Sacral plexus

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Sacral plexus
S1-S4
Identifiers
Latinplexus sacralis
TA98A14.2.07.027
TA26539
FMA5909
Anatomical terms of neuroanatomy]

In

sacral vertebrae (L4-S4).[1] A sacral plexopathy
is a disorder affecting the nerves of the sacral plexus, usually caused by trauma, nerve compression, vascular disease, or infection. Symptoms may include pain, loss of motor control, and sensory deficits.

Structure

The sacral plexus is formed by:

  • the lumbosacral trunk
  • the
    sacral nerve
  • portions of the anterior divisions of the second and third sacral nerves

The nerves forming the sacral plexus converge toward the lower part of the

greater sciatic foramen
, and unite to form a flattened band, from the anterior and posterior surfaces of which several branches arise. The band itself is continued as the sciatic nerve, which splits on the back of the thigh into the tibial nerve and common fibular nerve; these two nerves sometimes arise separately from the plexus, and in all cases their independence can be shown by dissection. Often, the sacral plexus and the lumbar plexus are considered to be one large nerve plexus, the lumbosacral plexus. The lumbosacral trunk connects the two plexuses.

Relations

The sacral plexus lies on the back of the pelvis in front of the

piriformis muscle and the pelvic fascia. In front of it are the internal iliac artery, internal iliac vein, the ureter, and the sigmoid colon. The superior gluteal artery and vein run between the lumbosacral trunk and the first sacral nerve, and the inferior gluteal artery
and vein between the second and third sacral nerves.

Nerves formed

All the nerves entering the plexus, with the exception of the third sacral, split into ventral and dorsal divisions, and the nerves arising from these are as follows of the table below:

Sacral plexus
Nerves of the sacral plexus[2]
Nerve Segment Innervated muscles Cutaneous branches
Superior gluteal L4-S1
Tensor fasciae latae
Inferior gluteal L5-S2
Gluteus maximus
Posterior cutaneous femoral S1-S3
Perforating cutaneous S2-S3
Direct branches from plexus
  • Piriformis
S1-2 Piriformis
L5, S1-2
Superior gemellus
L4-5, S1
Inferior gemellus
Sciatic
Sciatic L4-S3 Semitendinosus (Tib)
Semimembranosus (Tib)
Biceps femoris
  • Long head (Tib)
  • Short head (Fib)

Adductor magnus (medial part, Tib)

Common fibular L4-S2
Communicating fibular
Fibularis longus
Fibularis brevis
Medial dorsal cutaneous
Intermediate dorsal cutaneous
Tibialis anterior
Extensor digitorum longus
Extensor digitorum brevis
Extensor hallucis longus
Extensor hallucis brevis
Fibularis tertius
Lateral cutaneous nerve of big toe
Intermediate dorsal cutaneous
Tibial nerve L4-S3 Medial sural cutaneous
Medial calcaneal
Lateral dorsal cutaneous
Lumbrical
(first and second)
Proper digital plantar
Dorsal interossei (first to fifth)
Adductor hallucis
Proper plantar digital
Pudendal and coccygeal
Pudendal
(Pudendal plexus)
S2-S4 Muscles of the
Urethral sphincter
Inferior rectal
Perineal
) S5-Co1 Coccygeus
Anococcygeal

Dorsal branches

Additional images

  • The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses.
    The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses.
  • A schematic depiction.
    A schematic depiction.
  • diagram of the Sacral plexus
    diagram of the Sacral plexus

See also

Notes

  1. ^ Thieme Atlas of Anatomy (2006), pp 470-471
  2. ^ Thieme Atlas of Anatomy (2006), pp 476, 478, 482

References

Public domain This article incorporates text in the public domain from page 957 of the 20th edition of Gray's Anatomy (1918)

  • Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System. Thieme. 2006. .

External links