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https://read.qxmd.com/read/38345935/meralgia-paresthetica-as-a-result-of-surgery-with-an-emphasis-on-harvesting-iliac-bone-grafts-a-review
#1
JOURNAL ARTICLE
Sonia N Singh, Ruby R Taylor, Chaimae Oualid, Mutaz B Habal, Seth R Thaller
Meralgia paresthetica is a neurological disorder characterized by a symptom complex of numbness, burning, tingling, aching, or stabbing in the anterolateral portion of the upper thigh. Typically, this disorder is seen in patients with diabetes mellitus, obesity, and pregnancy. Also, it may result from a wide array of surgical interventions involving the region of the anterior superior iliac spine. Underlying pathophysiology concentrates on entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN)...
February 12, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38289685/lateral-femoral-cutaneous-nerve-cryoneurolysis-for-meralgia-paresthetica-a-case-report
#2
JOURNAL ARTICLE
Lisa Pearson, Victoria Schmelzer, John Maye, Sarah Jingying Zhang
Meralgia paresthetica (MP) is a disorder of lateral femoral cutaneous nerve mononeuropathy caused by entrapment or compression of the nerve. It is characterized by numbing, tingling, and burning pain in the lateral aspect of the thigh. The current treatments for MP include conventional medical management, peripheral nerve blocks, and surgical interventions. Some patients who suffer from MP can experience intractable pain and medical management of MP is often inadequate to provide satisfactory pain control. Although regional anesthesia provides excellent pain relief, the analgesic effects of peripheral nerve block are short-lived...
February 2024: AANA Journal
https://read.qxmd.com/read/38289069/preoperative-ultrasound-guided-localization-of-the-lateral-femoral-cutaneous-nerve-from-guide-wire-to-novel-clip
#3
JOURNAL ARTICLE
Joyce Koueik, Jacob A Bethel, Kenneth S Lee, Michael J Tuite, Amgad S Hanna
BACKGROUND AND OBJECTIVE: Lateral femoral cutaneous nerve (LFCN) decompression and transposition are surgical treatment options for meralgia paresthetica. Identifying the LFCN during surgery may be challenging, and preoperative localization is a valuable adjunct in this case. The objective of this study was to explore a new technique using preoperative ultrasound-guided clip localization (USCL) of the LFCN. METHODS: After Institutional Review Board approval, data were collected on patients who underwent both preoperative ultrasound-guided wire localization (USWL) and USCL over the past 13 years...
January 30, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38283809/exoscope-for-revision-of-right-lateral-femoral-cutaneous-nerve-decompression
#4
JOURNAL ARTICLE
Matthew C Findlay, Spencer Twitchell, Mark A Mahan
The exoscope serves as a valuable addition or alternative to traditional microscope systems in surgery, offering 3D visualization and magnification with enhanced maneuverability. In lateral femoral cutaneous nerve decompression for meralgia paresthetica, the exoscope is effective in identifying strictures of neural compression and minimizing iatrogenic nerve damage that may lead to improved pain management outcomes for patients. In this report, the specific case presented showcases how the exoscope aided in surgical decompression of the lateral femoral cutaneous nerve of a patient with refractory meralgia paresthetica with remote previous decompression and resultant scarring...
January 2024: Neurosurgical focus: Video
https://read.qxmd.com/read/38276280/meralgia-paresthetica-an-approach-specific-neurological-complication-in-patients-undergoing-daa-total-hip-replacement-anatomical-and-clinical-considerations
#5
JOURNAL ARTICLE
Jozef Almasi, Richard Ambrus, Boris Steno
Introduction: Mini-invasive surgical (MIS) approaches to total hip replacement (THR) are becoming more popular and increasingly adapted into practice. THR via the direct anterior approach (MIS DAA) has become a rather controversial topic in hip arthroplasty literature in the last decades. Our retrospective observational study focuses on the prevalence of one approach-specific complication-lateral femoral cutaneous nerve (LFCN) iatrogenic lesion-and tries to clarify the possible pathogenesis of this injury. Methods: This is a retrospective single-cohort observational single-center and single-surgeon study...
