femoral neuropathy

Summary

Summary: Disease involving the femoral nerve. The femoral nerve may be injured by ISCHEMIA (e.g., in association with DIABETIC NEUROPATHIES), nerve compression, trauma, COLLAGEN DISEASES, and other disease processes. Clinical features include MUSCLE WEAKNESS or PARALYSIS of hip flexion and knee extension, ATROPHY of the QUADRICEPS MUSCLE, reduced or absent patellar reflex, and impaired sensation over the anterior and medial thigh.

Top Publications

  1. Peters G, Larner A. Meralgia paresthetica following gynecologic and obstetric surgery. Int J Gynaecol Obstet. 2006;95:42-3 pubmed
  2. Pechter E, Smith P. Transient femoral neuropathy after abdominoplasty. Ann Plast Surg. 2008;61:492-3 pubmed publisher
    ..Although it has been described after a variety of operative procedures, this article describes what may be the first reported occurrence of femoral neuropathy after abdominoplasty.
  3. Grossman M, Ducey S, Nadler S, Levy A. Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9:336-44 pubmed
    ..Although nonoperative management usually results in satisfactory results, efforts should be made to avoid injury at the time of surgery...
  4. Dias Filho L, Valenca M, Guimarães Filho F, Medeiros R, Silva R, Morais M, et al. Lateral femoral cutaneous neuralgia: an anatomical insight. Clin Anat. 2003;16:309-16 pubmed
    ..In 36% of cases there was no posterior branch of the nerve, which is correlated to lateral femoral cutaneous neuralgia symptoms often being limited to the anterior branch region. An accessory nerve was found in 30% of cases...
  5. Seijo Martinez M, Castro Del Rio M, Fontoira E, Fontoira M. Acute femoral neuropathy secondary to an iliacus muscle hematoma. J Neurol Sci. 2003;209:119-22 pubmed
    ..iliacus muscle hematoma, appearing immediately after a minor physical maneuver, presenting with pain and femoral neuropathy initially evidenced by massive quadriceps muscle fasciculations...
  6. Harvie P, Giele H, Fang C, Ansorge O, Ostlere S, Gibbons M, et al. The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. Hip Int. 2008;18:313-20 pubmed
    ..Pseudotumours may also present with a major nerve palsy. Two cases of femoral neuropathy due to pseudotumour masses caused by metal-on-metal resurfacing arthroplasty are presented...
  7. Katirji B. Electrodiagnostic approach to the patient with suspected mononeuropathy of the lower extremity. Neurol Clin. 2002;20:479-501, vii pubmed
    ..In this section, the author emphasizes the EDX studies of most lower extremity mononeuropathies and discusses, briefly, their anatomical and clinical aspects...
  8. Tani Y, Miyawaki H. Femoral neuropathy caused by reinforcement ring malposition and extruded bone-cement after revision total hip arthroplasty. J Arthroplasty. 2002;17:516-8 pubmed
    b>Femoral neuropathy occurred after revision total hip arthroplasty as a result of pressure from the reinforcement ring and extruded bone-cement (polymethyl methacrylate)...
  9. Tokita A, Ikari K, Tsukahara S, Toki H, Miyawaki M, Mochizuki T, et al. Iliopsoas bursitis-associated femoral neuropathy exacerbated after internal fixation of an intertrochanteric hip fracture in rheumatoid arthritis: a case report. Mod Rheumatol. 2008;18:394-8 pubmed publisher
    ..We would recommend that bursa excision be considered even in cases of iliopsoas bursitis associated with mild femoral neuropathy when destructive changes in the hip joint are also present.

More Information

Publications99

  1. Fokter S, Repse Fokter A, Takac I. Case report: femoral neuropathy secondary to total hip arthroplasty wear debris. Clin Orthop Relat Res. 2009;467:3032-5 pubmed publisher
    ..During surgical removal of the cyst, a defect of the inner acetabular wall was noted. After subsequent revision arthroplasty with allograft bone, the patient's clinical symptoms improved and his EMG returned to normal...
  2. Al Ajmi A, Rousseff R, Khuraibet A. Iatrogenic femoral neuropathy: two cases and literature update. J Clin Neuromuscul Dis. 2010;12:66-75 pubmed publisher
    Iatrogenic femoral neuropathy is an uncommon surgical or obstetric complication that may be underreported...
