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The greater nerve to the muscle is the femoral nerve. Unlike the obturator accessory nerve, the femoral nerve is always present and provides the sole innervation for the pectineus muscle in over 90% of cases. The muscle is also innervated by the accessory obturator nerve in the 8.7% of cases in which the nerve occurs. [5]
After a short course of about 4 cm in the thigh, the nerve is divided into anterior and posterior divisions, separated by lateral femoral circumflex artery. [2] Nerve to pectineus - This nerve arises from the femoral nerve just above the inguinal ligament. It passes behind the femoral sheath to reach the anterior surface of the pectineus muscle ...
Spatially, it is in this location, but functionally, it is more similar to the other lateral rotator group muscles). The pectineus is sometimes included in this group, [1] [3] and sometimes excluded. [2] [4] It has the same function as the others in this group, but different innervation – namely, the femoral nerve.
The pectineus is the only adductor muscle that is innervated by the femoral nerve. The other adductor muscles are innervated by the obturator nerve [1] with the exception of a small part of the adductor magnus which is innervated by the tibial nerve. [4]
The intermediate cutaneous nerve (middle cutaneous nerve) pierces the fascia lata (and generally the sartorius) about 7.5 cm below the inguinal ligament, and divides into two branches which descend in immediate proximity along the forepart of the thigh, to supply the skin as low as the front of the knee.
Femoral nerve blocks are very effective. [3] During pelvic surgery and abdominal surgery, the femoral nerve must be identified early on to protect it from iatrogenic nerve injury. [4] The femoral nerve stretch test can be performed to identify the compression of spinal nerve roots. [5] The test is positive if thigh pain increases. [5]
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).
Left and right inguinal regions shown in lower part of diagram. In human anatomy, the groin, also known as the inguinal region or iliac region, [1] is the junctional area between the torso and the thigh. [2] The groin is at the front of the body on either side of the pubic tubercle, where the lower part of the abdominal wall meets the thigh.