Sartorius muscle tear presenting as acute meralgia paresthetica

Lee, Brian; Stubbs, Euan

doi:10.1016/j.clinimag.2018.05.011

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…Lastly, paresthesia is also a symptom to monitor because the degree or location of hematoma may lead to a compressive neuropraxia. A previous report noted involvement of the lateral femoral cutaneous nerve with proximal sartorius injury, and in our case, the infrapatellar branch of the saphenous nerve was likely involved 3 …”

Section: Case Presentationsupporting

confidence: 59%

Cramp and a Pop 61-Year-Old Man With Acute Thigh Pain

Rhim

Crockett

Schowalter

et al. 2023

Am J Phys Med Rehabil

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Section: Case Presentationsupporting

confidence: 59%

Cramp and a Pop 61-Year-Old Man With Acute Thigh Pain

Rhim

Crockett

Schowalter

et al. 2023

Am J Phys Med Rehabil

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“…Besides iatrogenic injury, several other traumatic causes have been reported including LFCN injury after seat-belt injury [ 32 ], avulsion fractures of the ASIS [ 33 – 36 ], sartorius muscle tear [ 37 ], traumatic iliacus hematoma [ 38 ], and several sports activities (including soccer [ 39 ], cycling [ 2 ], baseball [ 40 ]), long duration wear of hip-huggers [ 41 ] and standing at attention [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

et al. 2023

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Meralgia paresthetica is often idiopathic, but sometimes symptoms may be caused by traumatic injury to the lateral femoral cutaneous nerve (LFCN) or compression of this nerve by a mass lesion. In this article the literature is reviewed on unusual causes for meralgia paresthetica, including different types of traumatic injury and compression of the LFCN by mass lesions. In addition, the experience from our center with the surgical treatment of unusual causes of meralgia paresthetica is presented. A PubMed search was performed on unusual causes for meralgia paresthetica. Specific attention was paid to factors that may have predisposed to LFCN injury and clues that may have pointed at a mass lesion. Moreover, our own database on all surgically treated cases of meralgia paresthetica between April 2014 and September 2022 was reviewed to identify unusual causes for meralgia paresthetica. A total of 66 articles was identified that reported results on unusual causes for meralgia paresthetica: 37 on traumatic injuries of the LFCN and 29 on compression of the LFCN by mass lesions. Most frequent cause of traumatic injury in the literature was iatrogenic, including different procedures around the anterior superior iliac spine, intra-abdominal procedures and positioning for surgery. In our own surgical database of 187 cases, there were 14 cases of traumatic LFCN injury and 4 cases in which symptoms were related to a mass lesion. It is important to consider traumatic causes or compression by a mass lesion in patients that present with meralgia paresthetica. Supplementary Information The online version contains supplementary material available at 10.1007/s10143-023-02023-2.

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“…En mayoría de los casos, el nervio se posiciona medial al músculo sartorio, pero con una distancia cambiante de la espina ilíaca anterosuperior, siendo susceptible a sufrir atrapamiento. Su salida de la cavidad abdominal es variable, con un paso que oscila entre 4 cm posterior y 6 cm medial a la espina ilíaca anterosuperior (5,6).…”

Section: Anatomíaunclassified

“…Los factores iatrogénicos incluyen las cirugías realizadas en la parte inferior del abdomen y pelvis, cirugías ortopédicas de cadera y pelvis, posterior a una apendicectomía, herniorrafía, cesárea, cateterismo de la arteria femoral, extracción de injerto de hueso iliaco y el antecedente de traumatismo directo y/o indirecto (11,13). El antecedente de traumatismo directo en el músculo sartorio es una causa importante de MP, puesto que se ha descrito el diagnóstico de neuropraxia del NCFL postraumático secundario al edema y al efecto irritante del hematoma adyacente (6).…”

Section: Epidemiologíaunclassified

Meralgia parestésica: manejo y tratamiento

Villalobos

Delgado

Jarquín

2023

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La meralgia parestésica o neuralgia del nervio femorocutáneo es una enfermedad que se caracteriza por parestesias, adormecimiento, debilidad y dolor tipo quemante en la parte externa del muslo. La principal causa es la compresión del nervio cutáneo femoral lateral el cual es un nervio sensitivo puro, que se forma por la unión de las raíces nerviosa de L2-L3 yes el principal encargado de la sensibilidad de la región anterior y la mitad superior de la cara lateral del muslo. Es una enfermedad que afecta predominantemente a pacientes entre los 30 y 40 años con mayor incidencia en el género masculino.En la mayoría de los casos, las causas más frecuentes se deben a obesidad, embarazo, ropa ajustada, así como también, a un traumatismo local o a una enfermedad como la diabetes mellitus. En la mayoría de los casos, el manejo consiste en medidas moderadas, sin embargo, en casos graves el tratamiento puede constar de medicamentos analgésicos y en raras ocasiones, tratamiento quirúrgico.

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Sartorius muscle tear presenting as acute meralgia paresthetica

Cited by 7 publications

References 8 publications

Cramp and a Pop 61-Year-Old Man With Acute Thigh Pain

Cramp and a Pop 61-Year-Old Man With Acute Thigh Pain

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

Meralgia parestésica: manejo y tratamiento

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