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The lumbar plexus is a web of nerves (a nerve plexus) 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.
The sympathetic trunk is a fundamental part of the sympathetic nervous system, and part of the autonomic nervous system.It allows nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.
The lumbosacral trunk is formed by the union of the entire anterior ramus of lumbar nerve L5 and a part of L4 [clarification needed]. [1] [2] [3] L4 first issues its branches to the lumbar plexus, then emerges from the medial border of the psoas muscle [3] to unite with the anterior ramus of L5 just superior to the pelvic brim to form the thick, cord-like trunk which [4] crosses the pelvic ...
The anterior divisions of the lumbar nerves, sacral nerves, and coccygeal nerve form the lumbosacral plexus, the first lumbar nerve being frequently joined by a branch from the twelfth thoracic. For descriptive purposes this plexus is usually divided into three parts: lumbar plexus; sacral plexus; pudendal plexus
The lateral cutaneous branch ("iliac branch") pierces the internal oblique muscles and the external oblique muscles immediately above the iliac crest. [4] It is distributed to the skin of the gluteal region, behind the lateral cutaneous branch of the subcostal nerve; the size of this branch bears an inverse proportion to that of the lateral cutaneous branch of the subcostal nerve.
Branches of the cervical plexus, which include the phrenic nerve, innervate muscles of the neck, the diaphragm, and the skin of the neck and upper chest. The brachial plexus contains ventral rami from spinal nerves C5–T1. This plexus innervates the pectoral girdle and upper limb. The lumbar plexus contains ventral rami from spinal nerves L1–L4.
Cadaver studies have noted that some patients have boney grooves along the rim that house the superior cluneal nerves. On average, these grooves are found between 5–7 cm from the midline. [7] [8] These grooves can often be visualized with an ultrasound. [8] The nerves terminate over the gluteal fascia distal to the iliac crest. [citation needed]
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.