Lumbar plexus
Citation, DOI, disclosures and article data
At the time the article was created Craig Hacking had no recorded disclosures.
View Craig Hacking's current disclosuresAt the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Craig Hacking's current disclosures- Lumbal plexus
The lumbar plexus is a complex neural network formed by the lower thoracic and lumbar ventral nerve roots (T12 to L5) which supplies motor and sensory innervation to the lower limb and pelvic girdle.
On this page:
Summary
origin: ventral rami of T12 to L5
course: formed within the substance of the psoas major muscle, anterior to the lumbar transverse processes
-
major (terminal) branches
motor supply: lower limb and pelvic girdle
sensory supply: lower anterior abdominal wall, groin, upper thigh and pudenda
Gross anatomy
The branches that arise from the lumbar plexus are:
subcostal nerve: T12
genitofemoral nerve: L1, 2
femoral nerve: L2, 3, 4
obturator nerve: L2, 3, 4
-
lumbosacral trunk: L4, 5
this contributes to the sacral plexus
See: mnemonics for branches of the lumbar plexus and mnemonics for the roots.
Variant anatomy
Variation in the lumbar plexus appears to be common (~90% in one study) 1:
absent iliohypogastric nerve (~20%)
early branching (within psoas muscle) of the genitofemoral nerve (~20%)
accessory obturator nerve (~10%)
lateral femoral cutaneous nerve arising as a branch of the femoral nerve
References
- 1. Anloague PA, Huijbregts P. Anatomical variations of the lumbar plexus: a descriptive anatomy study with proposed clinical implications. J Man Manip Ther. 2010;17 (4): e107-14. Free text at pubmed - Pubmed citation
- 2. Last RJ, McMinn RMH. Last's Anatomy, Regional and Applied. Edinburgh: Churchill Livingstone, 1994
Incoming Links
- Sacral plexus
- Iliacus muscle
- Vastus intermedius muscle
- Subcostal nerve
- Lumbar plexus roots (mnemonic)
- Iliohypogastric nerve
- Lumbar enlargement
- Vastus lateralis muscle
- Genitofemoral nerve
- Lumbosacral radiculoplexus neuropathy
- Iliopsoas muscle
- Lumbar plexus (mnemonic)
- Iliopsoas compartment
- Psoas major muscle
- Cervical enlargement
- Coccygeal plexus
- Sacroiliac joint
- Obturator nerve
- Ilioinguinal nerve
- Adductor longus muscle
Related articles: Anatomy: Abdominopelvic
- skeleton of the abdomen and pelvis[+][+]
- muscles of the abdomen and pelvis[+][+]
- spaces of the abdomen and pelvis[+][+]
- anterior abdominal wall
- posterior abdominal wall
- abdominal cavity
- pelvic cavity
- perineum
- abdominal and pelvic viscera[+][+]
- gastrointestinal tract
- spleen
- hepatobiliary system
-
endocrine system
-
adrenal gland
- adrenal vessels
- chromaffin cells
- variants
- pancreas
- organs of Zuckerkandl
-
adrenal gland
-
urinary system
-
kidney
- renal pelvis
- renal sinus
- avascular plane of Brodel
-
variants
- number
- fusion
- location
- shape
- ureter
- urinary bladder
- urethra
- embryology
-
kidney
- male reproductive system
-
female reproductive system
- vulva
- vagina
- uterus
- adnexa
- Fallopian tubes
- ovaries
- broad ligament (mnemonic)
- variant anatomy
- embryology
- blood supply of the abdomen and pelvis[+][+]
- arteries
-
abdominal aorta
- inferior phrenic artery
- celiac artery
- superior mesenteric artery
- middle suprarenal artery
- renal artery (variant anatomy)
- gonadal artery (ovarian artery | testicular artery)
- inferior mesenteric artery
- lumbar arteries
- median sacral artery
-
common iliac artery
- external iliac artery
-
internal iliac artery (mnemonic)
- anterior division
- umbilical artery
- superior vesical artery
- obturator artery
- vaginal artery
- inferior vesical artery
- uterine artery
- middle rectal artery
-
internal pudendal artery
- inferior rectal artery
-
perineal artery
