Genitofemoral nerve

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Genitofemoral nerve
Lumbar plexus.svg
Plan of lumbar plexus. (Genitofemoral nerve visible at upper left.)
Gray823.png
The lumbar plexus and its branches. (Genitofemoral nerve visible at upper left.)
Details
From lumbar plexus
To lumboinguinal, genital branch
Innervates cremaster muscle

Anterior scrotum in males

Mons pubis in females
Identifiers
Latin nervus genitofemoralis
nervus genitalifemoralis
TA98 A14.2.07.008
TA2 6529
FMA 16484
Anatomical terms of neuroanatomy

The genitofemoral nerve is a mixed branch of the lumbar plexus derived from anterior rami of L1-L2. It splits 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).

Contents

Structure

Origin

The genitofemoral nerve is a branch of the lumbar plexus. [1] It is derived from the anterior rami of lumbar (spinal) nerves L1-L2. It coalesces within the substances of the psoas major muscle. [2]

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, [1] 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 surface of the psoas major muscle, then enters the inguinal canal through the deep inguinal ring. [1]

In men, the genital branch supplies the cremaster and scrotal skin. In women, the genital branch accompanies the round ligament of uterus, terminating in and innervating the skin of the mons pubis and labia majora. [1]

Femoral branch

The femoral branch passes underneath the inguinal ligament, travelling through the lateral muscular compartment of the femoral sheath where it innervates skin of the upper leg. Passing through the cribriform fascia of the saphenous opening of the fascia lata of the thigh, it then supplies the skin of the upper, anterior and medial side of thigh. [1]

Variation

The genitofemoral nerve typically pierces and passes through the psoas major muscle before bifurcating into a genital branch and a femoral branch midway along its anterior surface. In approximately 25% of cases, the genitofemoral nerve splits into these branches before it enters the psoas major or within the muscle belly of psoas major (with fibers of the psoas major separating the genital and femoral branches). Usually this variation causes the split to be occur earlier in the genitofemoral nerve, at the upper rather than mid-portion of the anterior surface of the psoas major. [3]

Embryology

The genitofemoral nerve is formed in the midsection of the psoas muscle by the union of branches from the anterior rami of L1 and L2 nerve roots

Function

The genitofemoral nerve is responsible for both the sensory (femoral branch) and motor portions (genital branch) of the cremasteric reflex, which describes contraction of the cremasteric muscle when the skin of the superior medial part of the thigh is touched. [1] :262

Additional images

See also

Related Research Articles

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<span class="mw-page-title-main">Psoas major muscle</span> Long fusiform muscle located in the lumbar region

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<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">Iliopsoas</span> Joined psoas and the iliacus muscles

The iliopsoas muscle refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

<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">Femoral nerve</span> Long nerve down the thigh and inner leg

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<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">Iliohypogastric nerve</span>

The iliohypogastric nerve is a nerve that originates from the lumbar plexus that supplies sensation to skin over the lateral gluteal and hypogastric regions and motor to the internal oblique muscles and transverse abdominal muscles.

<span class="mw-page-title-main">Ilioinguinal nerve</span> Branch of the first lumbar nerve

The ilioinguinal nerve is a branch of the first lumbar nerve (L1). It separates from the first lumbar nerve along with the larger iliohypogastric nerve. It emerges from the lateral border of the psoas major just inferior to the iliohypogastric, and passes obliquely across the quadratus lumborum and iliacus. The ilioinguinal nerve then perforates the transversus abdominis near the anterior part of the iliac crest, and communicates with the iliohypogastric nerve between the transversus and the internal oblique muscle.

<span class="mw-page-title-main">Lumbar nerves</span>

The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions.

<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">Lateral cutaneous nerve of thigh</span> Nerve of the thigh

The lateral cutaneous nerve of the thigh is a cutaneous nerve of the thigh. It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under the inguinal ligament to reach the thigh. It supplies sensation to the skin on the lateral part of the thigh by an anterior branch and a posterior branch.

The saphenous nerve is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve. The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial leg.

<span class="mw-page-title-main">Genital branch of genitofemoral nerve</span>

The genital branch of the genitofemoral nerve, also known as the external spermatic nerve in males, is a nerve in the abdomen that arises from the genitofemoral nerve. The genital branch supplies the cremaster muscle and anterior scrotal skin in males, and the skin of the mons pubis and labia majora in females.

<span class="mw-page-title-main">Anterior compartment of thigh</span> Muscles which extend the knee and flex the hip

The anterior compartment of thigh contains muscles which extend the knee and flex the hip.

References

  1. 1 2 3 4 5 6 Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students (Pbk. ed.). Philadelphia: Elsevier/Churchill Livingstone. pp. 340–343. ISBN   978-0-443-06612-2.
  2. Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 1148. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. Anloague, Phillip; Huijbregts, Peter (2009). "Anatomical Variations of the Lumbar Plexus: A Descriptive Anatomy Study with Proposed Clinical Implications". Journal of Manual and Manipulative Therapy. 17 (4): e107-14. doi:10.1179/106698109791352201. PMC   2813498 . PMID   20140146.