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Anatomical Variations of the Lumbar Plexus: A Descriptive Anatomy Study with Proposed Clinical Implications.pdf
THE JOURNAL OF MANUAL & MANIPULATIVE THERAPY (2009)
  • Philip A. Anloague
Abstract
 is study used dissection of 34 lumbar plexes to look at the prevalence of anatomical variations in the lumbar plexus and the six peripheral branches from the origin at the ventral roots of (T12) L1-L4 to the exit from the pelvic cavity. Prevalence of anatomi- cal variation in the individual nerves ranged from 8.8–47.1% with a mean prevalence of 20.1%. Anatomical variations included absence of the iliohypogastric nerve, an early split of the genitofemoral nerve into genital and femoral branches, an aberrant segmental origin for the lateral femoral cutaneous nerve, bifurcation of the lateral femoral nerve prior to exiting the pelvic cavity, bifurcation of the femoral nerve into two to three slips separated by psoas major muscle bers, the presence of a single anterior femoral cutaneous nerve rather than the normal presentation of two separate anterior femoral cutaneous branches, and the pres- ence of an accessory obturator nerve. Comparison with relevant research literature showed a wide variation in reported prevalence of the anatomical variations noted in this study. Clinical implications and directions for future research are proposed. 
Keywords
  • anatomical variation,
  • clinical implications,
  • anatomy,
  • lumbar spine
Publication Date
Winter December, 2009
DOI
10.1179/106698109791352201
Citation Information
Philip A. Anloague. "Anatomical Variations of the Lumbar Plexus: A Descriptive Anatomy Study with Proposed Clinical Implications.pdf" THE JOURNAL OF MANUAL & MANIPULATIVE THERAPY Vol. 17 Iss. 4 (2009)
Available at: http://works.bepress.com/philip_anloague/8/