Nerve to obturator internus

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Nerve to obturator internus
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Plan of sacral plexus and pudendal plexus (nerve to the obturator internus and gemellus superior labeled at lower left)
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Nerves of the right leg seen from behind (nerve to the obturator internus labeled at upper left)
Details
From Sacral plexus
Innervates Obturator internus and gemellus superior muscles
Identifiers
Latin nervus musculi obturatorii interni
TA98 A14.2.07.028
TA2 6550
FMA 78711
Anatomical terms of neuroanatomy

The nerve to obturator internus (also known as the obturator internus nerve[ citation needed ]) is a mixed (sensory and motor) [1] nerve providing motor innervation to the obturator internus muscle and gemellus superior muscle, [2] [1] and sensory innervation to the hip joint. [1] It is a branch of the sacral plexus. It is one of the group of deep gluteal nerves. [2]

Contents

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. [2]

Structure

Origin

The nerve to obturator internus is a branch of the lumbosacral plexus. [3] It arises from the anterior divisions of (the anterior rami of [2] ) L5-S2. [3] [4] [2]

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 [2] 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 posterior surface of the muscle.[ citation needed ] It then re-enters the pelvis through the lesser sciatic foramen to innervate the obturator internus muscle, [2] piercing the pelvic surface of this muscle.[ citation needed ]

See also

Related Research Articles

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The pudendal nerve is the main nerve of the perineum. It is a mixed nerve and also conveys sympathetic autonomic fibers. It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the external anal sphincter.

<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">Cervical plexus</span> Network of nerves in the neck

The cervical plexus is a nerve plexus of the anterior rami of the first four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest.

<span class="mw-page-title-main">Piriformis muscle</span> One of six small hip muscles in the lateral rotator group

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.

<span class="mw-page-title-main">Obturator internus muscle</span> One of six small hip muscles in the lateral rotator group

The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis.

<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">Sacral plexus</span> Nerve plexus

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<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.

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<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">Perforating cutaneous nerve</span>

The perforating cutaneous nerve is a cutaneous nerve of the sacral plexus that provides sensory innervation to the skin of the buttocks.

<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">Piriformis nerve</span>

The piriformis nerve, also known as the nerve to piriformis, is the peripheral nerve that provides motor innervation to the piriformis muscle.

<span class="mw-page-title-main">Nerve to quadratus femoris</span>

The nerve to quadratus femoris is a nerve of the sacral plexus that provides motor innervation to the quadratus femoris muscle and gemellus inferior muscle, and an articular branch to the hip joint. The nerve leaves the pelvis through the greater sciatic foramen.

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

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<span class="mw-page-title-main">Ventral ramus of spinal nerve</span> Anterior division of a spinal nerve

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<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:

References

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

  1. 1 2 3 Mirjalili, S. Ali (2015). "Chapter 46 - Anatomy of the Sacral Plexus L4-S4". Nerves and Nerve Injuries. Vol. 1: History, Embryology, Anatomy, Imaging, and Diagnostics. Academic Press. p. 626. doi:10.1016/B978-0-12-410390-0.00048-2. ISBN   978-0-12-410390-0.
  2. 1 2 3 4 5 6 7 Moore, Keith L.; Dalley, Arthur F.; Agur, Anne M. R. (2018). Clinically Oriented Anatomy (8th ed.). Wolters Kluwer. pp. 733–734. ISBN   978-1-4963-4721-3.
  3. 1 2 Warner, Tyler; Tubbs, R. Shane (2021-01-01), Tubbs, R. Shane; Iwanaga, Joe; Loukas, Marios; Dumont, Aaron S. (eds.), "Chapter 7 - The Nerve to Obturator Internus", Surgical Anatomy of the Sacral Plexus and Its Branches, Elsevier, pp. 31–34, ISBN   978-0-323-77602-8 , retrieved 2021-02-06
  4. Chiva, Luis M.; Magrina, Javier (2018-01-01). "Chapter 2 - Abdominal and Pelvic Anatomy". Abdominal and Pelvic Anatomy. Elsevier. pp. 3–49. doi:10.1016/b978-0-323-42878-1.00002-x. ISBN   978-0-323-42878-1.