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Obturator Internus Nerve
The nerve to obturator internus (also known as the obturator internus nerve) is a mixed (sensory and motor) nerve providing motor innervation to the obturator internus muscle and gemellus superior muscle, and sensory innervation to the hip joint. It is a branch of the sacral plexus. It is one of the group of deep gluteal nerves. It exits the pelvis through the greater sciatic foramen to innervate the gemellus superior muscle, then re-enters the pelvis to innervate the obturator internus muscle. Structure Origin The nerve to obturator internus is a branch of the lumbosacral plexus. It arises from the anterior divisions of (the anterior rami of) L5- S2. Course and relations It emerges inferior to the piriformis muscle and exits the pelvis through the greater sciatic foramen. It travels round the base of the ischial spine lateral to the internal pudendal artery and nerve, and - while doing so - issues a branch to the gemellus superior, which enters the upper part of the p ...
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Sacral Plexus
In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar vertebrae and sacral vertebrae (L4-S4).''Thieme Atlas of Anatomy'' (2006), pp 470-471 A sacral plexopathy is a disorder affecting the nerves of the sacral plexus, usually caused by trauma, nerve compression, vascular disease, or infection. Symptoms may include pain, loss of motor control, and sensory deficits. Structure The sacral plexus is formed by: * the lumbosacral trunk * the anterior division of the first sacral nerve * portions of the anterior divisions of the second and third sacral nerves The nerves forming the sacral plexus converge toward the lower part of the greater sciatic foramen, and unite to form a flattened band, from the anterior and posterior surfaces of which several branches arise. The band itself is continued as the ...
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Anatomical Terms Of Location
Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and axes. The meaning of terms that are used can change depending on whether a vertebrate is a biped or a quadruped, due to the difference in the neuraxis, or if an invertebrate is a non-bilaterian. A non-bilaterian has no anterior or posterior surface for example but can still have a descriptor used such as proximal or distal in relation to a body part that is nearest to, or furthest from its middle. International organisations have determined vocabularies that are often used as standards for subdisciplines of anatomy. For example, '' Termi ...
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Obturator Nerve
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small. Structure The obturator nerve originates from the anterior divisions of the L2, L3, and L4 spinal nerve roots. It descends through the fibers of the psoas major, and emerges from its medial border near the brim of the pelvis. It then passes behind the common iliac arteries, and on the lateral side of the internal iliac artery and vein, and runs along the lateral wall of the lesser pelvis, above and in front of the obturator vessels, to the upper part of the obturator foramen. Here it enters the thigh, through the obturator canal, and divides into an anterior and a posterior branch, which are separated at first by some of the fibers of the obturator externus, and lower down by the adductor brevis. An accessory obturator nerve may be present in ap ...
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Lesser Sciatic Foramen
The lesser sciatic foramen is an opening (foramen) between the pelvis and the back of the thigh. The foramen is formed by the sacrotuberous ligament which runs between the sacrum and the ischial tuberosity and the sacrospinous ligament which runs between the sacrum and the ischial spine. Structure The lesser sciatic foramen has the following boundaries: * Anterior: the tuberosity of the ischium * Superior: the spine of the ischium and sacrospinous ligament * Posterior: the sacrotuberous ligament Alternatively, the foramen can be defined by the boundaries of the lesser sciatic notch and the two ligaments. Function The following pass through the foramen: * the tendon of the obturator internus * internal pudendal vessels * pudendal nerve * nerve to the obturator internus See also *Greater sciatic foramen The greater sciatic foramen is an opening (:wikt:foramen, foramen) in the posterior human pelvis. It is formed by the sacrotuberous ligament, sacrotuberous and sacrospino ...
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Ischial Spine
The ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects. Structure The pudendal nerve travels close to the ischial spine. Clinical significance The ischial spine can serve as a landmark in pudendal anesthesia, as the pudendal nerve The pudendal nerve is the main nerve of the perineum. It is a Mixed nerve, mixed (motor and sensory) nerve and also conveys Sympathetic nervous system, sympathetic Autonomic nervous system, autonomic fibers. It carries sensation from the exter ... lies close to the ischial spine. Additional images File:Sciatic notches.png, Right hip bone, external surface, showing the greater and lesser sciatic notches, separated by the ischial spine File:Gray319.png, Articulations of pelvis. Anterior view. File:Slide3ADA.JPG, Pelvis. Anterior view. File:Ischial spine - animation02-1.gif, Animation showing the ischial spine (highl ...
