and Sth digits). See Tables 8.1 and 9.1
for muscles contributing to finger ad-
duction, abduction, and opposition.
Note, for example, that the palmar in-
terossei adduct the fingers, while the
dorsalinterossei abduct them.
Simplification: Five Nerves to
Remember in the Leg
It is most clinically important to be
familiar with the functions of the
femoral, obturator, sciatic, tibial, and
peroneal nerves in the leg. Table 9.3
summarizes the motor and sensory
functions of these nerves, and they
are demonstrated on neuroexam.com
Videos 56 and 57. Table 8.1 provides ad-
ditional details. Note again thatthe sen-
sory territories shown in Table 93 are
smaller than in Figure 95, since here we
ate interested in regions of sensory loss.
The tibial and common peroneal
nerves are the two most important
branches of the sciatic nerve. The ham-
string muscles (semitendinosus, semi-
membranosus, and biceps femoris)
are innervated by the sciatic nerve it-
self before it divides into the tibial and
common peroneal nerves. The com-
‘mon peroneal nerve divides further to
give rise to the superficial and deep
peroneal nerves (sce Figures 9.3 and
94; Table 93),
REVIEW EXERCISE
1.Tur back to Tables 3.4-3.6 in
Chapter3, where we discussed
strength and reflex testing (see
also neuroexam.com Videos
54-58), In these tables, cover all
columns except for the eft-most
column, For each action or reflex,
listthe appropriate muscle,
nerves, and nerve roots being
tested (refer to Table 8.1).
2.ln Tables 9.1 and 93, cover the
columns showing the regions of
sensory loss and sketch the region
(of sensory loss foreach of the five
nerves in the arm and the leg.
Major Plexuses and Peripheral Nerves 363
TABLE 9.3. Important Nerves in the Leg
‘moror REGION OF SENSORY NERVE
LOSS WITH NEUROPATHY
NERVE FUNCTIONS
Femoral Leg flexion
atthe hip,
leg extension
atthe knee
Obturator — Adduction of
the thigh
Sciatic Leg flexion at
the knee (see.
also tibial and
peroneal nerves,
fm column at left)
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