  3. Corbu C, Campodonico F, Traverso P, Carmignani G. Femoral nerve palsy caused by a self-retaining polyretractor during major pelvic surgery. Urol Int. 2002;68:66-8 pubmed
    Postoperative femoral neuropathy is not a well-recognized complication in urology. We report 2 cases of femoral nerve palsy due to compression ascribed to the use of the self-retaining retractor...
  4. Nakao A, Sakagami K, Mitsuoka S, Uda M, Tanaka N. Retroperitoneal hematoma associated with femoral neuropathy: a complication under antiplatelets therapy. Acta Med Okayama. 2001;55:363-6 pubmed
    ..compressing the femoral nerve and performed an operation to remove the hematoma in order to decompress the femoral neuropathy. Postoperatively, the patient rapidly recovered from the femoral neuropathy...
  5. Parmer S, Carpenter J, Fairman R, Velazquez O, Mitchell M. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg. 2006;20:536-40 pubmed
    b>Femoral neuropathy due to retroperitoneal hematoma has been infrequently described in the literature...
  6. Van Veer H, Coosemans W, Pirenne J, Monbaliu D. Acute femoral neuropathy: a rare complication after renal transplantation. Transplant Proc. 2010;42:4384-8 pubmed publisher
    b>Femoral neuropathy is a rare but disabling complication following renal transplantation and pelvic surgery in general...
  7. Pastor Guzmán J, Pastor Navarro H, Donate Moreno M, Pardal Fernández J, Carrión López P, Salinas Sanchez A, et al. [Femoral neuropathy in urological surgery]. Actas Urol Esp. 2007;31:885-94 pubmed
    We present four cases of femoral neuropathy due to urological surgery, first case happened after right lumbotomy twenty years ago and the other three cases in the last four years after iliac incision...
  8. Bründel K. [Extensive multinodular schwannoma of femoral nerve]. Med Klin (Munich). 2002;97:687-91 pubmed
    ..In spite of the length it is possible to treat schwannomas surgically without serious, permanent damage to the involved nerve. ..
  9. Khalil N, Nicotra A, Rakowicz W. Treatment for meralgia paraesthetica. Cochrane Database Syst Rev. 2012;12:CD004159 pubmed publisher
    ..However, a similar outcome has been reported without any intervention in a single natural history study. ..
  10. Haim A, Pritsch T, Ben Galim P, Dekel S. Meralgia paresthetica: A retrospective analysis of 79 patients evaluated and treated according to a standard algorithm. Acta Orthop. 2006;77:482-6 pubmed
    ..The algorithm used proved to be useful in the management of spontaneous meralgia paresthetica. ..
  11. Ferrandiz M, Catala E, Nava T. [Therapeutic approach to paresthetic meralgia]. Rev Esp Anestesiol Reanim. 2003;50:431-2 pubmed
  12. Balkan C, Kavakli K, Karapinar D. Iliopsoas haemorrhage in patients with haemophilia: results from one centre. Haemophilia. 2005;11:463-7 pubmed
    ..In conclusion, pain around the hip joint, femoral neuropathy and hip flexion contracture in a patient with haemophilia should alert the physician to the possibility of ..
  13. Dahl V. [Is the epidural analgesia to blame when it comes to neurological complications following labor?]. Tidsskr Nor Laegeforen. 2001;121:1587-90 pubmed
    ..Complications after epidural analgesia, such as haematoma, abscesses and direct nerve damage are extremely rare, but need immediate treatment. ..
  14. Yamamoto T, Kurosaka M, Marui T, Mizuno K. Hemangiomatosis presenting as meralgia paresthetica. J Pediatr Surg. 2001;36:518-20 pubmed
    ..To our knowledge, hemangiomatosis has never been suggested as a cause of meralgia paresthetica. ..
  15. Narouze S, Zakari A, Vydyanathan A. Ultrasound-guided placement of a permanent percutaneous femoral nerve stimulator leads for the treatment of intractable femoral neuropathy. Pain Physician. 2009;12:E305-8 pubmed
    ..male who sustained femoral nerve injury during cardiac catheterization continued to complain of intractable femoral neuropathy 18 months afterwords...
