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Advances in the Treatment of Meralgia Paresthetica in Surgery of the Hip Joint in Adults
Published in K. Mohan Iyer, Hip Joint in Adults: Advances and Developments, 2018
The lateral femoral cutaneous nerve is the nerve that provides sensation to the outer thigh surface. The compression of this nerve causes meralgia paresthetica. As the lateral femoral cutaneous nerve is a sensory nerve, the ability to use leg muscles does not get affected. In many individuals, this nerve travels through the groin to the upper thigh without any hindrance; but in meralgia paresthetica, the lateral femoral cutaneous nerve becomes pinched/compressed/trapped, usually under the inguinal ligament. Conditions that increase pressure on the groin are the common causes of this compression, such as tight clothing, excess weight/obesity, pregnancy and the presence of scar tissue near the inguinal ligament. It could be due to injury or a previous surgery or standing, walking or cycling for prolonged periods of time; and injury to the nerve can occur in a motor vehicle accident or in diabetes, causing meralgia paresthetica.
Muscle injury characteristics and incidence rates in men’s amateur soccer: A one season prospective study
Published in Research in Sports Medicine, 2022
Afxentios Kekelekis, Filipe Manuel Clemente, Eleftherios Kellis
The most frequently injured muscle groups were the hamstrings followed by adductor-related groin injuries (Table 2) which accompanies previous reports on amateur players (van Beijsterveldt et al., 2012; Engebretsen et al., 2010). Focusing only on the hamstring muscle group, we observed a higher frequency of injuries compared to the rates reported by a recent systematic review (Diemer et al., 2021) that analysed the incidence of acute hamstring injury in amateur (1.78 vs 0.6/1000 h, van Beijsterveldt et al., 2012 and 1.78 vs 1.12–1.39/1000 h, van de Hoef et al., 2019) and professional (1.78 vs 0.3–1.9/1000 h) soccer, respectively. Furthermore, the overall incidents reported for adductor-related groin injury were 50% higher compared to previous studies in professional soccer (1.5 vs 1 injury/1000 h, Mosler et al., 2017) and almost 100% higher compared to amateur soccer (1.5 vs 0.6 injuries/1000 h, Engebretsen et al., 2010). To conclude, in this sample of amateur players, hamstring and adductor-related groin injuries were very frequent muscle injury types.
Mesh implants for hernia repair: an update
Published in Expert Review of Medical Devices, 2018
Uwe Klinge, Bernd Klosterhalfen
Use of meshes for hernia repair is recommended as standard by several guidelines, mainly for the repair of groin or abdominal wall hernias. In the international guidelines of the HerniaSurge group for the repair of groin hernia it is stated: ‘Mesh repair is recommended as first choice, either by an open procedure or a laparo-endoscopic repair technique.’ [3] This statement is based on the assumption that the benefits outweigh the risk but this recommendation is mainly based on the many clinical trials, which usually exclude patients at risk to provide widely ‘comparable’ patients. Thus, there is a mutual agreement that these recommendations should address mainly the ‘standard’ patient with a groin hernia or an incisional hernia, though there is no clear definition about this ‘standard’ patient, the age, co-morbidity, history, family burden, etc., if there is any ‘standard’ patient, anyhow.
A prospective study of risk factors for hamstring injury in Australian football league players
Published in Journal of Sports Sciences, 2021
Nigel A. Smith, Melinda M. Franettovich Smith, Matthew N. Bourne, Rod S. Barrett, Julie A. Hides
Nordic strength of professional AFL players appears to have increased over recent AFL seasons but was not found to be independently associated with hamstring injury. Consistent with prior literature, increasing age and prior hamstring, groin and calf injury remain strongly associated with future hamstring injury at the current time. Within the AFL, players with an elevated hamstring injury risk may be better identified from lower limb injury history data rather than by achieving maximum Nordic strength. Future efforts to decrease hamstring injury in the AFL should focus on better understanding the causal mechanisms underlying these well-established risk factors and their interactions.