Anatomical variations and distributions of obturator nerve on Ethiopian cadavers

Abstract

Variations in anatomy of the obturator nerve are important to surgeons and anesthesiologists performing surgical procedures in the pelvic cavity, medial thigh and groin regions. They are also helpful for radiologists who interpret computerized imaging and anesthesiologists who perform local anesthesia. This study aimed to describe the anatomical variations and distribution of obturator nerve. The cadavers were examined bilaterally for origin to its final distribution and the variations and normal features of obturator nerve. Sixty-seven limbs sides (34 right and 33 left sides) were studied for variation in origin and distribution of obturator nerve. From which 88.1% arises from L2, L3 and L4 and; 11.9% from L3 and L4 spinal nerves. In 23.9%, 44.8% and 31.3% of specimens the bifurcation levels of obturator nerve were determined to be intrapelvic, within the obturator canal and extrapelvic, respectively. The anterior branch subdivided into two, three and four subdivisions in 9%, 65.7% and 25.4% of the specimens, respectively, while the posterior branch provided two subdivisions in 65.7% and three subdivisions in 34.3% of the specimens. Hip articular branch arose from common obturator nerve in 67.2% to provide sensory innervation to the hip joint. Accessory obturator nerve was not observed at all in this study.

Key words: Variations, obturator nerve