  16. Walter J, Reichart R, Vonderlind C, Kuhn S, Kalff R. [Neuralgia of the genitofemoral nerve after hernioplasty. Therapy by peripheral nerve stimulation]. Chirurg. 2009;80:741-4 pubmed publisher
    ..During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now. In conclusion, PNS is a promising procedure in the treatment of neuralgia after hernioplasty. ..
  17. Shivashanmugam T, Kundra P, Sudhakar S. Iliac compartment block following ilioinguinal iliohypogastric nerve block. Paediatr Anaesth. 2006;16:1084-6 pubmed
    ..25%) of bupivacaine administered in the smallest indicated volume of 0.25 ml.kg-1 using a double-shot technique. ..
  18. Gruber H, Peer S, Kovacs P, Marth R, Bodner G. The ultrasonographic appearance of the femoral nerve and cases of iatrogenic impairment. J Ultrasound Med. 2003;22:163-72 pubmed
    ..In this region, ultrasonography is helpful in detection of impairments and, therefore, in decisions about planning and even acceleration of further treatment. ..
  19. Paolaggi J. [Natural history of non specific neuralgias of the limbs. Exponential kinetics of the root pain recovery in sciatica and femoral neuralgia; uncertain kinetics for brachial neuralgia]. Bull Acad Natl Med. 2003;187:1631-45; discussion 1646-7 pubmed
    ..These pilot studies, do not allow definitive conclusions. Nevertheless, given the scarcity of available data, they may be used as a factual basis for perfectly designed prospective inception cohort studies...
  20. Farrell C, Springer B, Haidukewych G, Morrey B. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am. 2005;87:2619-25 pubmed
    ..The majority of the motor nerve deficits in our series, whether complete or incomplete, did not fully resolve. ..
  21. Naroji S, Belin L, Maltenfort M, Vaccaro A, Schwartz D, Harrop J, et al. Vulnerability of the femoral nerve during complex anterior and posterior spinal surgery. J Spinal Cord Med. 2009;32:432-5 pubmed
    ..Use of motor evoked potential monitoring of the femoral nerve during surgery is vital for the prevention of future neuropathies, an avoidable complication of spinal surgery. ..
  22. Martinez Salio A, Moreno Ramos T, Diaz Sanchez M, Porta Etessam J, Gonzalez de la Aleja J, Gutiérrez Gutiérrez G, et al. [Meralgia paraesthetica: a report on a series of 140 cases]. Rev Neurol. 2009;49:405-8 pubmed
    ..It is important to identify and correct mechanical factors and only in exceptional cases is it secondary to a structural lesion. ..
  23. Burke N, Walsh M, O Brien T, Synnott K. Diagnostic gait pattern of a patient with longstanding left femoral nerve palsy: a case report. J Orthop Surg (Hong Kong). 2010;18:382-4 pubmed
    ..This compensatory mechanism of locking the knee in extension is reliant on the posterior capsular structures. The patient was managed conservatively and continued to walk without aids. ..
  24. Abel N, Januszewski J, Vivas A, Uribe J. Femoral nerve and lumbar plexus injury after minimally invasive lateral retroperitoneal transpsoas approach: electrodiagnostic prognostic indicators and a roadmap to recovery. Neurosurg Rev. 2018;41:457-464 pubmed publisher
    ..Cases with post-operative obturator or femoral neuropathy were identified...
  25. Montoliu P, Pumarola M, Zamora A, Espada I, Lloret A, Añor S. Femoral mononeuropathy caused by a malignant sarcoma: two case reports. Vet J. 2008;178:298-301 pubmed
    ..These cases provide the first descriptions of malignant neoplasms other than PNSTs that infiltrate the femoral nerve or its nerve roots and cause unilateral femoral mononeuropathy and lameness of obscure origin. ..
  26. Hatano Y, Morikawa K, Sugioka N, Sakaguchi Y, Hoka S. [A case of femoral neuropathy after radical ovariectomy]. Masui. 2012;61:414-7 pubmed
    We experienced a 55-year-old female patient who was diagnosed as femoral neuropathy after radical ovariectomy. An epidural catheter was introduced at T11-12 interspace without any problems and general anesthesia was induced and maintained...
