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Genitofemoral Nerve
The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of lumbar nerves L1–L2. It splits into 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 also provides motor innervation to the cremaster muscle (via its genital branch). Structure Origin The genitofemoral nerve is a branch of the lumbar plexus. It is derived from the anterior rami of lumbar nerves L1–L2. It coalesces within the substances of the psoas major muscle. Course It passes downwards, pierces the psoas major and emerges from its anterior surface. The nerve divides into two branches, the genital branch and the lumboinguinal nerve also known as the femoral branch, both of which then continue downwards and medially to the inguinal and femoral canal respectively. Branches Genital branch The genital branch continues downward on the s ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lumbar Plexus
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. 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.''Thieme Atlas of anatomy'' (2006), pp 470-471 The plexus is formed lateral to the intervertebral foramina and passes through psoas major. Its smaller motor branches are distributed directly to psoas major, while the larger branches leave the muscle at various sites to run obliquely down through the pelvis to leave under the inguinal ligament with the exception of the obturator nerve which exits the pelvis through the obturator foramen. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Psoas Major
The psoas major ( or ; from ) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In other animals, this muscle is equivalent to the tenderloin. Structure The psoas major is divided into a superficial and a deep part. The deep part originates from the transverse processes of lumbar vertebrae L1–L5. The superficial part originates from the lateral surfaces of the last thoracic vertebra, lumbar vertebrae L1–L4, and the neighboring intervertebral discs. The lumbar plexus lies between the two layers. Together, the iliacus muscle and the psoas major form the iliopsoas, which is surrounded by the iliac fascia. The iliopsoas runs across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. The iliopectineal bursa separates the tendon of the iliopsoas muscle from the external surface of the hip-j ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cremasteric Muscle
The cremaster muscle is a paired structure made of thin layers of striated and smooth muscle that covers the testicles and the spermatic cords in human males. It consists of the lateral and medial parts. Cremaster is an involuntary muscle, responsible for the cremasteric reflex; a protective and physiologic superficial reflex of the testicles. The reflex raises and lowers the testicles in order to keep them protected. Along with the dartos muscle of the scrotum, it regulates testicular temperature, thus aiding the process of spermatogenesis. Structure In human males, the cremaster muscle is a thin layer of striated muscle found in the inguinal canal and scrotum between the external and internal layers of spermatic fascia, surrounding the testis and spermatic cord. The cremaster muscle is a paired structure, there being one on each side of the body. Anatomically, the lateral cremaster muscle originates from the internal oblique muscle, just superior to the inguinal canal, and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cremasteric Reflex
The cremasteric reflex is a superficial (i.e., close to the skin's surface) reflex observed in human males. This reflex is elicited by lightly stroking or poking the superior and medial (inner) part of the thigh—regardless of the direction of stroke. The normal response is an immediate contraction of the cremaster muscle that pulls up the testicle ipsilaterally (on the same side of the body). The reflex utilizes sensory and motor fibers from two different nerves. When the inner thigh is stroked, sensory fibers of the ilioinguinal nerve are stimulated. These activate the axon, motor fibers of the genital branch of the genitofemoral nerve which causes the cremaster muscle to contract and elevate the testis. Clinical conditions In some males this reflex may be exaggerated which can occasionally lead to a misdiagnosis of cryptorchidism. The cremasteric reflex may be absent with testicular torsion, upper and lower motor neuron disorders, as well as a spine injury of L1-L2. It can ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Saphenous Opening
In anatomy, the saphenous opening (saphenous hiatus, also fossa ovalis) is an oval opening in the upper mid part of the fascia lata of the thigh. It lies 3–4 cm below and lateral to the pubic tubercle and is about 3 cm long and 1.5 cm wide. Structure Just inferolateral to the pubic tubercle the fascia extends downwards forming an arched (falciform) margin of the lateral boundary of the opening. It is covered by a thin perforated part of the superficial fascia called the fascia cribrosa which is pierced by the great saphenous vein, the 3 superficial branches of the femoral artery (except superficial circumflex iliac artery, which pierces fascia lata lateral to the saphenous opening), and lymphatics. It transmits the great saphenous vein and other smaller vessels including the superficial epigastric artery and superficial external pudendal artery, as well as the femoral branch of the genitofemoral nerve. The fascia cribrosa, which is pierced by the stru ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cribriform Fascia
The cribriform fascia (also known as the fascia cribrosa, or Hesselbach's fascia) is the portion of the superficial layer of the deep fascia of leg which extends between the sartorius muscle, adductor longus muscle, and inguinal ligament to form the anterior portion of the femoral canal. The cribriform fascia forms numerous openings to allow the passage of vessels and nerves, the most prominent of these being the saphenous opening (saphenous hiatus) (which gives passage to the great saphenous vein). Anatomy Structure An inferior aponeurotic thickening of the cribriform fascia - the falciform margin of sphenous opening - forms the inferior margin of the sapnenous opening, embracing the arch of the great saphenous vein. Clinical significance The cribriform fascia has been proposed for use in preventing new vascularization when surgery is performed at the join between the great saphenous vein The great saphenous vein (GSV; ) or long saphenous vein is a large, subcutaneo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Femoral Sheath
