Table 1.
Nerve | Motor | Sensory | Weakness |
---|---|---|---|
L5 nerve root | Gluteus maximus/medius/minumus, tensor fasciae latae, semitendinosus, semimembranosus, biceps femoris, tibialis posterior, TA, PL, PB, EDB, EHL (gastrocnemius/soleus) | Lateral leg, lateral calf, dorsum of foot, and medial toes | Hip abduction and internal rotation Knee flexion Ankle dorsiflexion, inversion, and eversion Toe extension (plantarflexion) |
Lumbosacral plexopathy avariable presentation: example is lesion proximal to sciatic nerve | Gluteus medius/ minimus, tensor fascia lata, semitendinosus, semimembranosus, biceps femoris, tibialis posterior, flexor digitorum longus, abductor hallucis, flexor digitorum brevis, flexor hallucis brevis, abductor digiti minimi, adductor hallucis, interossei, TA, EDL, EHL, EDB, EHB, PT, PL, PB, gastrocnemius, soleus (partial adductor magnus) | Posterior thigh, lateral calf, dorsal and plantar foot (sparing lateral foot) | Hip internal rotation and abduction, knee flexion, ankle dorsiflexion, plantarflexion, inversion and eversion Toe extension (partial hip adduction) |
Sciatic nerve | Semitendinosus, semimembranosus, biceps femoris, tibialis posterior, flexor digitorum longus, abductor hallucis, flexor digitorum brevis, flexor hallucis brevis, abductor digiti minimi, adductor hallucis, interossei, TA, EDL, EHL, EDB, EHB, PT, PL, PB, gastrocnemius, soleus (partial adductor magnus) | Lateral calf, dorsal and plantar foot (sparing lateral foot) | Knee flexion Ankle dorsiflexion, plantarflexion, inversion and eversion Toe extension (partial hip adduction) |
Common peroneal nerve | TA, EDL, EHL, EDB, EHB, PT, PL, PB | Lateral calf and dorsum of foot (sparing lateral and plantar foot) | Ankle dorsiflexion and eversion Toe extension |
Deep peroneal nerve | TA, EDL, EHL, EDB, EHB, PT | Area between great and second toes | Ankle dorsiflexion and partial eversion > inversion Toe extension |
Superficial peroneal nerve | PL, PB | Lateral calf and dorsum of foot (sparing lateral foot) | Ankle eversion |
aTA = tibialis anterior, PL = peroneus longus, PB = peroneus brevis, EDB = extensor digitorum brevis, EHL = extensor hallucis longus, EDL = extensor digitorum longus, PT = peroneus tertius, EHB = extensor hallucis brevis