Compression of the lateral femoral cutaneous nerve by a fibrous sartorius strand in a professional female soccer player

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• 作者：Nicole Lindenblatt (1)
  Pietro Giovanoli (1)
  
• 关键词：Meralgia paraesthetica ; Lateral femoral cutaneous nerve ; Entrapment ; Soccer ; Fibrous ; Sartorius
• 刊名：European Journal of Plastic Surgery
• 出版年：2013
• 出版时间：August 2013
• 年：2013
• 卷：36
• 期：8
• 页码：531-534
• 全文大小：345KB
• 参考文献：1. Roth VK (1895) Meralgia paraesthetica. Karger, Berlin
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• 作者单位：Nicole Lindenblatt (1)
  Pietro Giovanoli (1)
  
  1. Division of Plastic and Hand Surgery, Department of Surgery, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
  

文摘

Meralgia paraesthetica represents a neuropathy involving pain, burning, tingling, and numbness in the distribution of the lateral femoral cutaneous nerve (LFCN) of the thigh, which is commonly due to nerve entrapment under the inguinal ligament. We report an unusual case of compression of the LFCN at the anterior surface of the sartorius muscle in a professional female soccer player. Intraoperatively, the LCFN was found to pass without major compression under the inguinal ligament, but was strained over a fibrous thickening of the superficial thigh fascia and the anterior medial border of the sartorius muscle 8?cm caudal of the inguinal ligament. Excision of the fibrous tissue completely resolved the symptoms. In professional athletes, the LFCN should be explored along its entire course on the anterior thigh during operative decompression to rule out a distal muscular compression site. Level of evidence: Level V, therapeutic study