January 20, 2024: Life
https://read.qxmd.com/read/38196491/steroid-efficacy-in-meralgia-paresthetica-a-systematic-review-and-meta-analysis
#6
REVIEW
Wajid Jawaid, Samna Haider, Navaira Shoaib, Naveen Azhar, Arooma Shaukat Siddiqui
OBJECTIVE: To determine the efficacy of steroid injections for pain relief in patients with meralgia paresthetica (MP). METHODS: All the literature published until March 2023 was explored from several databases, including EBSCO, PubMed, EMBASE, Cochrane Library, Google Scholar, and Scopus. Articles investigating the change in pain status of MP patients after steroid injection were included. The primary outcomes were complete pain relief, pain scores at 15 days and one month after intervention...
2024: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/38167711/a-biceps-bicaudatus-sartorius-muscle-dissection-of-a-variant-with-possible-clinical-implications
#7
JOURNAL ARTICLE
Konstantinos Natsis, Christos Koutserimpas, Trifon Totlis, George Triantafyllou, George Tsakotos, Katerina Al Nasraoui, Filippos Karageorgos, Maria Piagkou
The current cadaveric report describes an unusual morphology of the sartorius muscle (SM), the biceps-bicaudatus variant. The SM had two (lateral and medial) heads, with distinct tendinous origins from the anterior superior iliac spine. The lateral head was further split into a lateral and a medial bundle. The anterior cutaneous branch of the femoral nerve emerged between the origins of the lateral and medial heads. SM morphological variants are exceedingly uncommon, with only a few documented cases in the literature, and several terms used for their description...
January 3, 2024: Anatomy & Cell Biology
https://read.qxmd.com/read/38078129/ultrasonographic-identification-of-lateral-femoral-cutaneous-nerve-anatomical-variation-in-persistent-meralgia-paresthetica-a-case-report
#8
Hyeong-Woo Park, Kyung-Suk Ji, Jun-Hyung Kim, Li-Na Kim, Kang-Wook Ha
BACKGROUND: Meralgia paresthetica (MP) is an entrapment mononeuropathy of the lateral femoral cutaneous nerve (LFCN). Although structural abnormalities in nerve tissues can be confirmed using ultrasonography, this is not routinely performed. CASE SUMMARY: Herein, we present the case of a 52-year-old woman who developed MP after laparoscopic gynecological surgery. The patient was referred to our clinic from an obstetrics and gynecology clinic with symptoms of numbness and a tingling sensation in the left anterolateral thigh, which developed after surgery performed 5 mo earlier...
November 6, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/37958280/diagnostic-approach-to-lower-limb-entrapment-neuropathies-a-narrative-literature-review
#9
REVIEW
Nicu Cătălin Drăghici, Vitalie Văcăraș, Roxana Bolchis, Atamyrat Bashimov, Diana Maria Domnița, Silvina Iluț, Livia Livinț Popa, Tudor Dimitrie Lupescu, Dafin Fior Mureșanu
Entrapment neuropathies of the lower limb are a misunderstood and underdiagnosed group of disorders, characterized by pain and dysesthesia, muscular weakness, and specific provoking movements on physical examination. The most frequent of these syndromes encountered in clinical practice are fibular nerve entrapment, proximal tibial neuropathy, sural nerve neuropathy, deep gluteal syndrome or sciatic nerve entrapment, and lateral femoral cutaneous nerve entrapment, also known as meralgia paresthetica. These are commonly mistaken for lumbar plexopathies, radiculopathies, and musculotendinous diseases, which appear even more frequently and have overlapping clinical presentations...
