Overview
The
abduction and adduction of the hip is important during gait. The obturator
nerve (anterior divisions of the ventral rami of L2-L4) supplies the adductor/medial
compartment of the thigh i.e. adductor magnus, longus and brevis, and gracilis.
Gross Anatomy
The Obdurator (L2-4, anterior
divisions) nerve is a branch of the Lumbar plexus (ventral rami of L1-L4). It
supplies the medial compartment of the thigh i.e. adductor magnus (adductor
head), adductor longus, adductor brevis and gracilis. The nerve will first pass
through the substance of the psoas major muscle, and will emerge medial to it
on order to enter the pelvic brim (the femoral nerve emerges lateral to the
psoas major). It continue to descend in the pelvis, behind the common iliac
vessels but lateral to the hypogastric vessels. It them runs along the lateral
wall of the pelvis, this time I front of the obturator artery and vein. It then
passes through the obturator foramen, and will pass downward through the
obturator canal.
The nerve has an anterior and a
posterior division. The anterior division will supply the adductor longus,
brevis and gracilis. The posterior division will supply the adductor magnus
(adductor head), as well as adductor brevis. The adductor brevis and obturator
externus muscles separate the anterior and posterior divisions of the nerve.
The nerve also supplies a branch to the knee joint what pierces the oblique
popliteal ligament.
Clinical Anatomy
Quick Anatomy
Key Facts
Developmental precursor- Alar and basal plate of L2-L4
Muscles innervated- Adductor magnus adductor head, adductor longus, adductor brevis,
gracilis, obturator externus.
Sensation-
Superior medial aspect of the thigh.
Aide-Memoire
The nerve passes through the
obturator foramen and obturator canal.
It descends down into the pelvis and
runs medial to the psoas major muscle. The femoral nerve runs lateral to the
psoas major muscle.
Summary
The
obturator nerve (anterior divisions of the ventral rami of L2-L4) supplies the
medial compartment of the thigh. It also supplies sensation to skin of the
superior medial thigh, and provides articular branches to the hip and knee
joints.