  27. Robinson G, Madison R. Developmentally regulated changes in femoral nerve regeneration in the mouse and rat. Exp Neurol. 2006;197:341-6 pubmed
    ..These results suggest that in the absence of end-organ contact there is no general preference for motor neurons to project to the muscle pathway. ..
  28. Yamamoto T, Nagira K, Kurosaka M. Meralgia paresthetica occurring 40 years after iliac bone graft harvesting: case report. Neurosurgery. 2001;49:1455-7 pubmed
    ..A significant relationship between pubic symphysis degeneration with increasing age and meralgia paresthetica has been reported. One should be aware of meralgia paresthetica as a late complication of iliac bone graft harvesting. ..
  29. Lapierre F, Buffenoir K, Giot J, Delmotte A, Rigoard P. [The main tunnel syndromes]. Neurochirurgie. 2009;55:393-412 pubmed publisher
    ..Finally, good knowledge of this pathology must lead to prevention of the iatrogenic forms (sequelae of inguinal hernia treatment, ileac crest graft harvesting) by educating all surgeons interested in peripheral nerve surgery. ..
  30. Shin C, Davis B. Femoral neuropathy due to patellar dislocation in a theatrical and jazz dancer: a case report. Arch Phys Med Rehabil. 2005;86:1258-60 pubmed
    ..Electrodiagnostic studies and magnetic resonance imaging showed evidence of a subacute femoral neuropathy correlating chronologically with her most recent patellar dislocation...
  31. Kornbluth I, Freedman M, Sher L, Frederick R. Femoral, saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil. 2003;84:909-11 pubmed
    ..Further evaluation should be considered if patients who are having persistent weakness or sensory findings after surgery have used a tourniquet. ..
  32. Dellon A, Mont M, Ducic I. Involvement of the lateral femoral cutaneous nerve as source of persistent pain after total hip arthroplasty. J Arthroplasty. 2008;23:480-5 pubmed publisher
    ..The orthopedic surgeon should include the LFC nerve as an origin of persistent pain after total hip arthroplasty. ..
  33. Kavanagh D, Connolly S, Fleming F, Hill A, McDermott E, O Higgens N. Meralgia paraesthetica following open appendicectomy. Ir Med J. 2005;98:183-5 pubmed
    ..Meralgia paraesthetica following open appendicectomy has not been reported in the medical literature. This is an under-recognised complication of open appendicectomy. Management can be challenging for patient and clinician. ..
  34. Siu T, Chandran K. Neurolysis for meralgia paresthetica: an operative series of 45 cases. Surg Neurol. 2005;63:19-23; discussion 23 pubmed
    ..High success rate was recorded in our series of 45 cases. Prolonged duration of symptoms did not preclude favorable outcome but obesity had a negative association with good outcome. ..
  35. d Silva K, Dwivedi A, Barnwell J. Schwannoma of the psoas major muscle presenting with abdominal and back pain. Dig Dis Sci. 2003;48:1619-21 pubmed
  36. Schuh A, Durr V, Weier H, Zeiler G, Winterholler M. [Delayed paresis of the femoral nerve after total hip arthroplasty associated with hereditary neuropathy with liability to pressure palsies (HNPP)]. Orthopade. 2004;33:836-40 pubmed
    ..It should be taken into consideration in cases of atypical findings of compression syndromes of peripheral nerves or delayed neuropathy, e. g., after total hip arthroplasty. ..
  37. Haider S, Lemberger R, Fisher C, McCulloch T. Epithelioid perineurioma: an unusual variant. J Clin Pathol. 2008;61:1130-2 pubmed publisher
  38. Padua L, Caliandro P, Bertolini C, Calistri A, Aprile I, Pazzaglia C, et al. Post traumatic femoral mononeuropathy: prognosis of 7 cases. J Neurol. 2006;253:655-6 pubmed
  39. Mathis F, Desfoux N, Sprumont P, Hecker E, Rossier P, Spicher C. [Peripheral neuropathic pain relieved by somatosensory rehabilitation]. Rev Med Suisse. 2007;3:2745-8 pubmed
    ..Lastly, the result of the somatosensory rehabilitation of femoral neuralgia (NNT = 1.8) is documented on the basis of a prospective study done on 59 patients. ..
  40. Lachmann M. [Lower limb paresis after total hip arthroplasty. A rare differential diagnosis]. Orthopade. 2013;42:874-8 pubmed publisher
    ..The prognosis of neurological damage is sobering as only 20?% of victims are expected to achieve complete restitution. ..
