Meralgia paresthetica after pelvic fixation in a polytrauma patient

Kot, P.; Rubio-Haro, Ruben; Bordes-García, Clara; Ferrer-Gomez, Carolina; Andrés, José De

doi:10.4097/kja.21065

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most frequently reported cause was pressure or traction on the nerve due to retractor placement [ 11 , 13 ] or manipulation [ 14 , 15 ]. Other potential reported mechanisms of intraoperative injury were direct nerve injury due to retroperitoneal dissection [ 16 ], placement of a trocar [ 17 ] and placement and removal of a pelvic fixator [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

et al. 2023

View full text Add to dashboard Cite

Meralgia paresthetica is often idiopathic, but sometimes symptoms may be caused by traumatic injury to the lateral femoral cutaneous nerve (LFCN) or compression of this nerve by a mass lesion. In this article the literature is reviewed on unusual causes for meralgia paresthetica, including different types of traumatic injury and compression of the LFCN by mass lesions. In addition, the experience from our center with the surgical treatment of unusual causes of meralgia paresthetica is presented. A PubMed search was performed on unusual causes for meralgia paresthetica. Specific attention was paid to factors that may have predisposed to LFCN injury and clues that may have pointed at a mass lesion. Moreover, our own database on all surgically treated cases of meralgia paresthetica between April 2014 and September 2022 was reviewed to identify unusual causes for meralgia paresthetica. A total of 66 articles was identified that reported results on unusual causes for meralgia paresthetica: 37 on traumatic injuries of the LFCN and 29 on compression of the LFCN by mass lesions. Most frequent cause of traumatic injury in the literature was iatrogenic, including different procedures around the anterior superior iliac spine, intra-abdominal procedures and positioning for surgery. In our own surgical database of 187 cases, there were 14 cases of traumatic LFCN injury and 4 cases in which symptoms were related to a mass lesion. It is important to consider traumatic causes or compression by a mass lesion in patients that present with meralgia paresthetica. Supplementary Information The online version contains supplementary material available at 10.1007/s10143-023-02023-2.

show abstract