- posterior scrotal artery
- transverse perineal artery
- artery to the bulb
- deep artery of the penis/clitoris
- dorsal artery of the penis/clitoris
- inferior gluteal artery
- posterior division (mnemonic)
- variant anatomy
- anterior division
-
abdominal aorta
- portal venous system
- veins
- anastomoses
- arterioarterial anastomoses
- portal-systemic venous collateral pathways
- watershed areas
- arteries
- lymphatics[+][+]
- innervation of the abdomen and pelvis
- thoracic splanchnic nerves
- lumbar plexus
-
sacral plexus[+][+]
- lumbosacral trunk
- sciatic nerve
- superior gluteal nerve
- inferior gluteal nerve
- nerve to piriformis
- perforating cutaneous nerve
- posterior femoral cutaneous nerve
- parasympathetic pelvic splanchnic nerves
- pudendal nerve
- nerve to quadratus femoris and inferior gemellus muscles
- nerve to internal obturator and superior gemellus muscles
- autonomic ganglia and plexuses[+][+]
Related articles: Anatomy: Lower limb
- skeleton of the lower limb
- joints of the lower limb
-
hip joint
- ligaments
- muscles
- additional structures
- hip joint capsule
- zona orbicularis
- iliotibial band
-
hip bursae
- anterior
- iliopsoas bursa (iliopectineal bursa)
- lateral
- subgluteal bursae
- greater trochanteric bursa (subgluteus maximus bursa)
- subgluteus medius bursa
- subgluteus minimus bursa
- gluteofemoral bursa
- subgluteal bursae
- postero-inferior
- anterior
- ossification centers
-
knee joint
- ligaments
- anterior cruciate ligament
- posterior cruciate ligament
- medial collateral ligament
- lateral collateral ligament
- meniscofemoral ligament (mnemonic)
-
posterolateral ligamentous complex
- arcuate ligament
- patellar tendon and quadriceps tendon
- anterolateral ligament
- posterior oblique ligament
- oblique popliteal ligament
- medial patellofemoral ligament
- additional structures
- extensor mechanism of the knee
- groove for the popliteus tendon
- knee bursae
- anterior bursae
- medial bursae
- lateral bursae
- posterior bursae
- knee capsule
- lateral patellar retinaculum
- medial patellar retinaculum
- menisci
- pes anserinus (mnemonic)
- ossification centers
- ligaments
- tibiofibular joints
-
ankle joint
- regional anatomy
- medial ankle
- lateral ankle
- anterior ankle
- ligaments
- medial collateral (deltoid) ligament
- lateral collateral ligament
- additional structures
- ankle bursae
- ossification centers of the ankle
- variants
- regional anatomy
- foot joints
- subtalar joint
- mid-tarsal (Chopart) joint
-
tarsometatarsal (Lisfranc) joint
- ligaments
- intermetatarsal joint
- metatarsophalangeal joint
- interphalangeal joint
- ossification centers
-
hip joint
- spaces of the lower limb
-
muscles of the lower limb
- muscles of the pelvic group
- muscles of the thigh
- muscles of the leg
- anterior compartment of the leg
- posterior compartments of the leg
- lateral compartment of the leg
- muscles of the foot
- dorsal muscles
- plantar muscles
- 1st layer
- 2nd layer
- 3rd layer
- 4th layer
- accessory muscles of the lower limb
- accessory gluteal muscles
-
accessory muscles of the ankle
- accessory peroneal muscles
- accessory flexor digitorum longus muscle
- accessory soleus muscle
- peroneocalcaneus internus muscle
- tibiocalcaneus internus muscle
- extensor hallucis capsularis tendon
- anterior fibulocalcaneus muscle
- accessory extensor digiti secundus muscle
- tibioastragalus anticus of Gruber muscle
- vascular supply of the lower limb
- arterial supply of the lower limb
- venous drainage of the lower limb
- innervation of the lower limb
- lymphatic system of the lower limb
- lymphatic pathways
- anteromedial group
- anterolateral group
- posteromedial group
- posterolateral group
- lower limb lymph nodes
- lymphatic pathways