  41. Gogus A, Ozturk C, Sirvanci M, Aydogan M, Hamzaoglu A. Femoral nerve palsy due to iliacus hematoma occurred after primary total hip arthroplasty. Arch Orthop Trauma Surg. 2008;128:657-60 pubmed
    ..It should be borne in mind that femoral nerve palsy may occur after total hip arthroplasty. It may be due to a treatable cause, such as iliacus hematoma. So, pelvic MRI is recommended in such a condition, rather than just observation. ..
  42. Ivins G. Meralgia paresthetica, the elusive diagnosis: clinical experience with 14 adult patients. Ann Surg. 2000;232:281-6 pubmed
    ..Based on the published literature and the author's experience, a rationale is presented for determining the appropriate surgical management of these patients. ..
  43. Andreani L, Nucci A, Giuntoli M, Lisanti M. Compressive Femoral Neuropathy Associated with Iliopsoas Hematoma Complicating Hip Hemiarthroplasty: A Case Report. J Orthop Case Rep. 2017;7:3-6 pubmed publisher
    ..To the best of our knowledge, this is the first case after hemiarthroplasty. In this case, iliacus hematoma resulted from spontaneous bleeding favored by anticoagulant therapy...
  44. Rommelmann P. [Compression of the femoral nerve by a secondarily dislocated fragment of the lesser trochanter following pertrochanteric fracture of the femur]. Unfallchirurg. 2007;110:645-7 pubmed
    ..After revision from a ventral approach with removal of the fragment the patient experienced total relief of the pain. No similar cases have so far been reported in the literature...
  45. Davis G, McCrory P. Somatosensory evoked potentials predict neurolysis outcome in meralgia paraesthetica. ANZ J Surg. 2004;74:805-6; author reply 806-7 pubmed
  46. Walczak J, Pichette V, Leblond F, Desbiens K, Beaulieu P. Characterization of chronic constriction of the saphenous nerve, a model of neuropathic pain in mice showing rapid molecular and electrophysiological changes. J Neurosci Res. 2006;83:1310-22 pubmed
    ..This model takes advantage of the possible use in the future of genetically modified mice and of an exclusively sensory nerve for a comprehensive study of peripheral mechanisms of neuropathic pain...
  47. Polidori L, Magarelli M, Tramutoli R. Meralgia paresthetica as a complication of laparoscopic appendectomy. Surg Endosc. 2003;17:832 pubmed
    ..Although meralgia paresthetica is not considered a frequent complication of laparoscopic appendectomy, it should be taken into account to avoid nerve lesion...
  48. Iaccarino D, Politi L, Curti T, Modena M, Sangiorgi G. Stent-triggered 'electric shock' during leg bending 2 years after emergency iliac artery percutaneous revascularization. J Cardiovasc Med (Hagerstown). 2011;12:663-5 pubmed publisher
    ..An angiographic control showed a critical in-stent restenosis at the level of a misplaced stent. Thus the patient was submitted to surgical exploration and stent removal...
  49. Salib Y, Kukreja P, Parikh M. Prolonged femoral nerve palsy after ilio-inguinal nerve block. Reg Anesth Pain Med. 2007;32:271 pubmed
  50. Al Nasser B, Palacios J. Femoral nerve injury complicating continuous psoas compartment block. Reg Anesth Pain Med. 2004;29:361-3 pubmed
    ..To date, this is the first report of severe femoral nerve injury after PCB...
  51. Natsis K, Paraskevas G, Tzika M, Papathanasiou E. Variable origin and ramification pattern of the lateral femoral cutaneous nerve: a case report and neurosurgical considerations. Turk Neurosurg. 2013;23:840-3 pubmed publisher
    ..The supernumerary LFCN branches could be identified by ultrasound imaging and be used as optimum vascularized grafts for sensory nerve repair...
  52. Murovic J, Kim D, Tiel R, Kline D. Surgical management of 10 genitofemoral neuralgias at the Louisiana State University Health Sciences Center. Neurosurgery. 2005;56:298-303; discussion 298-303 pubmed
    ..Operations associated with these neuralgias and postoperative pain outcomes were analyzed...
