The four names identify distinct pathways: chorda tympani, the sensory buccal nerve, the radial nerve formerly called musculospiral, and the obturator nerve. Origin must include the parent nerve or nerve plexus, while the function must follow the actual fibre supply rather than the name of a structure crossed.
Chorda tympani. This branch leaves the facial nerve in its descending facial canal before the stylomastoid foramen. It enters the tympanic cavity from behind, passes forwards between the malleus and incus close to the inner surface of the tympanic membrane, and leaves through the petrotympanic fissure. In the infratemporal fossa it joins the lingual nerve, a branch of the mandibular division of the trigeminal nerve. It then travels with that carrier towards the tongue and submandibular ganglion.
The chorda tympani carries taste from the anterior two thirds of the tongue, with sensory cell bodies in the geniculate ganglion and central connections to the nucleus of the solitary tract. It also carries preganglionic parasympathetic fibres from the superior salivatory nucleus towards the submandibular ganglion; postganglionic fibres supply the submandibular gland and sublingual gland. It does not provide the general touch supply of that part of the tongue; that travels through the lingual nerve's trigeminal nerve pathway. Taste and tactile testing can consequently distinguish two functions that briefly share one peripheral trunk.[ref]
Anatomy, Head and Neck, Chorda Tympani (StatPearls). Introduction; Structure and Function: facial origin, middle-ear passage, lingual connection and gustatory/secretomotor fibres
Buccal nerve. In the usual anatomical meaning intended by this list, this is the long buccal nerve from the anterior division of the mandibular trigeminal nerve. It commonly emerges between the heads of the lateral pterygoid muscle, descends near the anterior border of the mandibular ramus and the temporalis muscle insertion, and passes towards the cheek. Its branches reach cheek skin, the buccal mucosa, and the buccal gingiva beside the lower molars. It is principally sensory. The motor supply of the buccinator muscle comes from the facial nerve, whose buccal branches are a different set of nerves. Thus the ability to hold the cheek against the teeth and sensation in the cheek are not tests of the same efferent pathway.[ref]
Anatomy, Head and Neck: Buccal Nerve (StatPearls). Introduction; Structure and Function: mandibular origin, relations to lateral pterygoid and sensory distribution
Radial nerve, historically musculospiral. This is the major continuation of the posterior cord of the brachial plexus, usually containing fibres from C5–T1. It passes from the axilla into the posterior arm, accompanying the profunda brachii artery in the radial groove of the humerus. It pierces the lateral intermuscular septum and reaches the anterior compartment between brachialis and brachioradialis. Near the lateral elbow it divides into a superficial sensory branch and a deep motor branch. The latter passes through the supinator muscle and continues as the posterior interosseous nerve.
The radial nerve supplies triceps brachii and anconeus, then brachioradialis, the radial wrist extensors and, through its deep continuation, the principal finger and thumb extensors and associated posterior forearm muscles. Its sensory branches supply posterior arm and forearm regions and part of the dorsolateral hand. A lesion's level matters: an arm lesion can impair wrist and finger extension, while an isolated superficial branch lesion is sensory and does not itself cause a wrist drop. Conversely, a posterior interosseous nerve lesion chiefly affects motor function. The fingertip pads are not the characteristic autonomous sensory territory of the superficial radial nerve.[ref]
Anatomy, Shoulder and Upper Limb, Radial Nerve (StatPearls). Structure and Function; Sensory; Motor; Muscles; Physiologic Variants
Obturator nerve. It arises from the anterior divisions of the anterior rami of L2–L4 in the lumbar plexus. It emerges from the medial border of psoas major, crosses the pelvic side wall and leaves through the obturator canal with the obturator vessels. Its anterior and posterior divisions characteristically run on opposite sides of adductor brevis, although the level of division varies. The anterior division supplies adductor longus, gracilis and commonly adductor brevis; the posterior division supplies obturator externus and the adductor portion of adductor magnus, with variable additional contributions. The hamstring portion of adductor magnus has a different supply. Cutaneous supply to a variable medial-thigh patch and articular branches to the hip and knee supplement its principal motor role in thigh adduction. Obturator internus is supplied by its own sacral-plexus nerve, not by the obturator nerve merely because the names resemble one another.[ref]
Anatomy, Abdomen and Pelvis, Obturator Muscles (StatPearls). Nerves: L2–L4 supply of obturator externus versus separate supply of obturator internus
[ref]Obturator Nerve by the National Library of Medicine. MeSH definition: lumbar origin, thigh adductors and medial-thigh sensation
A lever is a body free to rotate about a fulcrum. Its usefulness comes from a balance of torques, not from producing energy. For a stationary ideal lever, let and be the perpendicular lever arms of the effort and load . ThenThe mechanical advantage uses perpendicular distances to the lines of action, which need not equal distances measured along a bent or obliquely loaded arm. In an ideal slow motion, the effort moves through the larger distance when its force is the smaller: work is conserved.
For the three familiar straight arrangements, the fulcrum lies between effort and load in a first-class lever, the load lies between fulcrum and effort in a second-class lever, and the effort lies between fulcrum and load in a third-class lever. The second class has ideal mechanical advantage greater than one; the third has it less than one. The first can have either, depending on the lever arms.
The forearm bends by elbow flexion. The biceps brachii and brachialis pull through short tendons close to the elbow, while a load in the hand acts farther away. This is predominantly a third-class arrangement: a large muscle force buys a comparatively large and rapid hand displacement. The biceps brachii also contributes to forearm supination. Elbow extension is produced chiefly by the triceps brachii, whose tendon acts on the olecranon behind the elbow. The extensor insertion and forearm load lie on opposite sides of the effective pivot, giving the corresponding first-class analogy. Actual anatomical joint motion has changing muscle moment arms, and the joint reaction force also enters the full force balance; the body is not a set of frictionless pins. [ref]