Sacral plexus

Last updated
Sacral plexus
Gray828.png
Plan of sacral and pudendal plexuses.
Relations of the sacral plexus.png
Relations of the sacral plexus. Dissection of side wall of pelvis showing sacral and pudendal plexuses.
Details
From L4-L5, S1-S4
Identifiers
Latin plexus sacralis
TA98 A14.2.07.027
TA2 6539
FMA 5909
Anatomical terms of neuroanatomy

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). [1] 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.

Contents

Structure

The sacral plexus is formed by:

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 sciatic nerve, which splits on the back of the thigh into the tibial nerve and common fibular nerve; these two nerves sometimes arise separately from the plexus, and in all cases their independence can be shown by dissection. Often, the sacral plexus and the lumbar plexus are considered to be one large nerve plexus, the lumbosacral plexus. The lumbosacral trunk connects the two plexuses.

Relations

The sacral plexus lies on the back of the pelvis in front of the piriformis muscle and the pelvic fascia. In front of it are the internal iliac artery, internal iliac vein, the ureter, and the sigmoid colon. The superior gluteal artery and vein run between the lumbosacral trunk and the first sacral nerve, and the inferior gluteal artery and vein between the second and third sacral nerves.

Nerves formed

All the nerves entering the plexus, with the exception of the third sacral, split into ventral and dorsal divisions, and the nerves arising from these are as follows of the table below:

Sacral plexus Sacral plexus.JPG
Sacral plexus
Nerves of the sacral plexus [2]
NerveSegmentInnervated musclesCutaneous branches
Superior gluteal L4-S1 Gluteus medius
Gluteus minimus
Tensor fasciae latae
Inferior gluteal L5-S2 Gluteus maximus
Posterior cutaneous femoral S1-S3
Perforating cutaneous S2-S3
Direct branches from plexus
S1-2 Piriformis
L5, S1-2 Obturator internus and Superior gemellus
L4-5, S1 Quadratus femoris and Inferior gemellus
Sciatic
Sciatic L4-S3 Semitendinosus (Tib)
Semimembranosus (Tib)
Biceps femoris
  • Long head (Tib)
  • Short head (Fib)

Adductor magnus (medial part, Tib)

Common fibular L4-S2 Lateral sural cutaneous
Communicating fibular
Fibularis longus
Fibularis brevis
Medial dorsal cutaneous
Intermediate dorsal cutaneous
Tibialis anterior
Extensor digitorum longus
Extensor digitorum brevis
Extensor hallucis longus
Extensor hallucis brevis
Fibularis tertius
Lateral cutaneous nerve of big toe
Intermediate dorsal cutaneous
Tibial nerve L4-S3 Triceps surae(Gastrocnemius, Soleus)
Popliteus
Plantaris
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Medial sural cutaneous
Medial calcaneal
Lateral dorsal cutaneous
Abductor hallucis
Flexor digitorum brevis
Flexor hallucis brevis (medial head)
Lumbrical (first and second)
Proper digital plantar
Flexor hallucis brevis (lateral head)
Quadratus plantae
Abductor digiti minimi
Flexor digiti minimi
Lumbrical (third and fourth)
Plantar interossei (first to third)
Dorsal interossei (first to fifth)
Adductor hallucis
Proper plantar digital
Pudendal and coccygeal
Pudendal
(Pudendal plexus)
S2-S4 Muscles of the pelvic floor:
Levator ani
Superficial transverse perineal
Deep transverse perineal
Bulbospongiosus
Ischiocavernosus
Sphincter anus externus
Urethral sphincter
Inferior rectal
Perineal
Coccygeal
(Coccygeal plexus)
S5-Co1 Coccygeus Anococcygeal
Dorsal branches

Additional images

See also

Notes

  1. Thieme Atlas of Anatomy (2006), pp 470-471
  2. Thieme Atlas of Anatomy (2006), pp 476, 478, 482

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Sciatic nerve</span> Large nerve in humans and other animals

The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals which is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest single nerve in the human body, going from the top of the leg to the foot on the posterior aspect. The sciatic nerve has no cutaneous branches for the thigh. This nerve provides the connection to the nervous system for the skin of the lateral leg and the whole foot, the muscles of the back of the thigh, and those of the leg and foot. It is derived from spinal nerves L4 to S3. It contains fibers from both the anterior and posterior divisions of the lumbosacral plexus.

