- See: Lumbar Plexus:
- Anatomy:
- lumbosacral plexus is derived from L4, L5, S1, S2, S3 & S4 roots, each giving rise to anterior and posterior branches;
- anterior branches supply flexor muscles of limb, & posterior branches supply extensor and abductor muscles;
- superior gluteal nerve (L4 & L5) supplies glutei medius and minimus & tensor fasciae latae;
- inferior gluteal nerve (L5, S1, S2) supplies maximus;
- small nerves derived from L4, L5, S1, S2, S3 supply lateral rotators of thigh except for obturator externus, which is supplied
by obturator nerve;
- sciatic nerve
- largest derivative of lumbosacral plexus is sciatic nerve, which supplies muscles of posterior thigh & all of muscles of leg and foot;
- pudendal nerve arises from the ventral rami of S2-S4;
- Injury of Lumbrosacral Plexus:
- w/ pelvic ring trauma, the nerve which is most often injured is the L4-L5 portions of the lumbral sacral trunk;
- L4-L5 portion of trunk crosses anterior to sacral ala & sacral iliac joint;
- it exits the sciatic notch above the piriformis, where is branches off superior gluteal nerve and forms part of sciatic nerve
Anomalies of the lumbosacral nerve roots. An anatomic investigation.