medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2014, Number 2

<< Back Next >>

Ortho-tips 2014; 10 (2)

Compressive neuropathy of the femoral nerve

Romo RR, Clifton CJF, López AL, Navarro BE, Villarruel SJÁ, Zermeño RJJ, Gutiérrez MI, Espinosa de los Monteros KAF

Language: Spanish
References: 13
Page: 79-84
PDF size: 173.04 Kb.


ABSTRACT

Compressive neuropathy of the femoral nerve is a pourly recognized clinical entity which is largely surpassed by the traumatic or secondary pathology of this nerve. It is characterized by numbness or neuropathic pain in the anterior thigh and knee as well as on the anteromedial aspect of the leg. In severe cases, weakness of knee extension and hip flexion may be present. Symptoms tend to increase with hip extension and diminish with external rotation. It has been suggested that compression occurs underneath the iliopectineal ligament. When these cases require a surgical treatment, it consists in cutting this ligament by a retroperitoneal approach or by laparoscopy.


REFERENCES

  1. Kim DH, Kline DG. Surgical outcome for intra-and extrapelvic femoral nerve lesions. J Neurosurg. 1995; 83: 783-790.

  2. Gruson KI, Moed BR. Injury of the femoral nerve associated with acetabular fracture. J Bone Joint Surg Am. 2003; 85-A (3): 428-431.

  3. DeHart MM, Riley LH Jr. Nerve injuries in total hip arthroplasty. J Am Acad Orthop Surg. 1999; 7 (2): 101-111.

  4. Weiss JM, Tolo V. Femoral nerve palsy following iliacus hematoma. Orthopedics. 2008; 31 (2): 178.

  5. Walsh C, Walsh A. Postoperative femoral neuropathy. Surg Gynecol Obstet. 1992; 174: 255-263.

  6. Berlusconi M, Capitani D. Post-traumatic hematoma of the iliopsoas muscle with femoral nerve entrapment: description of a rare occurrence in a professional cyclist. Ital J Orthop Traumatol. 1991; 17 (4): 563-566.

  7. Rottenberg MF, DeLisa JA. Severe femoral neuropathy with “hanging leg” syndrome. Arch Phys Med Rehabil. 1981; 62 (8): 404-406.

  8. Létourneau L, Dessureault M, Carette S. Rheumatoid iliopsoas bursitis presenting as unilateral femoral nerve palsy. J Rheumatol. 1991; 18 (3): 462-463.

  9. Hollingshead WH. Textbook of anatomy. 3rd ed. Hagerstown: Harper & Row; 1974: pp. 397-399.

  10. Vázquez MT, Murillo J, Maranillo E, Parkin IG, Sanudo J. Femoral nerve entrapment: a new insight. Clin Anat. 2007; 20 (2): 175-179.

  11. Kurt S, Kaplan Y, Karaer H, Erkorkmaz U. Femoral nerve involvement in diabetics. Eur J Neurol. 2009; 16 (3): 375-379.

  12. Natelson SE. Surgical correction of proximal femoral nerve entrapment. Surg Neurol. 1997; 48: 326-329.

  13. Azuelos A, Corò L, Alexandre A. Femoral nerve entrapment. Acta Neurochir Suppl. 2005; 92: 61-62.




2020     |     www.medigraphic.com