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Hip Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
The iliac crest is the place where the posterior layer of the thoracolumbar fascia20 connects with the top of the iliac crest.21 The direction of the fibrous tissues of the thoracolumbar fascia and iliac fascia is different.
Inguinal hernia, hydrocele, and other hernias of the abdominal wall
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Sophia Abdulhai, Todd A. Ponsky
Femoral hernias are most common in girls aged between 5 and 10 years. Some individuals advocate the use of laparoscopy in the child with presumed recurrent inguinal hernias because of the concern for a missed diagnosis. The anatomic boundaries of the femoral canal can be divided into anterior, posterior, lateral, and medial. The anterior border involves the iliopubic tract and/or the inguinal ligament. Posterior includes the pectineal ligament (Cooper's) and iliac fascia. The lateral boundary involves a connective tissue septum and the femoral vein. Medially, the canal is bordered by the aponeurotic insertion of the transversus abdominis muscle and tranversalis fascia.
Peripheral nerve blocks: practical aspects
Published in Harald Breivik, William I Campbell, Michael K Nicholas, Clinical Pain Management, 2008
The nerve emerges at the lateral border of the psoas muscle below, passing obliquely under the iliac fascia to enter the thigh either deep to or through the inguinal ligament 2 cm medial to the anterior superior iliac spine.
Comparison between pericapsular nerve group block and morphine infusion in reducing pain of proximal femur fracture in the emergency department: A randomized controlled study
Published in Egyptian Journal of Anaesthesia, 2023
Abdelrhman Alshawadfy, Ahmed M. Elewa, Mahmoud Ahmed Mewafy, Ahmed A. Ellilly
Our findings were in accordance with earlier studies denoting that PENG block provided better analgesia than other modalities during hip arthroplasty. Aliste at al. [18], Hua et al. [19], and Mostaffa et al. [20] have reported that PENG block was more effective than the iliac fascia block. Allard et al. [21] and Lin et al. [22] have found that PENG block was more effective than femoral nerve block in the management of hip fractures’ pain. Fascia iliaca compartment block and femoral nerve block have moderate analgesic effect as these blocks spare the obturator nerve. Meanwhile, PENG block relieves pain by blocking branches from the femoral nerve, obturator nerve, and accessory obturator nerve that mainly innervate the anterior hip joint [10]. Reasonably speaking, PENG block did not include sensory branches of the femoral nerve that are distal to the groin. As a result, it can provide an ideal analgesia without reducing the patient’s muscle strength, enabling the patient’s postoperative functional recovery [23]. In addition, the supine position, which is essential for patients with acute femur fractures is a specific benefit of the PENG block [11].
Treatment of idiopathic meralgia paresthetica – is there reliable evidence yet?
Published in Neurological Research, 2023
The LCN originates within the lumbosacral plexus containing L2 and L3 nerve fibers. It runs in an oblique fashion in the lateral pelvis at the lateral border of the iliopsoas muscle. It then turns ventrally beneath the iliac muscle fascia towards the anterior superior iliac spina (ASIS) and continues from medial cranial to lateral caudal beneath the inguinal ligament. Four different types of courses are described (Figure 1). The most common types are 1 and 2: In type 1, the nerve cuts through both strings of the inguinal ligament, which is where it is compressed. In Type 2I, the LCN runs below the inguinal ligament, medial to the superior anterior iliac spina, and is compressed at the sharp end of the iliac fascia in a standing position. In Type 3, the nerve is compressed at the site where it traverses the sartorius muscle. In type 4, the LCN is compressed in a groove at the superior anterior iliac spine and lateral to the insertion of the inguinal ligament [13]. The LCN usually splits into two branches on the fascia of the thigh. A cadaver study in 33 specimens revealed an average distance of 8.8 mm between the ASIS and the LCN. The distance was less than 2 cm in 76% of cases [14]. The LCN only contains sensory fibers and innervates the area of the anterolateral thigh region.
Meralgia paresthetica: finding an effective cure
Published in Postgraduate Medicine, 2020
The lateral femoral cutaneous nerve (lateral cutaneous nerve of the thigh) is a nerve that originates from the lumbar plexus, specifically the second and third lumbar segments. The nerve appears at the lateral border of the psoas major and courses obliquely toward the inguinal ligament at the anterior surface of the iliac muscle. At this site, a dense layer of fascia called the iliac fascia covers the nerve [6,16]. As it exits the abdomen, the nerve shows a very variable course with many investigators reporting multiple exiting variants of the LFCN nerve [6,17–20].