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Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh. [1] The plexus is formed lateral to the intervertebral foramina and passes through psoas major.
The nerve to obturator internus (also known as the obturator internus nerve [citation needed]) is a mixed (sensory and motor) [1] nerve providing motor innervation to the obturator internus muscle and gemellus superior muscle, [2] [1] and sensory innervation to the hip joint. [1] It is a branch of the sacral plexus. It is one of the group of ...
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.
In human anatomy, the accessory obturator nerve is an accessory nerve in the lumbar region present in about 29% of cases. It is of small size, and arises from the ventral divisions of the third and fourth lumbar nerves. Recent evidence support that this nerve arises from dorsal divisions.
The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus. [1]
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 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).
Imaging, such as magnetic resonance imaging, can be used to rule out other pathologies. In many cases, this diagnosis is made after treatment of more common pathologies with similar symptoms. The most common overlapping pathologies include facet joint pain, sacroiliac joint dysfunction, and lumbosacral radiculopathy.