Femoral Nerve Entrapment

Chapter

Abstract

In this chapter, we will discuss the anatomy of the femoral nerve and surrounding structures. We also consider the signs, symptoms, and most common sites for femoral nerve entrapment and differential diagnoses. Diagnostic testing and contributing factors are also reviewed. Finally, treatment options are examined.

Keywords

Anterior lateral femoral cutaneous nerve Femoral artery Femoral nerve Femoral vein Femoral triangle Iliacus compartment syndrome Inguinal ligament Intermediate femoral cutaneous nerve Lacuna musculorum Lithotomy position Lumbar plexus Medial femoral cutaneous nerve Psoas major Saphenous nerve 
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References

  1. 1.
    Busis NA. Femoral and obturator neuropathies. Neurol Clin. 1999;17(3):633–53.CrossRefPubMedGoogle Scholar
  2. 2.
    Hopper CL, Baker JB. Bilateral femoral neuropathy complicating vaginal hysterectomy. Analysis of contributing factors in 3 patients. Obstet Gynecol. 1968;32(4):543–7.PubMedGoogle Scholar
  3. 3.
    Goldman JA, Feldberg D, Dicker D, Samuel N, Dekel A. Femoral neuropathy subsequent to abdominal hysterectomy. A comparative study. Eur J Obstet Gynecol Reprod Biol. 1985;20(6):385–92.CrossRefPubMedGoogle Scholar
  4. 4.
    Hershlag A, Loy RA, Lavy G, DeCherney AH. Femoral neuropathy after laparoscopy. A case report. J Reprod Med. 1990;35(5):575–6.PubMedGoogle Scholar
  5. 5.
    Meech PR. Femoral neuropathy following renal transplantation. Aust N Z J Surg. 1990;60(2):117–9.PubMedGoogle Scholar
  6. 6.
    Gombar KK, Gombar S, Singh B, Sangwan SS, Siwach RC. Femoral neuropathy: a complication of the lithotomy position. Reg Anesth. 1992;17(5):306–8.PubMedGoogle Scholar
  7. 7.
    Chevalier X, Larget-Piet B. Femoral neuropathy due to psoas hematoma revisited. Report of three cases with serious outcomes. Spine (Phila Pa 1976). 1992;17(6):724–6.CrossRefGoogle Scholar
  8. 8.
    Brantigan JW, Owens ML, Moody FG. Femoral neuropathy complicating anticoagulant therapy. Am J Surg. 1976;132(1):108–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Aune S, Trippestad A. Chronic contained rupture of an abdominal aortic aneurysm complicated by infection and femoral neuropathy. Case report. Eur J Surg. 1995;161(8):613–4.PubMedGoogle Scholar
  10. 10.
    Kashuk K. Proximal peripheral nerve entrapment syndromes in the lower extremity. J Am Podiatry Assoc. 1977;67(8):529–44.CrossRefPubMedGoogle Scholar
  11. 11.
    Coppack SW, Watkins PJ. The natural history of diabetic femoral neuropathy. Q J Med. 1991;79(288):307–13.PubMedGoogle Scholar
  12. 12.
    Kvist-Poulsen H, Borel J. Iatrogenic femoral neuropathy subsequent to abdominal hysterectomy: incidence and prevention. Obstet Gynecol. 1982;60(4):516–20.PubMedGoogle Scholar
  13. 13.
    Jog MS, Turley JE, Berry H. Femoral neuropathy in renal transplantation. Can J Neurol Sci: J Can Sci Neurol. 1994;21(1):38–42.CrossRefGoogle Scholar
  14. 14.
    Schottland JR. Femoral neuropathy from inadvertent suturing of the femoral nerve. Neurology. 1996;47(3):844–5.CrossRefPubMedGoogle Scholar
  15. 15.
    Kline DG. Operative management of major nerve lesions of the lower extremity. Surg Clin North Am. 1972;52(5):1247–65.CrossRefPubMedGoogle Scholar
  16. 16.
    Belli AM, Cumberland DC, Knox AM, Procter AE, Welsh CL. The complication rate of percutaneous peripheral balloon angioplasty. Clin Radiol. 1990;41(6):380–3.CrossRefPubMedGoogle Scholar
  17. 17.
    Sammarco GJ, Stephens MM. Neurapraxia of the femoral nerve in a modern dancer. Am J Sports Med. 1991;19(4):413–4.CrossRefPubMedGoogle Scholar
  18. 18.
    Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. MR imaging of entrapment neuropathies of the lower extremity. Part 1. The pelvis and hip. Radiographics. 2010;30(4):983–1000.CrossRefPubMedGoogle Scholar
  19. 19.
    Beltran LS, Bencardino J, Ghazikhanian V, Beltran J. Entrapment neuropathies III: lower limb. Semin Musculoskelet Radiol. 2010;14(5):501–11.CrossRefPubMedGoogle Scholar
  20. 20.
    Singelyn FJ. Femoral nerve block. In: Hadzic A, New York School of Regional Anesthesia, editors. Textbook of regional anesthesia and acute pain management. New York: McGraw-Hill, Medical Pub. Division; 2007. p. 499–508.Google Scholar
  21. 21.
    Vazquez MT, Murillo J, Maranillo E, Parkin IG, Sanudo J. Femoral nerve entrapment: a new insight. Clin Anat. 2007;20(2):175–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Shah A, Busconi B. Hip and pelvis. In: DeLee JC, Drez D, Miller MD, editors. DeLee and Drez’s orthopaedic sports medicine. 1. 3rd ed. Philadelphia: Saunders Elsevier; 2010. p. 1451–69.Google Scholar
  23. 23.
    Hollis MH. Nerve entrapment syndromes of the lower extremity 2012. Cited 15 May 2013:[1–16 pp.].Google Scholar
  24. 24.
    Katirji B, Koontz D. Disorders of peripheral nerves. In: Daroff RB, Bradley WG, editors. Bradley’s neurology in clinical practice. 6th ed. Philadelphia: Elsevier/Saunders; 2012. p. 1915–2015.CrossRefGoogle Scholar
  25. 25.
    Rosario DJ, Jacob S, Luntley J, Skinner PP, Raftery AT. Mechanism of femoral nerve palsy complicating percutaneous ilioinguinal field block. Br J Anaesth. 1997;78(3):314–6.CrossRefPubMedGoogle Scholar
  26. 26.
    Brown DL. Femoral block. In: Brown DL, editor. Atlas of regional anesthesia. 2nd ed. Philadelphia: Elsevier/Saunders; 1999. p. 105–10.Google Scholar
  27. 27.
    Winnie AP, Ramamurthy S, Durrani Z. The inguinal paravascular technic of lumbar plexus anesthesia: the “3-in-1 block”. Anesth Analg. 1973;52(6):989–96.PubMedGoogle Scholar
  28. 28.
    Kawaguchi M, Hashizume K, Iwata T, Furuya H. Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of hip joint pain. Reg Anesth Pain Med. 2001;26(6):576–81.CrossRefPubMedGoogle Scholar
  29. 29.
    Rivera F, Mariconda C, Annaratone G. Percutaneous radiofrequency denervation in patients with contraindications for total hip arthroplasty. Orthopedics. 2012;35(3):e302–5.PubMedGoogle Scholar
  30. 30.
    Wu H, Groner J. Pulsed radiofrequency treatment of articular branches of the obturator and femoral nerves for management of hip joint pain. Pain Pract. 2007;7(4):341–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Pain Management Division, Department of AnesthesiologyBaylor Scott and White Memorial HospitalTempleUSA

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