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Piriformis
The piriformis muscle () is a flat, pyramidally-shaped muscle in the gluteal region of the lower limbs. It is one of the six muscles in the lateral rotator group. The piriformis muscle has its origin upon the front surface of the sacrum, and inserts onto the greater trochanter of the femur. Depending upon the given position of the leg, it acts either as external (lateral) rotator of the thigh or as abductor of the thigh. It is innervated by the piriformis nerve. Structure The piriformis is a flat muscle, and is pyramidal in shape. Origin The piriformis muscle originates from the anterior (front) surface of the sacrum by three fleshy digitations attached to the second, third, and fourth sacral vertebra. It also arises from the superior margin of the greater sciatic notch, the gluteal surface of the ilium (near the posterior inferior iliac spine), the sacroiliac joint capsule, and (sometimes) the sacrotuberous ligament (more specifically, the superior part of the pelvi ...
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Sacral Nerves
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system. Structure Each spinal nerve is a mixed nerve, formed from the combination of nerve root fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain. The spinal nerve emerges from the spinal column through an opening (intervertebral foramen) between adjacent ...
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Lumbar Nerves
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior branch, which travels forward, and a posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of the lumbar nerves () increase in size from ...
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Anterior Rami
The ventral ramus (: rami) (Latin for 'branch') is the anterior division of a spinal nerve. The ventral rami supply the antero-lateral parts of the trunk and the limbs. They are mainly larger than the dorsal rami. Shortly after a spinal nerve exits the intervertebral foramen, it branches into the dorsal ramus, the ventral ramus, and the ramus communicans. Each of these three structures carries both sensory and motor information. Each spinal nerve is a mixed nerve that carries both sensory and motor information, via efferent and afferent nerve fibers—ultimately via the motor cortex in the frontal lobe and to somatosensory cortex in the parietal lobe—but also through the phenomenon of reflex. In the thoracic region they remain distinct from each other and each innervates a narrow strip of muscle and skin along the sides, chest, ribs, and abdominal wall. These rami are called the intercostal nerves. In regions other than the thoracic, ventral rami converge with each oth ...
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Lumbosacral Plexus
The anterior divisions of the lumbar nerves, sacral nerves, and coccygeal nerve form the lumbosacral plexus, the first lumbar nerve being frequently joined by a branch from the twelfth thoracic. For descriptive purposes this plexus is usually divided into three parts: * 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 su ... * sacral plexus * pudendal plexus Injuries to the lumbosacral plexus are predominantly witnessed as bone injuries. Lumbosacral trunk and sacral plexus palsies are common injury patterns. References External links * - "Lumbosacral Plexus" Additional Images File:Slide2Anat.JPG, Lumbosacral plexus Deep dissection. File:Slide4Anat.JPG, Lumbosacral plexus Deep dissection. Nerve plexus Nerves of the lower limb and lower torso {{Ne ...
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Pudendal Plexus (nerves)
The pudendal plexus is a term used for a compound structure consisting of sacral spinal nerves. Some sources describe it as S2-S4 of the lumbosacral plexus. In some older texts, it is a rough approximation of the coccygeal plexus. References Nerve plexus {{neuroanatomy-stub ...
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Greater Sciatic Foramen
The greater sciatic foramen is an opening (:wikt:foramen, foramen) in the posterior human pelvis. It is formed by the sacrotuberous ligament, sacrotuberous and sacrospinous ligaments. The piriformis muscle passes through the foramen and occupies most of its volume. The greater sciatic foramen is wider in women than in men. Structure It is bounded as follows: * anterolaterally by the greater sciatic notch of the Ilium (bone), ilium. * posteromedially by the sacrotuberous ligament. * inferiorly by the sacrospinous ligament and the ischial spine. * superiorly by the anterior sacroiliac ligament. Function The piriformis, which exits the pelvis through the foramen, occupies most of its volume. The following structures also exit the pelvis through the greater sciatic foramen: See also *Lesser sciatic foramen References External links

* * (, ) {{Authority control Anatomy Bones of the pelvis ...
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