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The obturator nerve is responsible for the sensory innervation of the skin of the medial aspect of the thigh.. The nerve is also responsible for the motor innervation of the adductor muscles of the lower limb (external obturator, [4] adductor longus, adductor brevis, adductor magnus, gracilis) and the pectineus (inconstant).
The first three lumbar nerves, and the greater part of the fourth together form the lumbar plexus. The smaller part of the fourth joins with the fifth to form the lumbosacral trunk, which assists in the formation of the sacral plexus. The fourth nerve is named the furcal nerve, from the fact that it is subdivided between the two plexuses.
The lumbar plexus is a web of nerves (a nerve plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve .
The saphenous nerve, about the middle of the thigh, gives off a branch which joins the subsartorial plexus. At the medial side of the knee it gives off a large infrapatellar branch, which pierces the sartorius muscle and fascia lata. [2] It is distributed to the skin in front of the patella. [4] [2]
It is the largest branch of the lumbar plexus, and arises from the dorsal divisions of the ventral rami of the second, third, and fourth lumbar nerves (L2, L3, and L4). [ 1 ] [ 2 ] The nerve enters Scarpa's triangle by passing beneath the inguinal ligament , just lateral to the femoral artery .
The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of L1-L2.It splits a genital branch and a femoral branch.It provides sensory innervation to the upper anterior thigh, as well as the skin of the anterior scrotum in males and mons pubis in females.
It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under the inguinal ligament to reach the thigh. It supplies sensation to the skin on the lateral part of the thigh by an anterior branch and a posterior branch.
Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, usually lasting hours or days, involving the injection of an anesthetic, a corticosteroid, and other agents onto or near a nerve.