Obturator Nerve

Authors
Affiliations

Doctor of Physical Therapy

B.S. in Kinesiology

Doctor of Physical Therapy

B.A. in Neuroscience

Note

Readings

Cutaneous Distribution of the obturator nerve (Right leg, medial view)2 Obturator nerve (Right leg, anterior view)2

Roots

L2, L3, L4

Pathway

  • Through psoas major, enters medial thigh via obturator canal
  • Sends motor branches to obturator externus before dividing into an anterior and posterior branch, both of which are separated by adductor brevis
  • Descends between adductor longus and brevis towards femoral artery
  • Pierces fascia lata to become cutaneous branch of obturator nerve to supply skin on medial distal part of thigh
  • Posterior division: Passess behind Obturator Externus muscles and travels anteriorly to partially innervate adductor magnus2

Motor innervation

Obturator Nerve Muscle Innervations
Muscle Origin Insertion Innervation Action
Adductor brevis
  • [Inferior pubic ramus](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#origin) [@gilroyAtlasAnatomy2020]
  • [Linea aspera](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#insertion) [@gilroyAtlasAnatomy2020]


L2 - L32

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L2](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#nerve) - [L3](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Extension](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#action) [@gilroyAtlasAnatomy2020]

Pelvis

  • [Frontal stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Sagittal stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.qmd#action) [@gilroyAtlasAnatomy2020]
Adductor Longus
  • [Superior pubis ramus](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Anterior side of Pubic Symphysis](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Linea aspera](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#insertion) [@gilroyAtlasAnatomy2020]


L2 - L42

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L2](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#nerve) - [L4](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Extension](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#action) [@gilroyAtlasAnatomy2020]

Pelvis

  • [Frontal plane stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Sagittal plane stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.qmd#action) [@gilroyAtlasAnatomy2020]
Adductor Magnus
  • [Inferior pubic ramus](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Ischial ramus](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Ischial tuberosity](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Medial lip of Linea aspera](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#insertion) [@gilroyAtlasAnatomy2020]

  • [Adductor tubercle](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#insertion) [@gilroyAtlasAnatomy2020]



L2 - L42

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#nerve) [@gilroyAtlasAnatomy2020]

  • [Tibial n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L2](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#nerve) - [L4](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Extension](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [IR](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]

Pelvis

  • [Frontal stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Sagittal stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.qmd#action) [@gilroyAtlasAnatomy2020]
Gracilis
  • [Inferior pubic ramus](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#origin) [@gilroyAtlasAnatomy2020]
  • [Pes anserine](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#insertion) [@gilroyAtlasAnatomy2020]


L2 - L32

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L2](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#nerve) - [L3](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#action) [@gilroyAtlasAnatomy2020]

Knee

  • [Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
  • [IR](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
Obturator externus
  • [Outer surface of Obturator membrane](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Adjacent bony boundaries](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#origin) [@gilroyAtlasAnatomy2020]

  • [Trochanteric Fossa](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#insertion) [@gilroyAtlasAnatomy2020]


L3 - L42

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L3](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#nerve) - [L4](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#action) [@gilroyAtlasAnatomy2020]
  • [ER](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#action) [@gilroyAtlasAnatomy2020]

Pelvis

  • [Sagittal Stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.qmd#action) [@gilroyAtlasAnatomy2020]
Pectineus
  • [Pecten pubis](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#origin) [@gilroyAtlasAnatomy2020]
  • [Pectineal line](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#insertion) [@gilroyAtlasAnatomy2020]

  • [Proximal linea aspera](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#insertion) [@gilroyAtlasAnatomy2020]



L2 - L32

  • [Femoral n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#nerve) [@gilroyAtlasAnatomy2020]

  • [Obturator n.](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#nerve) [@gilroyAtlasAnatomy2020]

[L2](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#nerve) - [L3](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#nerve) [@gilroyAtlasAnatomy2020]

Hip

  • [ER](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Adduction](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
  • [slight Flexion](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#action) [@gilroyAtlasAnatomy2020]

Pelvis

  • [Frontal plane stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#action) [@gilroyAtlasAnatomy2020]
  • [Sagittal plane stabilization](/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.qmd#action) [@gilroyAtlasAnatomy2020]

Direct branch

  • Obturator externus2

Anterior division

  • Adductor Longus2
  • Adductor Brevis2
  • Gracilis2
  • Pectineus (in some cases)2

Posterior Branch

  • Adductor magnus (partial innervation)2
Muscle Origin Insertion Nerve Action
Pectineus

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.html#insertion

?var:ref-pectineus.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/pectineus_muscle.html#action

Gracilis

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.html#insertion

?var:ref-gracilis.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/gracilis_muscle.html#action

Adductor Longus

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.html#insertion

?var:ref-adductor-longus.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_longus.html#action

Adductor Brevis

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.html#insertion

?var:ref-adductor-brevis.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_brevis.html#action

Obturator Externus

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.html#insertion

?var:ref-obturator-externus.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/obturator_externus.html#action

Adductor Magnus

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.html#origin

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.html#insertion

?var:ref-adductor-magnus.nerve

/The Archive/Anatomy/Skeletal Muscles/Lower limb muscles/Thigh Muscles/Medial Thigh Muscles/adductor_magnus.html#action

Cutaneous Innervation

Cutaneous Distribtion of the obturator nerve (Right leg, medial view)2

Cutaneous Distribtion of the obturator nerve (Right leg, medial view)2

Dysfunction

“Obturator Nerve that may be compromised by herniation of intervertebral disks at L4 or L5 as they pass through the intervertebral foramina”2

References

1.
Iwanaga J, Reina F, Ishak B, Reina MA, Dumont AS, Tubbs RS. Revisiting the Muscular Innervation of the Obturator Nerve: Application to Neurotization Procedures. The Kurume Medical Journal. 2023;68(2):75-80. doi:10.2739/kurumemedj.MS682009
2.
Gilroy AM, MacPherson BR, Wikenheiser JC, Voll MM, Wesker K, Schünke M, eds. Atlas of Anatomy. 4th ed. Thieme; 2020.

Citation

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