A cadaveric study of the anatomical variations of the lumbar plexus with clinical implications

Pawaree Nontasaen, Srijit Das, Chote Nisung, Apichat Sinthubua, Pasuk Mahakkanukrauh*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Introduction The main objective was to study the normal and abnormal lumbar plexus. Material and methods We analyzed 131 lumbar plexuses from 68 embalmed cadavers at the Cadaveric Surgical Training Center, Faculty of Medicine, Chiang Mai University in the period between April 2012 and June 2013. Morphometric measurements were taken. Results The lumbar plexus was located within psoas major muscle (100.0%). The iliohypogastric nerve originated from the ventral rami of L1 (96.5%) followed by the ilioinguinal nerve (90.1%). The genitofemoral nerves originated from the ventral rami of L1 and L2 (98.5%). The lateral femoral cutaneous nerves (LFCN) originated from the ventral rami of L2 and L3 (84.0%). The femoral and obturator nerves originated from ventral rami of L2–L3–L4 (100.0%). The distance between the origin of LFCN to L3 transverse process was at an average 1.96 ± 0.67 cm. The distance from nerve to L4 transverse process was above L3 and between L3 and L4 transverse process at an average 2.8 ± 1.63 cm. The distance between femoral nerve to L3 and L4 transverse process was inferior to L4 transverse process at an average of 5.13 ± 2.18 cm and 2.53 ± 2.26 cm, respectively. The distance between obturator nerve to L3 and L4 transverse process was found inferior to L4 transverse process at an average 5.42 ± 1.73 cm and 2.75 ± 1.75 cm, respectively. Discussion The knowledge of anatomical variations of LP may be important for administration of local anaesthetic agents and avoid any inadvertent injuries.

Original languageEnglish
Pages (from-to)24-28
Number of pages5
JournalJournal of the Anatomical Society of India
Volume65
Issue number1
DOIs
Publication statusPublished - Jun 1 2016
Externally publishedYes

Keywords

  • Anatomy
  • Clinical importance
  • Lumbar plexus
  • Variations

ASJC Scopus subject areas

  • Anatomy
  • Pathology and Forensic Medicine

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