November 4, 2023: Diagnostics
https://read.qxmd.com/read/37840579/chiropractic-management-of-bilateral-meralgia-paresthetica-a-case-report
#10
JOURNAL ARTICLE
Christopher B Roecker, Sachien R Hewawasam, Matthew R Skalski
OBJECTIVE: The purpose of this report is to describe the course of chiropractic care for an adult male experiencing persistent anterolateral thigh pain due to bilateral meralgia paresthetica. CLINICAL FEATURES: A 40-year-old male U.S. Veteran was referred to chiropractic care for a two-year history of bilateral anterolateral thigh pain and paresthesia that worsened with inguinal pressure and hip extension activities. INTERVENTION AND OUTCOMES: A total of six chiropractic visits, including a combination of telehealth and in-person appointments, took place over a period of 10 weeks...
August 2023: Journal of the Canadian Chiropractic Association
https://read.qxmd.com/read/37766598/cadaveric-study-of-variations-in-the-course-of-lateral-femoral-cutaneous-nerve-insight-to-prevent-injury
#11
JOURNAL ARTICLE
Nidhi Mangla, Surbhi Wadhwa, Sabita Mishra, Sumit Sural, Neelam Vasudeva
OBJECTIVE: A recent spurt in incidence of meralgia paresthetica to 0.1-81% due to minimally invasive anterior approach to hip joint has resulted in reinterest in anatomy of lateral femoral cutaneous nerve (LFCN). Familiarity with variations in the course of LFCN will reduce the morbidity associated with orthopedic procedures around the anterior superior iliac spine (ASIS) and inguinal ligament (IL). METHODS: Twenty five adult human formalin embalmed cadavers were dissected...
September 28, 2023: Medeniyet medical journal
https://read.qxmd.com/read/37534445/meralgia-paresthetica-relevance-diagnosis-and-treatment
#12
JOURNAL ARTICLE
Christoph Scholz, Marc Hohenhaus, Maria Teresa Pedro, Anne-Kathrin Uerschels, Nora F Dengler
BACKGROUND: Pain and sensory disturbance in the distribution of the lateral femoral cutaneous nerve in the ventrolateral portion of the thigh is called meralgia paresthetica (MP). The incidence of MP has risen along with the increasing prevalence of obesity and diabetes mellitus and was recently estimated at 32 new cases per 100 000 persons per year. In this review, we provide an overview of current standards and developments in the diagnosis and treatment of MP. METHODS: This review is based on publications retrieved by a selective literature search, with special attention to meta-analyses, systematic reviews, randomized and controlled trials (RCTs), and prospective observational studies...
September 29, 2023: Deutsches Ärzteblatt International
https://read.qxmd.com/read/37315991/single-level-endoscopic-tlif-has-decreased-surgery-duration-blood-loss-and-length-of-hospital-stay-while-achieving-similar-1-year-clinical-and-radiological-outcomes-compared-with-conventional-minimally-invasive-tlif
#13
JOURNAL ARTICLE
David Shaoen Sim, Craigven Hao Sheng Sim, Lei Jiang, Zhixing Marcus Ling
BACKGROUND: This study presents a single surgeon's experience comparing 1-year outcomes of endoscopic transforaminal lumbar interbody fusion (E-TLIF) vs minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in an Asian population. METHODS: Retrospective review of consecutive patients who underwent single-level E-TLIF or MIS-TLIF by a single surgeon in a tertiary spine institution from 2018 to 2021 with 1-year follow-up. Inclusion criteria for both procedures were degenerative disc disease with grade I or II spondylolisthesis and mild to moderate central canal stenosis...
June 14, 2023: International Journal of Spine Surgery
https://read.qxmd.com/read/37285492/emergency-physician-performed-ultrasound-guided-lateral-femoral-cutaneous-nerve-block-for-meralgia-paresthetica-a-report-of-two-cases
#14
JOURNAL ARTICLE
Matthew M Kongkatong, Christopher D Thom, Jakob Ottenhoff
INTRODUCTION: Neuropathy of the lateral femoral cutaneous nerve, also known as meralgia paresthetica, causes pain and paresthesia to the anterolateral thigh. It commonly results from nerve irritation from extrinsic compression; however, it may occur spontaneously. Symptoms from this condition can be debilitating, and the pain may be ascribed to other conditions leading to delays in diagnosis. Peripheral nerve blockade can be useful both diagnostically and therapeutically for meralgia paresthetica...
