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Wheeless' Textbook of Orthopaedics

Femoral Nerve


- Anatomy:
    - arises from posterior divisions of Ventral Rami of L2, L3, L4
    - see innerv. musc. lower limb;
    - passes inferolaterally thru psoas, & then runs between this muscle & iliacus;
    - it passes over Iliacus muscle to enter thigh underneath the inguinal ligament;
    - it supplies quadriceps & anteromedial thigh, & then continues on as the saphenous nerve;
    - branches:
          - Pectineus : arises at the level of the inguinal ligament;
          - Sartorius
          - Quadriceps

- Femoral Nerve Block:

- Femoral Nerve Palsy:
    - may result from iliacus hematoma (either from anticoagulation or hemophilia);






Femoral nerve block   in knee joint surgery.

Iatrogenic femoral nerve injuries.

Ipsilateral sciatica on femoral nerve stretch test is pathognomonic of an L4/5 disc protrusion.





Original Text by Clifford R. Wheeless, III, MD.