- ilio inguinal
WordNet
- of or relating to or near the groin
PrepTutorEJDIC
- 鼠蹊(そけい)部の(足のもものつけ根)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/10/13 02:44:52」(JST)
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Ilioinguinal nerve |
Plan of the lumbar plexus. The ilioinguinal is visible at the upper left.
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The lumbar plexus and its branches. The ilioinguinal nerve is visible at the upper left.
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Details |
From |
lumbar plexus |
Innervates |
Skin over the root of the penis and upper part of the scrotum (male), skin covering the mons pubis and labium majus (female) |
Identifiers |
Latin |
nervus ilioinguinalis |
Dorlands
/Elsevier |
n_05/12565896 |
TA |
A14.2.07.006 |
FMA |
16483 |
Anatomical terms of neuroanatomy
[edit on Wikidata]
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The ilioinguinal nerve is a branch of the first lumbar nerve (L1). It separates from the first lumbar nerve along with the larger iliohypogastric nerve.
It emerges from the lateral border of the psoas major just inferior to the iliohypogastric, and passes obliquely across the quadratus lumborum and iliacus. The ilioinguinal nerve then perforates the transversus abdominis near the anterior part of the iliac crest, and communicates with the iliohypogastric nerve between the transversus and the internal oblique muscle.
It then pierces the internal oblique muscle, distributing filaments to it, and then accompanies the spermatic cord through the superficial inguinal ring. Its fibres are then distributed to the skin of the upper and medial part of the thigh, and to the following locations in the male and female:
- In the male ("anterior scrotal nerve"): to the skin over the root of the penis and upper part of the scrotum.
- In the female ("anterior labial nerve"): to the skin covering the mons pubis and labia majora.
Note that the ilioinguinal nerve does not pass through the deep inguinal ring, and therefore it only travels through part of the inguinal canal.
Contents
- 1 Variations
- 2 Ilioinguinal nerve block
- 3 Additional images
- 4 References
- 5 External links
Variations
The size of this nerve is in inverse proportion to that of the iliohypogastric.
Occasionally it is very small, and ends by joining the iliohypogastric; in such cases, a branch from the iliohypogastric takes the place of the ilioinguinal, or the latter nerve may be altogether absent.
Ilioinguinal nerve block
The ilioinguinal nerve is clinically important when considering an ilioinguinal or iliohypogastric nerve block.
The indications for nerve block include anaesthesia for procedures involving the abdominal region such as inguinal herniorrhaphy or pain relief for procedures such as a c-section. Ropivacaine is an example of the anaesthetic which may be used for the block.[1]
Additional images
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Deep and superficial dissection of the lumbar plexus.
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Cutaneous nerves of the right lower extremity. Front and posterior views.
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Cutaneous nerves of the right lower extremity. Front and posterior views.
References
- ^ "NYSORA - The New York School of Regional Anesthesia - Ilioinguinal and Iliohypogastric Blocks". www.nysora.com. Retrieved 2016-03-23.
This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)
External links
- Ilioinguinal_nerve at the Duke University Health System's Orthopedics program
- Atlas image: abdo_wall70 at the University of Michigan Health System - "Posterior abdominal wall, dissection, anterior view"
- Anatomy photo:35:05-0102 at the SUNY Downstate Medical Center - "Anterior Abdominal Wall: The Iliohypogastric and IlioInguinal Nerves"
- Anatomy photo:40:17-0102 at the SUNY Downstate Medical Center - "Posterior Abdominal Wall: Nerves of the Lumbar Plexus"
- Anatomy image:7433 at the SUNY Downstate Medical Center
- posteriorabdomen at The Anatomy Lesson by Wesley Norman (Georgetown University) (posteriorabdmus&nerves)
Nerves of the lumbosacral plexus
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Lumbar plexus |
iliohypogastric |
- lateral cutaneous branch
- anterior cutaneous branch
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ilioinguinal |
- anterior scrotal ♂/labial ♀
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genitofemoral |
- femoral branch
- genital branch
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Lateral cutaneous |
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obturator |
- anterior
- posterior
- accessory
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femoral |
- anterior cutaneous branches
- saphenous
- (infrapatellar
- medial crural cutaneous
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sacral plexus |
sciatic |
common peroneal |
- lateral sural cutaneous
- deep peroneal
- lateral terminal branch
- medial terminal branch
- dorsal digital
- superficial peroneal
- medial dorsal cutaneous
- intermediate dorsal cutaneous
- dorsal digital
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tibial |
- medial sural cutaneous
- medial calcaneal
- medial plantar (common plantar digital nerves
- proper plantar digital)
- lateral plantar (deep branch
- superficial branch
- common plantar digital
- proper plantar digital)
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sural |
- lateral dorsal cutaneous
- lateral calcaneal
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other |
- Muscular
- superior gluteal
- inferior gluteal
- lateral rotator group (to quadratus femoris
- to obturator internus
- to the piriformis)
cutaneous: posterior cutaneous of thigh (inferior cluneal
- perineal branches)
- perforating cutaneous
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coccygeal plexus |
- pudendal
- perineal
- deep
- posterior scrotal ♂/labial ♀
- dorsal of the penis ♂/clitoris ♀
- anococcygeal
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Related |
- cutaneous innervation of the lower limbs
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UpToDate Contents
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English Journal
- The Pathway of Injectate Spread With the Transmuscular Quadratus Lumborum Block: A Cadaver Study.
- Dam M1, Moriggl B, Hansen CK, Hoermann R, Bendtsen TF, Børglum J.
- Anesthesia and analgesia.Anesth Analg.2017 Mar 8. doi: 10.1213/ANE.0000000000001922. [Epub ahead of print]
- PMID 28277325
- The Anterior Intra-Pelvic Approach for Acetabular Fractures Utilizing Approach Specific Instruments and An Antatomical-Preshaped, Three Dimensional Suprapectineal Plate.
- Gras F1, Marintschev I, Grossterlinden L, Rossmann M, Graul I, Hofmann GO, Rueger JM, Lehmann W.
- Journal of orthopaedic trauma.J Orthop Trauma.2017 Feb 23. doi: 10.1097/BOT.0000000000000829. [Epub ahead of print]
- PMID 28240619
- Screw as a Bladder Foreign Body.
- Hosseini SR1, Rezaei H1, Mohseni MG2, Ganjali H1, Behtash N1, Arzani M1.
- Urology case reports.Urol Case Rep.2017 Feb 7;11:69-70. doi: 10.1016/j.eucr.2016.12.014. eCollection 2017.
- PMID 28194326
Japanese Journal
- 臨床室 Modified ilioinguinal approachで内固定術を行った骨盤骨折の1例
- 木下 恵祐,棚瀬 嘉宏,渡邊 康司
- 中部日本整形外科災害外科学会雑誌. 中部日本整形外科災害外科学会抄録 54(5), 921-922, 2011-09-01
- NAID 10029799331
- Ilioinguinal approachによる内固定 (特集 寛骨臼骨折の治療)
Related Links
- Ultrasound-guided ilioinguinal block Introduction: Ilioinguinal nerve block is commonly used for inguinal procedures such as inguinal herniorrhaphy, orchidopexy and hydrocoele repair. It is also useful for pfannenstiel incision e.g ...
- Seen and Heard What made you want to look up ilioinguinal? Please tell us where you read or heard it (including the quote, if possible).
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