The femoral sheath (also called the crural sheath) is a funnel-shaped downward extension of abdominal fascia within which the femoral artery and femoral vein pass between the abdomen and the thigh. The femoral sheath is subdivided by two vertical partitions to form three compartments (medial, intermediate, and lateral); the medial compartment is known as the femoral canal and contains lymphatic vessels and a lymph node, whereas the intermediate canal and the lateral canal accommodate the femoral vein and the femoral artery (respectively). Some neurovascular structures perforate the femoral sheath. Topographically, the femoral sheath is contained within the femoral triangle. Structure The femoral sheath is funnel-shaped fascial structure, with the wide end directed superior-ward. The femoral sheath is formed by an inferior-ward prolongation - posterior to the inguinal ligament - of abdominal fascia, with transverse fascia being continued down anterior to the femoral vessels ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Ligament
The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop. Structure The inguinal ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. There is some dispute over the attachments. Structures that pass deep to the inguinal ligament include: * Psoas major, iliacus, pectineus * Femoral nerve, artery, and vein * Lateral cutaneous nerve of thigh *Lymphatics Function The ligament serves to contain soft tissues as they course anteriorly from the trunk to the lower extremity. This structure demarcates the superior border of the femoral triangle. It demarcates the inferior border of the inguinal triangle. The midpoint ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Labia Majora
In primates, and specifically in humans, the labia majora (: labium majus), also known as the outer lips or outer labia, are two prominent Anatomical terms of location, longitudinal skin folds that extend downward and backward from the mons pubis to the perineum. Together with the labia minora, they form the labia of the vulva. The labia majora are Homology (biology), homologous to the male scrotum. Etymology ''Labia majora'' is the Latin plural for big ("major") lips. The Latin term ''labium/labia'' is used in anatomy for a number of usually paired parallel structures, but in English, it is mostly applied to two pairs of parts of the vulva—labia majora and labia minora. Traditionally, to avoid confusion with other lip-like structures of the body, the vulvar labia were termed by anatomists in Latin as ''labia majora (''or ''minora) pudendi.'' Embryology Embryologically, they develop from labioscrotal folds. The labia majora after puberty may become of a darker color than the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Round Ligament Of Uterus
The round ligament of the uterus is a ligament that connects the uterus to the labia majora. It originates at the junction of the uterus and uterine tube. It passes through the inguinal canal to insert at the labium majus. The two round ligaments of uterus develop from the gubernaculum; they are the female homologue of the male gubernaculum testis. Structure The round ligament of the uterus originates at the uterine horns, in the parametrium. The round ligament exits the pelvis via the deep inguinal ring. It passes through the inguinal canal to reach the labium majus, inserting into the fibro-fatty substance of the labium majus. Blood supply The round ligament is supplied by the artery of the round ligament of uterus, also known as ''Sampson's artery''. Development The round ligament develops from the gubernaculum which attaches the gonad to the labioscrotal swellings in the embryo. Function The round ligament of uterus acts to hold the uterus anterior-ward to in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Deep Inguinal Ring
The inguinal canal is a passage in the anterior abdominal wall on each side of the body (one on each side of the midline), which in males, convey the spermatic cords and in females, the round ligament of the uterus. The inguinal canals are larger and more prominent in males. Structure The inguinal canals are situated just above the medial half of the inguinal ligament. The canals are approximately 4 to 6 cm long, angled anteroinferiorly and medially. In males, its diameter is normally 2 cm (±1 cm in standard deviation) at the deep inguinal ring.The diameter has been estimated to be ±2.2cm ±1.08cm in Africans, and 2.1 cm ±0.41cm in Europeans. A first-order approximation is to visualize each canal as a cylinder. Walls To help define the boundaries, these canals are often further approximated as boxes with six sides. Not including the two rings, the remaining four sides are usually called the "anterior wall", "inferior wall ("floor")", "superior wall ("roof")", and "poste ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Canal
The inguinal canal is a passage in the anterior abdominal wall on each side of the body (one on each side of the midline), which in males, convey the spermatic cords and in females, the round ligament of the uterus. The inguinal canals are larger and more prominent in males. Structure The inguinal canals are situated just above the medial half of the inguinal ligament. The canals are approximately 4 to 6 cm long, angled anteroinferiorly and medially. In males, its diameter is normally 2 cm (±1 cm in standard deviation) at the deep inguinal ring.The diameter has been estimated to be ±2.2cm ±1.08cm in Africans, and 2.1 cm ±0.41cm in Europeans. A first-order approximation is to visualize each canal as a cylinder. Walls To help define the boundaries, these canals are often further approximated as boxes with six sides. Not including the two rings, the remaining four sides are usually called the "anterior wall", "inferior wall ("floor")", "superior wall ("roof")", and "po ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
