Suprainguinal ligament approach for surgical treatment of meralgia paresthetica

Technical note

Restricted access

✓ For relief of meralgia paresthetica the authors have developed a suprainguinal ligament approach for decompression of the lateral femoral cutaneous nerve of the thigh. This proximal approach offers an alternative to the standard infraligament methods. Its chief advantage is that identification of the nerve trunk is easy and accurate. This avoids the tedious dissection involved in looking for small distal branches with their variable location. Lysis is easily performed, and angulation of the nerve in the iliac fossa is avoided. With this method, poor operative results can usually be eliminated.

Article Information

Address reprint requests to: E. Francois Aldrich, M.D., Division of Neurosurgery E-17, The University of Texas Medical Branch, Galveston, Texas 77550.

© AANS, except where prohibited by US copyright law."

Headings

Figures

  • View in gallery

    Anatomical diagram demonstrating the course of the lateral femoral cutaneous nerve (dashed line). The bold line represents the 2-cm incision just medial and superior to the anterosuperior spine of the ilium.

References

1.

Gray H: Anatomy of the Human Bodyed 27. Philadelphia: Lea & Febiger19591498Gray H:

2.

Huber GC: Piersol's Human Anatomy Including Structure and Development and Practical Considerationsed 9. Philadelphia: JB Lippincott19302104 ppHuber GC:

3.

Hudson ABerry HMayfield F: Chronic injuries of peripheral nerves by entrapmentYoumans JR (ed): Neurological Surgeryed 2. Philadelphia: WB Saunders1982424302474

4.

Keegan JJHolyoke EA: Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 19:3413451962J Neurosurg 19:

5.

Kempe LG: 2. Berlin: Springer-Verlag1970Kempe LG:

6.

Kitchen CSimpson J: Meralgia paresthetica. A review of 67 patients. Acta Neurol Scand 48:5475551972Acta Neurol Scand 48:

7.

Last R: ed 6. Edinburgh: Churchill Livingstone1978Last R:

8.

Rengachary SS: Entrapment neuropathiesWilkins RHRengachary SS (eds): Neurosurgery. New York: McGraw-Hill1985217711795Neurosurgery.

9.

Young HA: Surgical management of peripheral entrapment neuropathySchmidek HHSweet WH (eds): New York: Grune & Stratton1983115191540

TrendMD

Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 3 3 3
Full Text Views 34 34 29
PDF Downloads 52 52 39
EPUB Downloads 0 0 0

PubMed

Google Scholar