervate gluteal muscles, and the pudendal nerve, which supplies the perineum.

    Original Title

    Sacral plexus

    Copyright

    © © All Rights Reserved

    Available Formats

    ODP, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The sacral plexus forms from the ventral rami of spinal nerves L4-S4. It provides branches that supply the perineum, gluteal region, back of thigh, and entire leg. The largest branch is the sciatic nerve, which divides into the tibial and common peroneal nerves. These supply muscles of the posterior thigh and leg. Other branches include the superior and inferior gluteal nerves, which innervate gluteal muscles, and the pudendal nerve, which supplies the perineum.

    Copyright:

    © All Rights Reserved
    Download as ODP, PDF, TXT or read online from Scribd
    Download as odp, pdf, or txt
    25 views29 pages

    Sacral Plexus

    Uploaded by

    scribdarnab
    The sacral plexus forms from the ventral rami of spinal nerves L4-S4. It provides branches that supply the perineum, gluteal region, back of thigh, and entire leg. The largest branch is the sciatic nerve, which divides into the tibial and common peroneal nerves. These supply muscles of the posterior thigh and leg. Other branches include the superior and inferior gluteal nerves, which innervate gluteal muscles, and the pudendal nerve, which supplies the perineum.

    Copyright:

    © All Rights Reserved
    Download as ODP, PDF, TXT or read online from Scribd
    Download as odp, pdf, or txt
    of 29

    SACRAL PLEXUS

    &
    SCIATIC NERVE
    Sacral plexus: formation
    ●
    Lumbosacral trunk (ventral rami of L4 & L5)
    ●
    Ventral rami of S1-S4
    Sacral plexus: formation
    Sacral plexus: formation
    ●
    Ventral rami of S1-S4 emerge from anterior
    sacral foramina.
    ●
    Plexus formed on posterior wall of pelvis, in front
    of piriformis.
    ●
    Branches emerge from greater sciatic foramen.
    ●
    Branches supply (skin & muscles of):
    ●
    Perineum
    ●
    Gluteal region
    ●
    Back of thigh
    ●
    Whole leg
    Coccygeal plexus
    ●
    Ventral rami of S4, S5, & Co spinal nerves.
    ●
    Supply postanal skin over coccyx.
    Sacral plexus: branches
    Sacral plexus: branches
    ●
    L4-5, S1:
    ●
    Superior gluteal nerve (dorsal divisions)
    ●
    Nerve to quadratus femoris (ventral divisions)
    ●
    L5, S1-2:
    ●
    Inferior gluteal nerve (dorsal divisions)
    ●
    Nerve to obturator internus (ventral divisions)
    ●
    L4-5, S1-3: sciatic nerve
    ●
    Common peroneal part: L4-S2 (dorsal divisions)
    ●
    Tibial part: L4-S3 (ventral divisions)
    Sacral plexus: branches
    ●
    S1-2: (dorsal divisions)
    ●
    Nerve to piriformis
    ●
    S1-3: (S1-2 dorsal, S2-3 ventral divisions)
    ●
    Posterior femoral cutaneous nerve
    ●
    S2-3: (dorsal divisions)
    ●
    Perforating cutaneous nerve
    Sacral plexus: branches
    ●
    S4: (ventral divisions)
    ●
    Nerves to levator ani, coccygeus, external anal
    sphincter
    ●
    S2-4: (ventral divisions)
    ●
    Pudendal nerve
    ●
    Pelvic splanchnic nerves (parasympathetic)
    Sacral plexus: formation
    Sacral plexus: branches
    Supply of perineum
    ●
    Nerves to levator ani, coccygeus, external
    anal sphincter: S4
    ●
    Pelvic diaphragm = levator ani + coccygeus
    ●
    External anal sphincter
    Supply of perineum
    ●
    Pudendal nerve: S2-4
    ●
    Perineal muscles
    ●
    Perineal skin
    Supply of perineum
    ●
    Pelvic splanchnic nerves: S2-4
    ●
    Internal urethral & anal sphincters
    ●
    For urination, defecation, erection (nervi erigentes)
    Pudendal nerve block
    (for vaginal delivery)
    'Lithotomy' position
    Supply of gluteal region & thigh
    Supply of gluteal region
    ●
    Superior gluteal nerve, L4-S1:
    ●
    Gluteus medius & minimus, TFL
    ●
    Abductors & medial rotators of hip
    ●
    Inferior gluteal nerve, L5-S2:
    ●
    Gluteus maximus
    ●
    Extensor of hip, & of knee - via iliotibial tract
    Supply of gluteal region
    ●
    Nerves supplying stabilizers & lateral
    rotators of hip:
    ●
    Nerve to quadratus femoris, L4-S1:
    – Quadratus femoris & superior gemellus
    ●
    Nerve to obturator internus, L5-S2:
    – Obturator internus & inferior gemellus
    ●
    Nerve to piriformis, S1-2:
    – Piriformis
    Sciatic nerve
    Supply of thigh & leg:
    Sciatic nerve
    ●
    Tibial part, L4-S3:
    ●
    4 hamstring muscles
    – 2 'semis', biceps femoris (long head), adductor magnus
    (ischial part)
    ●
    Hip joint, knee joint
    ●
    Common peroneal part, L4-S2:
    ●
    Biceps femoris (short head)
    ●
    Knee joint
    Sciatic nerve: variation in origin
    Sciatic nerve: course
    Sciatic nerve: course
    ●
    Emerges through greater
    sciatic foramen below
    piriformis.
    ●
    Lies on posterior surface of
    ischium with
    ●
    posterior femoral
    cutaneous nerve superficial
    to it
    ●
    nerve to quadratus femoris
    deep to it
    Sciatic nerve: course
    ●
    Lies on following structures from
    above down:
    ●
    Posterior surface of ischium
    ●
    Obturato internus & gemelli
    ●
    Quadratus femoris
    ●
    Adductor magnus
    ●
    Crossed superficially by long
    head of biceps femoris.
    ●
    Ends at apex of popliteal fossa by
    dividing into tibial & common
    peroneal branches.
    Gluteal I-M injections
    Dermatomes of lower limb

    You might also like