May 2023: Clinical Practice and Cases in Emergency Medicine
https://read.qxmd.com/read/37148363/unusual-causes-for-meralgia-paresthetica-systematic-review-of-the-literature-and-single-center-experience
#15
REVIEW
G C W de Ruiter, J W A Oosterhuis, Th F H Vissers, A Kloet
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...
May 6, 2023: Neurosurgical Review
https://read.qxmd.com/read/37034054/local-nerve-block-in-meralgia-paresthetica-what-does-the-evidence-suggests
#16
EDITORIAL
Tanushree Chawla, Vinay Goyal
No abstract text is available yet for this article.
2023: Annals of Indian Academy of Neurology
https://read.qxmd.com/read/37034043/ultrasound-guided-treatment-of-meralgia-paresthetica-with-or-without-corticosteroid-a-double-blinded-randomized-controlled-study
#17
JOURNAL ARTICLE
Deniz Palamar, Rana Terlemez, Tugce Ozekli Misirlioglu, Filiz Yıldız Aydın, Kenan Akgun
BACKGROUND: Blockade of the lateral femoral cutaneous nerve (LFCN) with local anesthetic (LA) has therapeutic role as well as diagnostic value for meralgia paresthetica (MP). The aim of this study was to compare the effectiveness of ultrasound-guided LA and LA + CS injections in the treatment of MP. METHODS: This was a prospective, double-blinded, randomized controlled study. Thirty-two patients were evaluated clinically, and electrophysiologically and diagnosed as MP by diagnostic block...
2023: Annals of Indian Academy of Neurology
https://read.qxmd.com/read/36937080/meralgia-paresthetica-review-update-on-presentation-pathophysiology-and-treatment
#18
JOURNAL ARTICLE
Yanet de la Caridad Gomez, Edgar Remotti, Deandra Uju Momah, Emily Zhang, Daniel D Swanson, Rosa Kim, Ivan Urits, Alan D Kaye, Christopher L Robinson
PURPOSE OF REVIEW: Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a diagnosis of exclusion. When diagnosis remains a challenge, diagnostic modalities such as ultrasound, MRI, electromyography, and nerve conduction studies have been utilized as an adjunct. This review summarizes the most recent medical literature regarding MP, its pathophysiology, presentation, and current treatment options...
2023: Health Psychology Research
https://read.qxmd.com/read/36819635/l1-radiculopathy-caused-by-l1-l2-extraforaminal-disc-herniation
#19
JOURNAL ARTICLE
Hiromi Kumamaru, Yasuharu Nakashima, Katsumi Harimaya
No abstract text is available yet for this article.
January 27, 2023: Spine surgery and related research
https://read.qxmd.com/read/36781569/diagnosis-and-treatment-of-meralgia-paresthetica-between-2005-and-2018-a-national-cohort-study
#20
JOURNAL ARTICLE
Benn Schönberg, Mareen Pigorsch, Doerte Huscher, Shlomo Baruchi, Jennifer Reinsch, Anna Zdunczyk, Christoph Scholz, Ann-Kathrin Uerschels, Nora F Dengler
The prevalence of meralgia paresthetica (MP), which is caused by compression of the lateral femoral cutaneous nerve (LFCN), has been increasing over recent decades. Since guidelines and large-scale studies are lacking, there are substantial regional differences in diagnostics and management in MP care. Our study aims to report on current diagnostic and therapeutic strategies as well as time trends in clinical MP management in Germany. Patients hospitalized in Germany between January 1, 2005, and December 31, 2018, with MP as their primary diagnosis were identified using the International Classification of Disease (ICD-10) code G57...
February 13, 2023: Neurosurgical Review
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