  53. Lipp A, Woodcock J, Hensman B, Wilkinson K. Leg weakness is a complication of ilio-inguinal nerve block in children. Br J Anaesth. 2004;92:273-4 pubmed
    ..No prospective studies describing the incidence of this complication have been published...
  54. Rochman A, Vitarbo E, Levi A. Femoral nerve palsy secondary to traumatic pseudoaneurysm and iliacus hematoma. J Neurosurg. 2005;102:382-5 pubmed
    ..In this case, embolization of the iliolumbar artery pseudoaneurysm followed by surgical evacuation of the hematoma resulted in a nearly full recovery of the femoral nerve as of the last follow-up examination...
  55. Gomceli Y, Kapukiran A, Kutlu G, Kurt S, Baysal A. A case report of an uncommon neuropathy: posterior femoral cutaneous neuropathy. Acta Neurol Belg. 2005;105:43-5 pubmed
    ..While normal response can be obtained easily on the left side; no potential could be obtained from the right...
  56. Tajima Y, Sudoh K, Matsumoto A, Kikuchi S, Sasaki H. Femoral neuropathy induced by a low-grade myofibroblastic sarcoma of the groin. J Neurol. 2005;252:1416-7 pubmed
  57. Kitson J, Ashworth M. Meralgia paraesthetica. A complication of a patient-positioning device in total hip replacement. J Bone Joint Surg Br. 2002;84:589-90 pubmed
    ..We describe three patients who developed meralgia paraesthetica after the use of a well-padded and carefully-placed patient-positioning device in total hip replacement...
  58. Vege K, Watts J. Risk of nerve damage from vascular access catheters. Anaesthesia. 2006;61:615-6 pubmed
  59. Ong H. Compressive femoral neuropathy: a rare complication of anticoagulation. Singapore Med J. 2007;48:e94-5 pubmed
    The most common coagulation disorder associated with warfarin use is bleeding, but compressive femoral neuropathy is an unusual presentation. A 63-year-old man with compressive femoral neuropathy from an iliacus haematoma is reported...
  60. Tender G, Serban D. Genitofemoral nerve protection during the lateral retroperitoneal transpsoas approach. Neurosurgery. 2013;73:ons192-6; discussion ons196-7 pubmed publisher
    ..The minimally invasive lateral retroperitoneal approach for lumbar fusions is a novel technique with good results, but also with significant sensory and motor complications...
  61. Robinson G, Madison R. Manipulations of the mouse femoral nerve influence the accuracy of pathway reinnervation by motor neurons. Exp Neurol. 2005;192:39-45 pubmed
  62. Blanca Jover E, Olivares Sánchez L, Gomez Vida J, Valenzuela Soria A, Broncano Lupiáñez S, Rodríguez Leal A. [Postoperative meralgia paresthetica]. An Pediatr (Barc). 2006;65:504 pubmed
  63. Robinson K, Carroll F, Bull M, McClelland M, Stockley I. Transient femoral nerve palsy associated with a synovial cyst of the hip in a patient with spinal cord injury. J Bone Joint Surg Br. 2007;89:107-8 pubmed
    ..An MRI scan confirmed a synovial cyst originating from the left hip joint, lying adjacent to the femoral nerve. The cyst expanded on standing, causing a transient femoral nerve palsy. The symptoms resolved after excision of the cyst...
  64. Peng H, Tsao C, Chu Y, Tsou M. Epidural analgesia masked the diagnosis of femoral neuropathy following renal transplantation. Acta Anaesthesiol Taiwan. 2006;44:177-81 pubmed
    Kidney transplantation related femoral neuropathy can mimic epidural catheter related radiculopathy in clinical presentation...
  65. Fernández Mayoralas D, Fernández Jaén A, Jareño N, Pérez B, Fernández P, Sola A. Meralgia paresthetica in the pediatric population: a propos of 2 cases. J Child Neurol. 2010;25:110-3 pubmed publisher
    ..First-line treatment should be conservative, but topiramate may be useful for the treatment of meralgia paresthetica, although broader studies are needed to evaluate its true effectiveness in this pathological condition...
  66. Fox A, Bedi A, Wanivenhaus F, Sculco T, Fox J. Femoral neuropathy following total hip arthroplasty: review and management guidelines. Acta Orthop Belg. 2012;78:145-51 pubmed
    b>Femoral neuropathy following primary or revision total hip arthroplasty (THA) is a rare but acknowledged complication...
