Review of nerve entrapments syndromes from groin to foot
Synonyms and related keywords: iliohypogastric nerve entrapment, ilioinguinal nerve entrapment, genitofemoral nerve entrapment, lateral femoral cutaneous nerve entrapment, femoral nerve entrapment, saphenous nerve entrapment, obturator nerve entrapment, peroneal nerve entrapment, posterior tibial nerve entrapment, tarsal tunnel syndrome, superficial peroneal nerve entrapment, deep...

Preemptive and multimodal pain control protocols have been introduced to enhance rehabilitation after total knee arthroplasty (TKA). We determined the complication rate associated with preoperative femoral nerve block (FNB) for TKA. Among 1018 TKA operations, we performed 709 FNBs using a single-injection technique into the femoral nerve sheath and confirming...

Enters thigh
- midway between ASIS and pubic symphysis
- in femoral triangle
- NAVY
- in femoral sheath with femoral vein
(transversalis fascia and psoas fascia)
- femoral nerve outside sheath, under the iliac fascia, lateral

Kornbluth & Malone 2006
Meralgia paresthetica is a common but underrecognized condition that is manifested by pain, numbness, and tingling in the anterior and lateral parts of the thigh. Bernhardt first described symptoms corresponding to meralgia paresthetica in 1878. In 1885, Hagar correctly suggested that lateral femoral cutaneous nerve compression was...

- Smith Petersen improved & revived the anterior iliofemoral approach;
- entire ilium and hip joint can be reached thru iliac part of incision;
- with this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, with ...

Meralgia paresthetica (MP) is pain or an irritating sensation felt over the anterior or anterolateral aspect of the thigh due to injury, compression, or disease of the lateral femoral cutaneous nerve (LFCN). Early investigators of MP include Bernhardt, who first described the condition in 1878; Hagar, who attributed the pain...

Incidence of sciatic &/or femoral palsies after THR ranges from 1-3%;
- incidence of nerve palsy is 1-2% of primary total hip replacement, 3-4% after revision, and 5-6% in THR for congenitally dislocated hips;
Wheeless' Textbook of Orthopaedics

Between July 1986 and August 1996, we performed 32 total knee arthroplasties (TKA) on 32 patients with partially or completely ankylosed knees secondary to infection. Their mean age at surgery was 40 years (20 to 63) and the mean follow-up was ten years (5 to 13). The mean post-operative range...

The ilioinguinal approach was developed by Emile Letournel based on cadaveric dissections to provide anterior access for fractures of the acetabulum. It provides exposure of the inner aspect of the innominate bone from the sacroiliac joint to the pubic symphysis. The surgical exposure requires development of three wound intervals. Mobilization of the...

Meralgia paraesthetica is caused by entrapment of the lateral cutaneous femoral nerve as it passes under the inguinal ligament. Direct pressure from belts and other tight-fitting garments may contribute to this entrapment. Several clinical conditions have been associated with the development of meralgia paraesthetica, including obesity, pregnancy, diabetes mellitus, ascites...

A75 year old woman presented to the orthopaedic clinic with low back pain and left leg pain for last three months. The low back pain was of gradual onset and was progressive. The pain was aggravated on walking and standing. On clinical examination the patient was fit and well. She had bilateral free straight leg raise. Femoral nerve stretch...

Indications:
Exposure of the inner surface of the pelvis from the sacroiliac joint to the pubic symphysis.
Exposure of the anterior and medial surfaces of the acetabulum and is, therefore expose anterior column fractures.
Disadvantage:
Difficult approach as the dissection involves isolating and mobilizing the femoral vessels and nerve, as well as the spermatic...