<span class="mw-page-title-main">Spinal nerve</span> Nerve that carries signals between the spinal cord and the body

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.

<span class="mw-page-title-main">Adductor longus muscle</span> Skeletal muscle located in the thigh

In the human body, the adductor longus is a skeletal muscle located in the thigh. One of the adductor muscles of the hip, its main function is to adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall of the femoral triangle.

<span class="mw-page-title-main">Nerve plexus</span> Network of nerve fibres

A nerve plexus is a plexus of intersecting nerves. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five spinal nerve plexuses, except in the thoracic region, as well as other forms of autonomic plexuses, many of which are a part of the enteric nervous system. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including:

<span class="mw-page-title-main">Internal iliac artery</span> Main artery of the pelvis

The internal iliac artery is the main artery of the pelvis.

<span class="mw-page-title-main">Posterior cutaneous nerve of thigh</span> Sensory nerve that supplies the back of the thigh, leg, buttock, and perineum

The posterior cutaneous nerve of the thigh is a sensory nerve of the thigh. It is a branch of the sacral plexus. It supplies the skin of the posterior surface of the thigh, leg, buttock, and also the perineum.

<span class="mw-page-title-main">Inferior gluteal nerve</span>

The inferior gluteal nerve is the main motor neuron that innervates the gluteus maximus muscle. It is responsible for the movement of the gluteus maximus in activities requiring the hip to extend the thigh, such as climbing stairs. Injury to this nerve is rare but often occurs as a complication of posterior approach to the hip during hip replacement. When damaged, one would develop gluteus maximus lurch, which is a gait abnormality which causes the individual to 'lurch' backwards to compensate lack in hip extension.

<span class="mw-page-title-main">Superior gluteal nerve</span> Nerve on the pelvis and leg

The superior gluteal nerve is a mixed nerve of the sacral plexus that originates in the pelvis. It provides motor innervation to the gluteus medius, gluteus minimus, tensor fasciae latae, and piriformis muscles; it also has a cutaneous branch.

<span class="mw-page-title-main">Lumbar plexus</span> Web of nerves in the lower spine

The lumbar plexus is a web of nerves 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.

<span class="mw-page-title-main">Obturator nerve</span>

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.

<span class="mw-page-title-main">Superior gluteal artery</span>

The superior gluteal artery is the terminal branch of the posterior division of the internal iliac artery. It exits the pelvis through the greater sciatic foramen before splitting into a superficial branch and a deep branch.

<span class="mw-page-title-main">Inferior gluteal artery</span>

The inferior gluteal artery is a terminal branch of the anterior trunk of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It is distributed chiefly to the buttock and the back of the thigh.

<span class="mw-page-title-main">Superior hypogastric plexus</span>

The superior hypogastric plexus is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta. It bifurcates to form the left and the right hypogastric nerve. The SHP is the continuation of the abdominal aortic plexus.

<span class="mw-page-title-main">Nerve to obturator internus</span> Human nerve

The nerve to obturator internus is a mixed 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.

<span class="mw-page-title-main">Lumbosacral trunk</span> Nervous tissue that connects the lumbar plexus with the sacral plexus

The lumbosacral trunk is nervous tissue that connects the lumbar plexus with the sacral plexus. It is formed by the union of parts of the fourth and fifth lumbar nerves and descends to join the sacral plexus.

<span class="mw-page-title-main">Hypogastric nerve</span> Human nerves

The hypogastric nerves are the continuation of the superior hypogastric plexus that descend into the pelvis anterior the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Pelvis</span> Lower torso of the human body

The pelvis is the lower part of the trunk, between the abdomen and the thighs, together with its embedded skeleton.

References

PD-icon.svgThis article incorporates text in the public domain from page 957 of the 20th edition of Gray's Anatomy (1918)