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SBA Answers and Explanations
Published in Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury, SBAs for the MRCS Part A, 2018
Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury
Meralgia paraesthetica is a painful mononeuropathy of the lateral femoral cutaneous nerve, commonly caused by focal entrapment of this nerve as it passes through the inguinal ligament. Treatment is based on symptoms. Weight reduction, less compressive clothing, non-steroidal anti-inflammatory drugs (NSAIDs), local anaesthetic infiltration, and surgical release have been described as treatment modalities.
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 purely a sensory nerve and doesn’t affect your ability to use your leg muscles. Meralgia paresthetica is a condition that causes numbness, pain or a burning feeling in your outer thigh. You might also hear it called BernhardtRoth syndrome. It happens when there’s too much pressure on or damage to one of the nerves in your leg.
Peripheral nerve disorders
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Michael Fox, David Warwick, H. Srinivasan
The patient complains of numbness, tingling or burning discomfort over the anterolateral aspect of the thigh (meralgia paraesthetica). Testing for sensibility to pinprick will reveal a patch of numbness over the upper outer thigh.
Treatment of idiopathic meralgia paresthetica – is there reliable evidence yet?
Published in Neurological Research, 2023
The compression syndrome that is associated with the lateral femoral cutaneous nerve (LCN) is called ‘meralgia paresthetica’ (Greek meros algos – pain of the thigh). Next to carpal and cubital tunnel syndrome, it is one of the most common nerve compression syndromes. Even though it was first described at the end of the 19th century by various European neurologists, there still is controversy about the aspects of treatment. So far, no randomized controlled trial exists, which compares conservative and surgical treatment options. A 2008 Cochrane analysis and its updated version, published in 2012, gives some insights into the existing body of evidence [1,2]. However, they fail to address important aspects concerning different treatment techniques and recent developments. This review article aims to give a structured overview of the existing studies in terms of epidemiology, anatomy, diagnostics, and clinical management. It aims for a critical appraisal of the existing studies, for presentation of recent developments and for a depiction of its consequences in clinical patient management.
Meralgia paresthetica: finding an effective cure
Published in Postgraduate Medicine, 2020
Meralgia paraesthetica (MP) is a mononeuropathy of the Lateral Femoral Cutaneous Nerve (LFCN). It is one of the most common mononeuropathies of the lower limb and is associated with many predisposing factors that injure the LFCN along its course from the pelvis toward the thigh. Since the LFCN is a purely sensory nerve, injury to the nerve causes a considerable amount of pain and discomfort without any accompanying motoric dysfunction of the lower limb. MP are commonly encountered in patients with an age group of 41–60 years with an incidence rate of 3–4 patients per 10,000 person-years [1–3]. In association with gender MP is a predominantly male condition, although some were reporting a female predominance [1]
Surgical options for meralgia paresthetica: long-term outcomes in 13 cases
Published in British Journal of Neurosurgery, 2019
Zeki Serdar Ataizi, Kemal Ertilav, Serdar Ercan
Meralgia paresthetica is a peripheral nerve entrapment that typically presents with burning, coldness, pain, tingling, loss of sensation or local hair loss along the distribution of the lateral femoral cutaneous nerve in the anterolateral thigh. If the diagnosis of MP is missed or delayed, it can lead to a mononeuropathy that causes significant impairment in the LFCN.