Douglas Milena, Mckoy Matthew, Rozeboom Jonathan, Rich Alexzander, Durning Ainsley, Valdez Dominik, Smith Heather F, Lynch Leigha M
Osteopathic Medicine, Arizona College of Osteopathic Medicine (AZCOM) Midwestern University, Glendale, USA.
Anatomy, Arizona College of Osteopathic Medicine (AZCOM) Midwestern University, Glendale, USA.
Cureus. 2025 Aug 4;17(8):e89354. doi: 10.7759/cureus.89354. eCollection 2025 Aug.
This case study focuses on the atypical nerve contributions and branching patterns of the lumbar plexus in two human body donors at Midwestern University. It discusses their implications for pathology and surgical outcomes. Variations were identified in the anterior rami contributions and branching patterns of the lumbar plexus in both donors, predominantly in the lateral femoral cutaneous nerve (LFCN). While the typical contributions of LFCN include L2 and L3 spinal cord levels, the case donors received contributions only from L2 or from L1-L3 levels, with the nerves combining and separating multiple times before ultimately forming LFCN or multiple branches thereof. Unique branching patterns were also noted for the ilioinguinal and femoral nerves. These findings suggest that a deeper understanding of the lumbar plexus's variability is necessary to reduce the risks associated with surgical procedures in these regions, such as hip replacement, nerve block, and inguinal hernia repair, as well as the recognition and treatment of atypical nerve branch impingement. Further studies of lumbar plexus nerve contributions will be beneficial for improved clinical knowledge and reducing risks for complications.
本案例研究聚焦于中西部大学两名人体捐赠者中腰丛神经的非典型神经组成和分支模式。探讨了它们对病理学和手术结果的影响。在两名捐赠者中均发现腰丛神经前支组成和分支模式存在变异,主要体现在股外侧皮神经(LFCN)。虽然LFCN的典型组成包括脊髓L2和L3节段,但本案例捐赠者的LFCN仅由L2发出或由L1 - L3节段发出,这些神经在最终形成LFCN或其多个分支之前多次合并和分离。髂腹股沟神经和股神经也呈现出独特的分支模式。这些发现表明,深入了解腰丛神经的变异性对于降低这些区域手术(如髋关节置换、神经阻滞和腹股沟疝修补)相关风险以及识别和治疗非典型神经分支受压至关重要。对腰丛神经组成的进一步研究将有助于提高临床知识并降低并发症风险。