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P. 101

AAAC45  21/5/05  10:53 AM  Page 100
           45 The nerves of the lower limb II

                                                         L IV

                                                         L V
                 Lumbosacral trunk
                 Superior gluteal nerve
                                                         S I
                 (L 4, 5, S 1)
                 Inferior gluteal nerve                                                Fig.45.2
                                                         S II
                 (L 5, S 1, 2)                                                         The sciatic nerve and its major branches
                 Nerve to quadratus
                 femoris (L 4, 5, S 1)                   S III                         Sciatic nerve (L 4–S 3)
                 To obturator                                                          Nerve to quadratus  femoris (L 4, 5, S 1)
                 internus (L 5, S 1, 2)
                                                         S IV
                 Sciatic                                                               Nerve to obturator internus (L 5, S 1, 2)
                 Posterior cutaneous                     S V                           Muscular branches to hamstrings
                 nerve of thigh (S 1, 2, 3)
                                                         Coccygeal                     (semitendinosus, semimembranosus
                 Perforating cutaneous                                                 and biceps femoris) and hamstring
                 nerve (S 2, 3)                                                        part of adductor magnus
                 Pudendal
                 (S 2, 3, 4)                        Tibial nerve (L 4, 5, S 1, 2, 3)
                 Fig.45.1                           Muscular branches to:
                 The sacral plexus                    plantaris                         Common peroneal nerve (L 4–S 2)
                                                      popliteus
                                                      gastrocnemius                     Lateral cutaneous nerve of the calf
                                                      soleus                            Knee joint
                                                    Knee joint

                                                                                        Sural communicating nerve
                                                                                        Superficial peroneal nerve
                                                    Sural nerve                         (supplies:
                                                    (skin of lower lateral calf,           peroneus longus, brevis, and skin)
                                                    lateral foot and little toe)
                                                                                        Deep peroneal nerve
                                                                                        (supplies:
                                                    Muscular branches to:                 extensor digitorum longus
                                                      flexor digitorum longus             tibialis anterior
                                                      flexor hallucis longus              extensor hallucis longus
                                                      tibialis posterior
                                                                                          peroneus tertius
                                                                                          extensor digitorum brevis
                                                                                          and skin of the 1st dorsal web space)
                                  Deep branch
                                  Superficial
                                  branch
                                  Medial plantar                                                           Deep peroneal
                                  Lateral plantar   Medial plantar                                         Superficial
                                                    (L 4, 5)                                               peroneal



                                                    Lateral plantar
                                                    (S 1, 2)
                 Fig.45.3
                 The medial and lateral plantar nerves


                100 Lower limb
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