Surgery for Meralgia Paresthetica Clinical Presentation

1. Craig EJ, Clinchot DM. Lateral femoral cutaneous neuropathy. Frontera WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 3rd ed. Philadelphia: Saunders; 2015. 296-9.

2. Preston DC, Shapiro BE. Femoral neuropathy. Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations. 3rd ed. Philadelphia: Elsevier Saunders; 2013. 357-64.

3. Hanna A. The lateral femoral cutaneous nerve canal. J Neurosurg. 2017 Mar. 126 (3):972-978. [Medline].

4. Sunderland S. Anatomical features of nerve trunks in relation to nerve injury and nerve repair. Clin Neurosurg. 1970. 17:38-62. [Medline].

5. de Ridder VA, de Lange S, Popta JV. Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma. 1999 Mar-Apr. 13 (3):207-11. [Medline].

6. Schestatsky P, Lladó-Carbó E, Casanova-Molla J, Alvarez-Blanco S, Valls-Solé J. Small fibre function in patients with meralgia paresthetica. Pain. 2008 Oct 15. 139 (2):342-8. [Medline].

7. Mondelli M, Rossi S, Romano C. Body mass index in meralgia paresthetica: a case-control study. Acta Neurol Scand. 2007 Aug. 116 (2):118-23. [Medline].

8. Fargo MV, Konitzer LN. Meralgia paresthetica due to body armor wear in U.S. soldiers serving in Iraq: a case report and review of the literature. Mil Med. 2007 Jun. 172 (6):663-5. [Medline].

9. Moucharafieh R, Wehbe J, Maalouf G. Meralgia paresthetica: a result of tight new trendy low cut trousers ('taille basse'). Int J Surg. 2008 Apr. 6 (2):164-8. [Medline].

10. Seror P, Seror R. Meralgia paresthetica: clinical and electrophysiological diagnosis in 120 cases. Muscle Nerve. 2006 May. 33 (5):650-4. [Medline].

11. Williams PH, Trzil KP. Management of meralgia paresthetica. J Neurosurg. 1991 Jan. 74 (1):76-80. [Medline].

12. van Eerten PV, Polder TW, Broere CA. Operative treatment of meralgia paresthetica: transection versus neurolysis. Neurosurgery. 1995 Jul. 37 (1):63-5. [Medline].

13. Ivins GK. Meralgia paresthetica, the elusive diagnosis: clinical experience with 14 adult patients. Ann Surg. 2000 Aug. 232 (2):281-6. [Medline].

14. Siu TL, Chandran KN. Neurolysis for meralgia paresthetica: an operative series of 45 cases. Surg Neurol. 2005 Jan. 63 (1):19-23; discussion 23. [Medline].

15. Grossman MG, Ducey SA, Nadler SS, Levy AS. Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg. 2001 Sep-Oct. 9 (5):336-44. [Medline].

16. Nahabedian MY, Dellon AL. Meralgia paresthetica: etiology, diagnosis, and outcome of surgical decompression. Ann Plast Surg. 1995 Dec. 35 (6):590-4. [Medline].

17. Shimizu S. A novel approach to the diagnosis and management of meralgia paresthetica. Neurosurgery. 2008 Oct. 63 (4):E820. [Medline].

18. Suh DH, Kim DH, Park JW, Park BK. Sonographic and electrophysiologic findings in patients with meralgia paresthetica. Clin Neurophysiol. 2013 Jul. 124 (7):1460-4. [Medline].

19. Hanna AS, Ehlers ME, Lee KS. Preoperative Ultrasound-Guided Wire Localization of the Lateral Femoral Cutaneous Nerve. Oper Neurosurg (Hagerstown). 2017 Jun 1. 13 (3):402-408. [Medline].

20. Chhabra A, Del Grande F, Soldatos T, Chalian M, Belzberg AJ, Williams EH, et al. Meralgia paresthetica: 3-Tesla magnetic resonance neurography. Skeletal Radiol. 2013 Jun. 42 (6):803-8. [Medline].

