Accessory obturator nerve: Difference between revisions

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== Accessory Obturator Nerve ==
==Accessory obturator nerve==


The '''accessory obturator nerve''' is a nerve in the human body that is present in approximately 10% of the population. It is considered an anatomical variant and is not found in all individuals. This nerve is part of the [[lumbar plexus]], which is a network of nerve fibers that supplies the lower limb and pelvic region.
The '''accessory obturator nerve''' is a nerve in the [[human body]] that is present in approximately 10% of the population. It is considered an anatomical variant and is part of the [[lumbar plexus]].


== Anatomy ==
==Anatomy==


The accessory obturator nerve arises from the ventral divisions of the third and fourth lumbar nerves (L3 and L4). It is a branch of the lumbar plexus, which is formed by the anterior rami of the first four lumbar nerves (L1-L4) and contributions from the subcostal nerve (T12).
The accessory obturator nerve arises from the ventral divisions of the third and fourth [[lumbar nerves]] (L3 and L4). It is a branch of the lumbar plexus, which is a network of nerves in the lower back that supplies the lower limb.


In cases where the accessory obturator nerve is present, it descends along the medial border of the [[psoas major]] muscle. It then passes over the superior pubic ramus, near the [[pubic symphysis]], and enters the thigh.
The nerve descends along the medial border of the [[psoas major muscle]], and it passes over the superior pubic ramus. It then enters the thigh, where it supplies the [[pectineus muscle]].


== Function ==
==Function==


The accessory obturator nerve primarily innervates the [[pectineus muscle]], which is located in the upper thigh. The pectineus muscle is responsible for adducting and flexing the thigh at the hip joint. In some individuals, the accessory obturator nerve may also provide sensory innervation to the hip joint and the skin over the medial aspect of the thigh.
The primary function of the accessory obturator nerve is to innervate the pectineus muscle, which is involved in [[hip flexion]] and [[adduction]]. In some cases, it may also provide sensory innervation to the [[hip joint]] and the [[medial thigh]].


== Clinical Significance ==
==Clinical significance==


The presence of the accessory obturator nerve can have clinical implications, particularly in surgical procedures involving the pelvis and hip. Surgeons must be aware of this anatomical variant to avoid inadvertent nerve damage during operations such as hip replacement or pelvic surgeries.
The presence of the accessory obturator nerve can have clinical implications, particularly in surgical procedures involving the [[pelvis]] or [[hip joint]]. Surgeons must be aware of its possible presence to avoid inadvertent injury during operations such as [[hip replacement surgery]].


In some cases, the accessory obturator nerve may be involved in entrapment neuropathies, leading to pain or sensory disturbances in its area of distribution. However, such occurrences are rare due to the infrequent presence of the nerve.
In cases where the accessory obturator nerve is present, it may contribute to the innervation of the hip joint, and its injury could lead to sensory deficits or weakness in the medial thigh.


== Related Pages ==
==Related pages==


* [[Lumbar plexus]]
* [[Lumbar plexus]]
* [[Obturator nerve]]
* [[Obturator nerve]]
* [[Pectineus muscle]]
* [[Pectineus muscle]]
* [[Psoas major]]
* [[Hip joint]]
 
== Gallery ==


==Gallery==
<gallery>
<gallery>
File:Gray822.png|Diagram of the lumbar plexus with the accessory obturator nerve.
File:Gray822.png|Diagram of the lumbar plexus with the accessory obturator nerve.
File:Gray823.png|The course of the accessory obturator nerve in relation to the psoas major muscle.
File:Gray823.png|The accessory obturator nerve in relation to the psoas major muscle.
</gallery>
</gallery>


[[Category:Peripheral nervous system]]
[[Category:Peripheral nervous system]]
[[Category:Anatomy]]
[[Category:Anatomy]]

Revision as of 21:22, 11 February 2025

Accessory obturator nerve

The accessory obturator nerve is a nerve in the human body that is present in approximately 10% of the population. It is considered an anatomical variant and is part of the lumbar plexus.

Anatomy

The accessory obturator nerve arises from the ventral divisions of the third and fourth lumbar nerves (L3 and L4). It is a branch of the lumbar plexus, which is a network of nerves in the lower back that supplies the lower limb.

The nerve descends along the medial border of the psoas major muscle, and it passes over the superior pubic ramus. It then enters the thigh, where it supplies the pectineus muscle.

Function

The primary function of the accessory obturator nerve is to innervate the pectineus muscle, which is involved in hip flexion and adduction. In some cases, it may also provide sensory innervation to the hip joint and the medial thigh.

Clinical significance

The presence of the accessory obturator nerve can have clinical implications, particularly in surgical procedures involving the pelvis or hip joint. Surgeons must be aware of its possible presence to avoid inadvertent injury during operations such as hip replacement surgery.

In cases where the accessory obturator nerve is present, it may contribute to the innervation of the hip joint, and its injury could lead to sensory deficits or weakness in the medial thigh.

Related pages

Gallery