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===Nerve supply=== {{Main|Nerve supply of the human leg}} {{multiple image | align = right | image1 = Gray827.png | width1 = 105 | alt1 = | caption1 = | image2 = Gray832.png | width2 = 95 | alt2 = | caption2 = | footer = Nerves of right leg, anterior and posterior aspects }} The sensory and motor innervation to the lower limb is supplied by the [[lumbosacral plexus]], which is formed by the [[Ventral ramus of spinal nerve|ventral rami]] of the lumbar and sacral spinal nerves with additional contributions from the [[subcostal nerve]] (T12) and [[coccygeal nerve]] (Co1). Based on distribution and topography, the lumbosacral plexus is subdivided into the [[lumbar plexus]] (T12-L4) and the [[Sacral plexus]] (L5-S4); the latter is often further subdivided into the [[sciatic plexus|sciatic]] and [[Pudendal plexus (nerves)|pudendal plexuses]]:<ref name="Thieme-Atlas-470">''Thieme Atlas of anatomy'' (2006), pp. 470β71</ref> The lumbar plexus is formed lateral to the [[intervertebral foramina]] by the ventral rami of the first four lumbar spinal nerves (L1-L4), which all pass through [[Psoas major muscle|psoas major]]. The larger branches of the plexus exit the muscle to pass sharply downward to reach the [[abdominal wall]] and the thigh (under the [[inguinal ligament]]); with the exception of the [[obturator nerve]] which pass through the [[lesser pelvis]] to reach the medial part of the thigh through the [[obturator foramen]]. The nerves of the lumbar plexus pass in front of the [[hip joint]] and mainly support the anterior part of the thigh.<ref name="Thieme-Atlas-470" /> The [[iliohypogastric nerve|iliohypogastric]] (T12-L1) and [[ilioinguinal nerve]]s (L1) emerge from the psoas major near the muscle's origin, from where they run laterally downward to pass anteriorly above the [[iliac crest]] between the [[Transversus abdominis muscle|transversus abdominis]] and [[Abdominal internal oblique muscle|abdominal internal oblique]], and then run above the inguinal ligament. Both nerves give off muscular branches to both these muscles. Iliohypogastric supplies sensory branches to the skin of the lateral hip region, and its terminal branch finally pierces the aponeurosis of the [[Abdominal external oblique muscle|abdominal external oblique]] above the inguinal ring to supply sensory branches to the skin there. Ilioinguinalis exits through the inguinal ring and supplies sensory branches to the skin above the [[pubic symphysis]] and the lateral portion of the [[scrotum]].<ref name="Thieme-Atlas-472">''Thieme Atlas of anatomy'' (2006), pp. 472β73</ref> The [[genitofemoral nerve]] (L1, L2) leaves psoas major below the two former nerves, immediately divides into two branches that descends along the muscle's anterior side. The sensory femoral branch supplies the skin below the inguinal ligament, while the mixed genital branch supplies the skin and muscles around the sex organ. The [[Lateral cutaneous nerve of thigh|lateral femoral cutaneous nerve]] (L2, L3) leaves psoas major laterally below the previous nerve, runs obliquely and laterally downward above the [[Iliacus muscle|iliacus]], exits the pelvic area near the [[anterior superior iliac spine|iliac spine]], and supplies the skin of the anterior thigh.<ref name="Thieme-Atlas-472" /> The [[obturator nerve]] (L2-L4) passes medially behind psoas major to exit the pelvis through the [[obturator canal]], after which it gives off branches to [[Obturator externus muscle|obturator externus]] and divides into two branches passing behind and in front of [[Adductor brevis muscle|adductor brevis]] to supply motor innervation to all the other adductor muscles. The anterior branch also supplies sensory nerves to the skin on a small area on the distal medial aspect of the thigh.<ref name="Thieme-Atlas-474">''Thieme Atlas of anatomy'' (2006), pp. 474β75</ref> The [[femoral nerve]] (L2-L4) is the largest and longest of the nerves of the lumbar plexus. It supplies motor innervation to [[Iliopsoas muscle|iliopsoas]], [[Pectineus muscle|pectineus]], [[Sartorius muscle|sartorius]], and [[Quadriceps muscle|quadriceps]]; and sensory branches to the anterior thigh, medial lower leg, and posterior foot.<ref name="Thieme-Atlas-474" /> The nerves of the sacral plexus pass behind the hip joint to innervate the posterior part of the thigh, most of the lower leg, and the foot.<ref name="Thieme-Atlas-470" /> The [[superior gluteal nerve|superior]] (L4-S1) and [[inferior gluteal nerve]]s (L5-S2) innervate the gluteus muscles and the [[tensor fasciae latae]]. The [[Posterior cutaneous nerve of thigh|posterior femoral cutaneous nerve]] (S1-S3) contributes sensory branches to the skin on the posterior thigh.<ref name="Thieme-Atlas-476">''Thieme Atlas of Anatomy'' (2006), p. 476</ref> The [[sciatic nerve]] (L4-S3), the largest and longest nerve in the human body, leaves the pelvis through the [[greater sciatic foramen]]. In the posterior thigh it first gives off branches to the short head of the [[Biceps femoris muscle|biceps femoris]] and then divides into the [[tibial nerve|tibial]] (L4-S3) and [[common fibular nerve]]s (L4-S2). The fibular nerve continues down on the medial side of biceps femoris, winds around the fibular neck and enters the front of the lower leg. There it divides into a [[Deep fibular nerve|deep]] and a [[Superficial fibular nerve|superficial terminal branch]]. The superficial branch supplies the [[fibularis muscles]] and the deep branch enters the extensor compartment; both branches reaches into the dorsal foot. In the thigh, the tibial nerve gives off branches to [[Semitendinosus muscle|semitendinosus]], [[Semimembranosus muscle|semimembranosus]], [[Adductor magnus muscle|adductor magnus]], and the long head of the biceps femoris. The nerve then runs straight down the back of the leg, through the [[popliteal fossa]] to supply the ankle flexors on the back of the lower leg and then continues down to supply all the muscles in the sole of the foot.<ref name="Thieme-Atlas-480">''Thieme Atlas of Anatomy'' (2006), pp. 480β81</ref> The [[pudendal nerve]] (S2-S4) and [[coccygeal plexus]] (S5-Co)<ref>{{cite book |last=Drake |first=Richard L. |last2=Vogl |first2=A. Wayne |last3=Mitchell |first3=Adam W. M. |last4=Tibbitts |first4=Richard |last5=Richardson |first5=Paul |title=Gray's Atlas of Anatomy |publisher=Churchill Livingstone |date=2014-07-14 |isbn=978-1-4557-4802-0 |page=252}}</ref> supply the muscles of the [[pelvic floor]] and the surrounding skin.<ref name="Thieme-Atlas-482">''Thieme Atlas of Anatomy'' (2006), pp. 482β83</ref> The [[lumbosacral trunk]] is a communicating branch passing between the sacral and lumbar plexuses containing ventral fibers from L4. The [[coccygeal nerve]], the last spinal nerve, emerges from the [[sacral hiatus]], unites with the ventral rami of the two last sacral nerves, and forms the [[coccygeal plexus]].<ref name="Thieme-Atlas-470" />
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