• Cross anterior surface of Quadratus Lumborum
  • Derived from the 1st Lumbar Nerve (Anterior Ramus)
  • Emerge from the lateral border of Psoas Major as a common stem with the Ilioinguinal Nerve which then divides or as separate nerves
  • Lie posterior to the kidney
  • Pierce the anterior layer of the Lumbar Fascia and pass anterior to it through Transversus Abdominis
  • In the anterior abdominal wall, it lies in the neurovascular plane between the Internal Oblique and Transversus Abdominis muscles above the Iliac Crest
  • Gives a Lateral Cutaneous Branch
    • Pierces Oblique muscles above the Iliac Crest to supply skin of the upper part of the Buttock behind the area supplied by the Subcostal Nerve
  • Continues downwards in the neurovascular plane and pierces Internal Oblique above the Anterior Superior Iliac Spine
  • Pierces the External Oblique Aponeurosis 2.5cm above the Superficial Inguinal Ring and ends by supplying Suprapubic skin