21. Park BJ, Joeng ES, Choi JK, Kang S, Yoon JS, Yang SN. Ultrasound-guided lateral femoral cutaneous nerve conduction study. Ann Rehabil Med. 2015 Feb. 39 (1):47-51. [Medline].

22. de Ruiter GCW, Lim J, Thomassen BJW, van Duinen SG. Histopathologic changes inside the lateral femoral cutaneous nerve obtained from patients with persistent symptoms of meralgia paresthetica. Acta Neurochir (Wien). 2019 Feb. 161 (2):263-269. [Medline].

23. Tumber PS, Bhatia A, Chan VW. Ultrasound-guided lateral femoral cutaneous nerve block for meralgia paresthetica. Anesth Analg. 2008 Mar. 106 (3):1021-2. [Medline].

24. Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J. Ultrasound-guided blockade of the lateral femoral cutaneous nerve: technical description and review of 10 cases. Arch Phys Med Rehabil. 2007 Oct. 88 (10):1362-4. [Medline].

25. Klauser AS, Abd Ellah MM, Halpern EJ, Sporer I, Martinoli C, Tagliafico A, et al. Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up. Eur Radiol. 2016 Mar. 26 (3):764-70. [Medline].

26. Lee JJ, Sohn JH, Choi HJ, Yang JS, Lee KH, Do HJ, et al. Clinical Efficacy of Pulsed Radiofrequency Neuromodulation for Intractable Meralgia Paresthetica. Pain Physician. 2016 Mar. 19 (3):173-9. [Medline]. [Full Text].

27. Ghai B, Dhiman D, Loganathan S. Extended duration pulsed radiofrequency for the management of refractory meralgia paresthetica: a series of five cases. Korean J Pain. 2018 Jul. 31 (3):215-220. [Medline]. [Full Text].

28. de Ruiter GC, Kloet A. Comparison of effectiveness of different surgical treatments for meralgia paresthetica: Results of a prospective observational study and protocol for a randomized controlled trial. Clin Neurol Neurosurg. 2015 Jul. 134:7-11. [Medline].

29. Payne R, Seaman S, Sieg E, Langan S, Harbaugh K, Rizk E. Evaluating the evidence: is neurolysis or neurectomy a better treatment for meralgia paresthetica?. Acta Neurochir (Wien). 2017 May. 159 (5):931-936. [Medline].

30. Schwaiger K, Panzenbeck P, Purschke M, Russe E, Kaplan R, Heinrich K, et al. Surgical decompression of the lateral femoral cutaneous nerve (LFCN) for Meralgia paresthetica treatment: Experimental or state of the art? A single-center outcome analysis. Medicine (Baltimore). 2018 Aug. 97 (33):e11914. [Medline]. [Full Text].

31. Alberti O, Wickboldt J, Becker R. Suprainguinal retroperitoneal approach for the successful surgical treatment of meralgia paresthetica. J Neurosurg. 2009 Apr. 110 (4):768-74. [Medline].

Ira Kornbluth, MD, MA, FAAPMR Managing Partner, SMART Pain Management

Ira Kornbluth, MD, MA, FAAPMR is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Physiatric Association of Spine, Sports and Occupational Rehabilitation, American Society of Interventional Pain Physicians

Disclosure: Nothing to disclose.

Phillip J Marone, MD, MSPH Clinical Professor, Department of Orthopedic Surgery and Department of Rehabilitation Medicine, Jefferson Medical College of Thomas Jefferson University

Phillip J Marone, MD, MSPH is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Medical Association, American Orthopaedic Society for Sports Medicine, Philadelphia County Medical Society

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

B Sonny Bal, MD, JD, PhD, MBA CEO and President, SINTX Technologies, Salt Lake City, UT

B Sonny Bal, MD, JD, PhD, MBA is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: SINTX Technologies.

William L Jaffe, MD Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases

William L Jaffe, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American College of Surgeons, Eastern Orthopaedic Association, New York Academy of Medicine

Disclosure: Received consulting fee from Stryker Orthopaedics for speaking and teaching.

Miguel A Schmitz, MD 

Miguel A Schmitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, North American Spine Society

Disclosure: Nothing to disclose.

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