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Plexus lumbosacralis

Prof. Dr. Mrvet Tuncel

Spinal sinir

Plexus lumbosacralis

Lumbal ve sakral spinal sinirlerin n ramuslar

Plexus lumbalis
Plexus sacralis

Plexus lumbosacralis
Lumbal ve sakral spinal sinirlerin n ramuslar

Plexus lumbalis

Karn arka duvarnda

M. psoas majorun arkasnda


Lumbal vertebralarn processus transversuslarnn n
tarafnda

(T12), L1, L2, L3, -L4-

Plexus lumbalis
(T12), L1
st-n. iliohypogastricus ve n. ilioinguinalis
Alt+L2-n. genitofemoralis

Plexus lumbalis

Ventral

L 2, 3, 4
Bazen L 3, 4

n. obturatorius
n. obturatorius accesorius

Plexus lumbalis
Dorsal

L 2, 3>>>n. cutaneus femoris lateralis


L 2, 3 +L 4>>>n. femoralis
Rr. clunium (gluteales) superiores
M. iliopsosa giden dallar

NERVUS FEMORALISN
UYLUKTA VERD DALLAR

Deri dallar
N. cutaneus femoris medialis
N. cutaneus femoris intermedius
N. saphenous

Rr. musculares

Rr. articulares

NERVUS FEMORALIS LEZYONLARI


bak veya kurun yaralanmas, femur st
ucu krklar, konjenital kala k vs
tam kesi nadir grlr.
FONKSYON KAYBI: m. quadriceps
femoris, m. sartorius ve m. iliopsoas

DUYU KAYBI:
bacan medial ksm ve ayan medial
kenarnn ba parmaa kadar olan ksm

Gzler
kulaklardan daha emin
tanklardr.
Herakleitos

Plexus sacralis
Pelvis arka duvarnda
Arkada m. priformis

Plexus sacralis
nde a.v. iliaca interna
ve ureterler

Solda colon sigmoideum


Sada ileum kvrmlar

Plexus sacralis
-L4+L5-truncus lumbosacralisS1, S2, S3

Plexus sacralis

Plexus sacralis

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n. ischiadicus
L 4,5, S 1,2,3

n. ischiadicus

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NERVUS ISCHIADICUSUN DALLARI

Rr. Musculares

Rr. Articulares

Terminal dallar

n. tibialis (L4,5, S1,2,3)


n. peroneus communis (L4,5, S1,2)

NERVUS TIBIALISN DALLARI


Deri dallar
Nervus suralis
Nervus plantaris medialis
Nervus plantaris lateralis

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NERVUS PERONEUS (FIBULARIS) COMMUNISN DALLARI

N. cutaneus surae lateralis


N. peroneus superficialis
N. peroneus profundus

N. peroneus profundus

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N. peroneus profundus

N. peroneus profundus
(foot drop)

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intramusculer enjeksiyon

Plexus sacralis
N. Cutaneus femoris posterior (S1,2,3-2,3)
N. Gluteus superior (L4,5,S1)
N. Gluteus inferior (L5,S1,2)
N. Pudendus (S2,3,4)

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Discus intervertebralis
(nucleus pulposus)herniasyonu

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Spinal stenosis

Spondylolisthesis

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KAYNAKLAR

Anderson J. E. Grant's Atlas of Anatomy, Eighth Edition, Williams and Wilkins, Baltimore/ London, 1983.
April E. W. Anatomy (NMS) Third Edition,Williams and Wilkins, Pennsylvania, 1990.
Benninghoff-Goerttler. Lehrbuch der Anatomie des Menschen, Band I-III, Urban & Schwarzenberg, Mnchen/
Berlin/ Wien, 1967.
Carola, R., Harley J.P., Noback C.R. Human Anatomy, McGraw-Hill, NewYork, 1992.
Christensen J.B., Telford I.R. Synopsis of Gross Anatomy, Fifth Edition, J.B. Lippincott Company, Philadelphia,
1988.
Cumhur M., Temel Anatomi, Birinci Bask, Metu Press, Ankara, 2001.
Hollinshead W.H. Anatomy for Surgeons, Volume I-III, Third Edition, Harper & Row, Philadelphia, 1982.
Junqueira L.C., Carneiro J., Kelley R.O. Basic Histology Seventh Edition. Appleton & Lange, 1992.
Moore K.L. Clinically Oriented Anatomy, Forth Edition, Williams and Wilkins, Baltimore, 1999.
Moore K.L. The Developing Human, Clinically Oriented Embryology Fourth Edition, W.B. Saunders Company,
Philadelphia, 1988.
Netter F.H. Digestive System Volume III, Part I-3. CIBA Company, New York, 1975.
Rauber-Kopsch. Lehrbuch und atlas der Anatomie des Menschen, Band I-II, Georg Thieme, Verlag, Stuttgart, 1955.
Sadler T.W. Langman's Medical Embryology, Sixth Edition, Williams & Wilkins, Baltimore, 1990.
Snell, R.S. Clinical Anatomy for Medical Students, Fourth Edition, Little, Brown and Company, Boston/
Massachusetts, 1987.
Staubesand J., Ferner H. Sobotta Atlas of Human Anatomy Volume I-II Tenth Edition, Urban & Schwarzenberg,
1982.
Taner D. (Editr) Fonksiyonel Nroanatomi, METU Press, 2. bask, 1999.
Taner D. (Editr) Fonksiyonel Anatomi, Hekimler Yayn Birlii, 2. baski, 2000.
Terminologia Anatomica 1998, FCAT (Federative Commitee on Anatomical Terminology), Thieme Stuttgart, New
York.
Williams P.L., Bannister L.H., Berry M.M., Collins P., Dyson M., Dussek J.E., Ferguson M.W.J. Gray's
Anatomy, Thirty-Eighth edition, Churchill Livingstone, London, 1995.

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