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Genitofemoral nerve

From Wikipedia, the free encyclopedia
Mixed branch of the lumbar plexus
Genitofemoral nerve
Plan oflumbar plexus. (Genitofemoral nerve visible at upper left.)
The lumbar plexus and its branches. (Genitofemoral nerve visible at upper left.)
Details
FromLumbar plexus
ToLumboinguinal,genital branch
InnervatesCremaster muscle

Anterior scrotum in males

Mons pubis in females
Identifiers
Latinnervus genitofemoralis
nervus genitalifemoralis
TA98A14.2.07.008
TA26529
FMA16484
Anatomical terms of neuroanatomy

Thegenitofemoral nerve is amixed branch of thelumbar plexus derived fromanterior rami ofL1-L2. It splits agenital branch and afemoral branch. It provides sensory innervation to the upper anterior thigh, as well as the skin of the anteriorscrotum in males andmons pubis in females. It also provides motor innervation to thecremaster muscle (via its genital branch).

Structure

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Origin

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The genitofemoral nerve is a branch of thelumbar plexus.[1] It is derived from theanterior rami oflumbar (spinal) nerves L1-L2. It coalesces within the substances of thepsoas major muscle.[2]

Course

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It passes downwards, pierces thepsoas major and emerges from its anterior surface. The nerve divides into two branches, thegenital branch and thelumboinguinal nerve also known as the femoral branch,[1] both of which then continue downwards and medially to the inguinal and femoral canal respectively.

Branches

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Genital branch

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Main article:Genital branch of genitofemoral nerve

The genital branch continues downward on the surface of the psoas major muscle, then enters theinguinal canal through thedeep inguinal ring.[1]

In men, the genital branch supplies the cremaster and scrotal skin. In women, the genital branch accompanies theround ligament of uterus, terminating in and innervating the skin of themons pubis andlabia majora.[1]

Femoral branch

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Thefemoral branch passes underneath theinguinal ligament, travelling through the lateral muscular compartment of thefemoral sheath where it innervates skin of the upper leg. Passing through thecribriform fascia of thesaphenous opening of the fascia lata of the thigh, it then supplies the skin of the upper, anterior and medial side of thigh.[1]

Variation

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[icon]
This sectionneeds expansion. You can help byadding to it.(November 2013)

The genitofemoral nerve typically pierces and passes through thepsoas major muscle before bifurcating into agenital branch and afemoral branch midway along its anterior surface. In approximately 25% of cases, the genitofemoral nerve splits into these branchesbefore it enters thepsoas major orwithin the muscle belly ofpsoas major (with fibers of thepsoas major separating thegenital andfemoral branches). Usually this variation causes the split to be occur earlier in the genitofemoral nerve, at the upper rather than mid-portion of the anterior surface of thepsoas major.[3]

Embryology

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This sectionneeds expansion. You can help byadding to it.(November 2013)

The genitofemoral nerve is formed in the midsection of the psoas muscle by the union of branches from the anterior rami of L1 and L2 nerve roots

Function

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The genitofemoral nerve is responsible for both the sensory (femoral branch) and motor portions (genital branch) of thecremasteric reflex, which describes contraction of thecremasteric muscle when the skin of thesuperior medial part of the thigh is touched.[1]: 262 

Additional images

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  • Deep and superficial dissection of the lumbar plexus.
    Deep and superficial dissection of the lumbar plexus.
  • Genitofemoral nerve
    Genitofemoral nerve

See also

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This article usesanatomical terminology.

References

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  1. ^abcdefDrake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005).Gray's anatomy for students (Pbk. ed.). Philadelphia: Elsevier/Churchill Livingstone. pp. 340–343.ISBN 978-0-443-06612-2.
  2. ^Standring, Susan (2020).Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 1148.ISBN 978-0-7020-7707-4.OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. ^Anloague, Phillip; Huijbregts, Peter (2009)."Anatomical Variations of the Lumbar Plexus: A Descriptive Anatomy Study with Proposed Clinical Implications".Journal of Manual and Manipulative Therapy.17 (4): e107-14.doi:10.1179/106698109791352201.PMC 2813498.PMID 20140146.

External links

[edit]
Lumbar plexus
iliohypogastric
ilioinguinal
genitofemoral
Lateral cutaneous
obturator
femoral
sacral plexus
sciatic
common fibular
tibial
sural
other
coccygeal plexus
Related
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