Anatomical Variations of the Lateral Femoral Cutaneous Nerve and the Consequences for Surgery

Ridder, Victor A. de; Lange, Sam de; Popta, Jouke van

doi:10.1097/00005131-199903000-00009

Cited by 146 publications

(91 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The term was derived from the Greek words ''meros'', meaning thigh, and ''algos'', meaning pain; thus, from its literal translation, the disease is characterized by pain in the thigh. Numerous clinical reviews have been published since the first reports by Bernhardt and Roth [3,6,8,9,10,12,15]. Various causes have been suggested, including trauma, orthopaedic procedures (such as iliac crest bone graft harvesting or pelvic osteotomy), obesity, pregnancy, and external compression from tight clothing.…”

Section: Discussionmentioning

confidence: 99%

“…Various causes have been suggested, including trauma, orthopaedic procedures (such as iliac crest bone graft harvesting or pelvic osteotomy), obesity, pregnancy, and external compression from tight clothing. However, the cause of MP is considered idiopathic in most cases [1,3,10,12,14].…”

Section: Discussionmentioning

confidence: 99%

“…Most commonly, the LFCN travels under the psoas major muscle and enters the thigh by crossing the groin under the inguinal ligament, after which it pierces the fascia lata and then divides into its anterior and posterior branches. Several anatomic variations of the LFCN have been described [1,3,5]. Ghent [5] described four anatomic variations of the LFCN that predispose to MP: Type 1, passage of the nerve through the classic split inguinal ligament; Type 2, bowstring deformation of the nerve as it crosses the iliac fascia; Type 3, passage of the nerve through the sartorius muscle; and Type 4, passage of the nerve crossing the iliac crest just behind the ASIS.…”

Section: Discussionmentioning

confidence: 99%

“…Ghent [5] described four anatomic variations of the LFCN that predispose to MP: Type 1, passage of the nerve through the classic split inguinal ligament; Type 2, bowstring deformation of the nerve as it crosses the iliac fascia; Type 3, passage of the nerve through the sartorius muscle; and Type 4, passage of the nerve crossing the iliac crest just behind the ASIS. In a cadaveric study of 200 specimens, de Ridder et al [3] reported the LFCN was normal in 74% of subjects, but the remaining 26% had anatomic variations.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous reports describe its etiology and treatment [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. In some reports, the condition has occurred in relation to sports activity [7,10,11,14].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Case Report: Meralgia Paresthetica in a Baseball Pitcher

Otoshi

Itoh

Tsujino

et al. 2008

Clin Orthop Relat Res

View full text Add to dashboard Cite

We report a case of meralgia paresthetica occurring in an amateur baseball pitcher who experienced inguinal pain and dysesthesia in the anterolateral thigh during pitching practice. The lateral femoral cutaneous nerve was pushed up by the iliac muscle to the inguinal ligament at the sharp ridge of its fascia and ensheathed in the tendinous origin of the sartorius muscle. Neurolysis of the lateral femoral cutaneous nerve and partial dissection of the inguinal ligament and sartorius muscle promptly relieved the symptoms and the patient resumed pitching 1 month later. These anatomic variations of the lateral femoral cutaneous nerve in the inguinal region might render the nerve susceptible to compression and irritation, and repetitive contraction of inguinal muscles during throwing motion might induce and exacerbate the neuropathy of the lateral femoral cutaneous nerve.

show abstract