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4th lumbar spinal nerve (L4)
Function:
- knee extension [1]
- sensory anterior leg, medial foot
Physical examination:
- walking on heels test motor function at L4-L5
- deep tendon reflex at the knees tests L3 & L4
- ability to squat & rise tests L4
- light touch in the medial foot tests sensory function at L4
Innervation:
- anterior tibialis
Pathology:
- referred pain: [2]
- anterior shin
Related
dermatome
myotome
General
lumbar spinal nerve
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 18.
American College of Physicians, Philadelphia 1998, 2018
- Harrison's Principles of Internal Medicine, 13th ed.
Isselbacher et al (eds), McGraw-Hill Inc. NY,
1994, pg 73-74
- Geriatrics at your Fingertips, 21st edition, 2019
Reuben DB et al (eds)
American Geriatric Society
ISSNL 1553-152X, ISBN 978-1-886775-62-6
Images
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