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Focal Peripheral Neuropathies pp 251–336Cite as

Nerve Entrapment at Trunk and Leg

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Abstract

The entire nerves of hip, back, and leg are listed in detail – as far as they can be – which are affected by focal iatrogenic damage or by simple entrapment. Anatomy, some rare variants, damaging factors, and patient’s presentation of clinical symptoms with regard on each single nerve are first described. Next, each section contains details of electrodiagnostic testing and supplemental modern imaging techniques such as high resolution ultrasound and MRI. The high value of imaging is demonstrated in a lot of characteristic figures. The surgical approach for each single nerve is described as far as surgical decompression is possible.

Initially, a special outline is given of the worldwide problem with inguinal nerves after groin repair. The surgical approach differs from the usual entrapment cases: here, encouraging possibilities by neuromodulation are emphasized. The importance of imaging to establish the diagnosis of a space-occupying lesion preoperatively is argued. When a surgeon is unexpectedly confronted with intraneural ganglion cysts or a schwannoma he suddenly needs microsurgical equipment. Uncommon entrapment lesions such as pudendus, obturatorius, or saphenus neuralgia, anterior and media tarsal tunnel syndromes, and Morton’s metatarsalgia are delineated and illustrated by surgical instruction figures.

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Authors and Affiliations

  1. Neurological Department, Freiberg Hospital, Freiberg, Germany

    Josef Böhm

  2. Neurosurgical Department, Friederiken-Hospital, Hannover, Germany

    Götz Penkert

  3. Neurological Department, Municipal Hospital Dessau, Dessau-Rosslau, Germany

    Thomas Schelle

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  1. Josef Böhm
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Böhm, J., Penkert, G., Schelle, T. (2015). Nerve Entrapment at Trunk and Leg. In: Focal Peripheral Neuropathies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54780-5_9

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