  67. Weiss J, Tolo V. Femoral nerve palsy following iliacus hematoma. Orthopedics. 2008;31:178 pubmed
    ..Surgery should be considered if there is progression of the femoral nerve symptoms, or if MRI depicts a discreet collection of blood impinging on the femoral nerve...
  68. Irintchev A, Simova O, Eberhardt K, Morellini F, Schachner M. Impacts of lesion severity and tyrosine kinase receptor B deficiency on functional outcome of femoral nerve injury assessed by a novel single-frame motion analysis in mice. Eur J Neurosci. 2005;22:802-8 pubmed
    ..The principles of the approach are highly relevant for the development of novel functional assays in other peripheral and, in particular, central nervous system injury paradigms...
  69. Caramelli R, Del Corso F, Schiavone V, Fossi S, Cassardo A, Pinto F, et al. Proposal of a new criterion for electrodiagnosis of meralgia paresthetica by evoked potentials. J Clin Neurophysiol. 2006;23:482-5 pubmed
    ..As an interesting consideration, D(SEP) evaluation appears to mark out a possible subclinical involvement of LFCN in the asymptomatic side of patients with meralgia paresthetica...
  70. Argibay Filgueira A, Maure Noia B, Lamas Domínguez P, Martinez Vazquez C. [Retroperitoneal hematoma with femoral neuropathy, conservative or surgical approach?]. An Med Interna. 2006;23:199 pubmed
  71. Patel A, Calfee R, Thakur N, Eberson C. Non-operative management of femoral neuropathy secondary to a traumatic iliacus haematoma in an adolescent. J Bone Joint Surg Br. 2008;90:1380-1 pubmed publisher
    ..We present the case of a healthy 15-year-old boy with a femoral neuropathy due to an iliacus haematoma which resolved following conservative treatment.
  72. Forcano M, García Arilla E. [Femoral neuropathy as presentation of psoas iliacus hematoma]. An Med Interna. 2003;20:594-5 pubmed
  73. Podger H, Kent M. Femoral nerve palsy associated with bilateral spontaneous iliopsoas haematomas: a complication of venous thromboembolism therapy. Age Ageing. 2016;45:175-6 pubmed publisher
    ..We advocate non-operative treatment in the instance of a delayed presentation in a frail elderly patient with a subsequent good functional outcome. ..
  74. Farrow A, Morrison R, Pickersgill T, Currie R, Hammersley N. Transient femoral neuropathy after harvest of bone from the iliac crest. Br J Oral Maxillofac Surg. 2004;42:572-4 pubmed
    ..For postoperative analgesia, she was given a bupivacaine infusion into the iliac wound. She developed a temporary left femoral mononeuropathy from which she recovered completely...
  75. Ohry A. [A forgotten eponym: the Mackiewicz sign]. Harefuah. 2011;150:548-9, 550 pubmed
  76. Schuh A, Werber S, Zeiler G, Craiovan B. [Femoral nerve palsy due to excessive granuloma in aseptic cup loosening in cementless total hip arthroplasty]. Zentralbl Chir. 2004;129:421-3 pubmed
    ..Femoral nerve palsy after total hip arthroplasty can result from several causes. Delayed neuropathies of the femoral nerve because of excessive granuloma in loosened implants are a rare condition...
  77. Raiga J, Barakat P, Diemunsch P, Maillot C, Treisser A, Brettes J. [Femoral neuropathy after transversal suspubic laparotomies. Etiopathological explanation on the basis of an anatomical study]. J Gynecol Obstet Biol Reprod (Paris). 2002;31:183-6 pubmed
    Based on a case of transient troncular femoral neuropathy after the surgical treatment of a genital prolapse in a 46-year-old woman, a study was designed to better understand the mechanism of this postoperative complication.
