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Wheeless' Textbook of Orthopaedics

Lumbar Plexus



- Anatomy:
    - primary ventral rami of five lumbar nerves and of first four sacral nerves combine to form the lumbar (L1, L2, L3, L4) &
          lumbosacral (L4, L5, S1, S2, S3, S4) plexuses, each giving rise to anterior and posterior branches;
          - anterior branches supply flexor muscles of limb, while posterior branches
                  supply extensor and abductor muscles;
    - largest of these derivatives are femoral & obturator nerve;
    - cutaneous branches include:
          - lioinguinal (L1), genitofemoral nerve   (L1, L2), iliohypogastric, nerve nerve (L1)
                  & lateral cutaneous nerve of thigh (L2, L3) supplying lateral & anterolateral thigh;










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