Revisiting the Muscular Innervation of the Obturator Nerve: Application to Neurotization Procedures.

anatomy cadaver function hip adduction lumbar plexus obturator nerve obturator nerve block

Journal

The Kurume medical journal
ISSN: 1881-2090
Titre abrégé: Kurume Med J
Pays: Japan
ID NLM: 2985210R

Informations de publication

Date de publication:
03 Jul 2023
Historique:
medline: 4 7 2023
pubmed: 17 4 2023
entrez: 16 4 2023
Statut: ppublish

Résumé

Our goal was to revisit the innervation of the adductor muscles of the thigh and add new evidence to currently existing knowledge. Ten thighs from five fresh frozen cadavers were dissected. Obturator nerve innervation to the pectineus, obturator externus, adductor brevis, adductor magnus, adductor longus, and gracilis was documented. The adductor longus and gracilis were innervated by the anterior branch in 100%, and the adductor magnus was innervated by the posterior branch in 100%. The adductor brevis was supplied by both the anterior and posterior branches in 90%. The obturator externus was innervated by the posterior branch in 60% and a direct branch from the main trunk in 10%. No innervation of the obturator externus by the obturator nerve was found in 30%. The obturator externus and adductor brevis need to be explored further to clarify their innervation.

Sections du résumé

BACKGROUND BACKGROUND
Our goal was to revisit the innervation of the adductor muscles of the thigh and add new evidence to currently existing knowledge.
METHODS METHODS
Ten thighs from five fresh frozen cadavers were dissected. Obturator nerve innervation to the pectineus, obturator externus, adductor brevis, adductor magnus, adductor longus, and gracilis was documented.
RESULTS RESULTS
The adductor longus and gracilis were innervated by the anterior branch in 100%, and the adductor magnus was innervated by the posterior branch in 100%. The adductor brevis was supplied by both the anterior and posterior branches in 90%. The obturator externus was innervated by the posterior branch in 60% and a direct branch from the main trunk in 10%. No innervation of the obturator externus by the obturator nerve was found in 30%.
CONCLUSIONS CONCLUSIONS
The obturator externus and adductor brevis need to be explored further to clarify their innervation.

Identifiants

pubmed: 37062725
doi: 10.2739/kurumemedj.MS682009
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

75-80

Auteurs

Joe Iwanaga (J)

Department of Neurosurgery, Tulane Center for Clinical Neurosciences.
Department of Neurology, Tulane Center for Clinical Neurosciences.
Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine.

Francisco Reina (F)

Neuroscience, Embryology, Molecular Oncology and Clinical Anatomy Group (NEOMA), School of Medicine, University of Girona.

Basem Ishak (B)

Department of Neurosurgery, Heidelberg University Hospital.

Miguel Angel Reina (MA)

School of Medicine, CEU San Pablo University.
Department of Anesthesiology, Madrid-Montepríncipe University Hospital.

Aaron S Dumont (AS)

Department of Neurosurgery, Tulane Center for Clinical Neurosciences.

R Shane Tubbs (RS)

Department of Neurosurgery, Tulane Center for Clinical Neurosciences.
Department of Neurology, Tulane Center for Clinical Neurosciences.
Department of Structural & Cellular Biology, Tulane University School of Medicine.
Department of Anatomical Sciences, St. George's University.
Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System.

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Classifications MeSH