MRCEM Notes

Lumbar plexus

The lumbar plexus is formed from the anterior rami of L1 to L4 with contributions from the subcostal nerve (T12).

NerveOriginStructures supplied (motor)Cutaneous supply
IliohypogastricT12-L1Internal oblique
Transversus abdominis
Anterior cutaneous ramus
Lateral cutaneous ramus
IlioinguinalL1Internal oblique
Transversus abdominis
Anterior scrotal nerves in males
Anterior labial nerves in females
GenitofemoralL1-L2CremasterFemoral ramus
Genital ramus
Lateral femoral cutaneousL2-L3No motor functionLateral femoral cutaneous
ObturatorL2-L4Obturator externus
Adductor longus
Adductor brevis
Gracilis
Pectineus
Adductor magnus
Cutaneous ramus
FemoralL2-L4Iliopsoas
Pectineus
Sartorius
Quadriceps femoris
Anterior cutaneous branches
Saphenous
Short Direct BranchesT12-L4Psoas major
Quadratus lumborum

Diagrams illustrating the lumbar plexus





Note the scrotum and penis cutaneous innervation is derived from branches of the ilioinguinal nerve, genital branch of genitofemoral nerve, scrotal branches of perineal nerve and perineal branches of posterior cutaneous nerve of thigh
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