  78. Pulathan Z, Imamoglu M, Cay A, Güven Y. Intermittent claudication due to right common femoral artery compression by a solitary neurofibroma. Eur J Pediatr. 2005;164:463-5 pubmed
  79. Druce M, Morris V, Stamp T. A case report of myositis ossificans progressiva complicated by femoral nerve compression treated with radiotherapy. Rheumatology (Oxford). 2002;41:947-8 pubmed
  80. Tonetti J, Vouaillat H, Kwon B, Selek L, Guigard S, Merloz P, et al. Femoral nerve palsy following mini-open extraperitoneal lumbar approach: report of three cases and cadaveric mechanical study. J Spinal Disord Tech. 2006;19:135-41 pubmed
    ..The avoidance of self-retaining retractors for prolonged periods of time and the positioning of the hip in flexion may help to avoid such nerve injuries...
  81. Moucharafieh R, Wehbe J, Maalouf G. Meralgia paresthetica: a result of tight new trendy low cut trousers ('taille basse'). Int J Surg. 2008;6:164-8 pubmed
    ..Electrophysiologic studies were sensitive in 83.3% of the cases. All cases were treated successfully using conservative methods, namely avoiding tight trousers, local steroid infiltration and weight reduction...
  82. Fanning J, Carol T, Miller D, Flora R. Postoperative femoral motor neuropathy: diagnosis and treatment without neurologic consultation or testing. J Reprod Med. 2007;52:285-8 pubmed
    ..To review the diagnosis and treatment of postoperative femoral motor neuropathy without neurologic consultation or testing...
  83. Van Remoortere M, Meert T, Vissers K, Coppenolle H, Adriaensen H. Refinement of symptoms of neuropathic pain measurements after various transections of the nerve endings of the sciatic and femoral nerve in rats: an exploratory behavioral analysis. Anesth Analg. 2007;104:1236-45, tables of contents pubmed
    ..In this study, we performed nerve lesions on three peripheral nerves supplying the plantar side of the rat hindpaw by differentially transecting the saphenous, the tibial, and the sural nerves alone or in paired combinations...
  84. Moore A, Stringer M. Iatrogenic femoral nerve injury: a systematic review. Surg Radiol Anat. 2011;33:649-58 pubmed publisher
    ..It causes distress and disability and may lead to permanent motor and/or sensory sequelae. The aim of this systematic review was to explore the contemporary spectrum of this injury reported in the literature...
  85. Szalay E. Femoral nerve palsy and hip instability in infants with breech birth presentation: a review of the literature and report of 2 cases. J Pediatr Orthop. 2010;30:739-41 pubmed publisher
    ..Femoral nerve palsy has been described as a result of hip hyperflexion during orthotic treatment for developmental dysplasia of the hip, but femoral nerve palsy in newborns who have not had brace treatment has not been reported...
  86. Kurt S, Kaplan Y, Karaer H, Erkorkmaz U. Femoral nerve involvement in diabetics. Eur J Neurol. 2009;16:375-9 pubmed publisher
    ..In this study, the conduction of the femoral nerve has been evaluated in diabetic patients without clinical signs of femoral nerve involvement and in a group of healthy subjects...
  87. Clayton R, Beggs I, Salter D, Grant M, Patton J, Porter D. Inflammatory pseudotumor associated with femoral nerve palsy following metal-on-metal resurfacing of the hip. A case report. J Bone Joint Surg Am. 2008;90:1988-93 pubmed publisher
  88. Clarke Pearson D, Geller E. Complications of hysterectomy. Obstet Gynecol. 2013;121:654-73 pubmed publisher
    ..15%), and total vaginal hysterectomy (0.08%). With an emphasis on optimizing surgical technique, recognition of surgical complications, and timely management, we aim to minimize risk for women undergoing hysterectomy...
  89. Roth J. Bilateral sciatic and femoral neuropathies, rhabdomyolysis, and acute renal failure caused by positioning during radical retropubic prostatectomy. Anesth Analg. 2007;105:1747-8, table of contents pubmed
    ..In the hyperlordotic position, the patient's hips are above the feet and head. We present a case of rhabdomyolysis, acute renal failure, and bilateral femoral and sciatic neuropathies caused by this position...
  90. Olsen D, Amundson A, Kopp S. Inadvertent Prolonged Femoral Nerve Palsy After Field Block with Liposomal Bupivacaine for Inguinal Herniorrhaphy. A A Case Rep. 2016;6:362-3 pubmed publisher
    ..This case both highlights the value of ultrasound imaging in evaluating the complications and demonstrates how the prolonged nature of liposomal bupivacaine can prolong adverse sequela. ..