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Anomalous higher branching pattern of the femoral nerve: a case report with clinical implications

Das S, Vasudeva N

Acta Medica (Hradec Kralove), 2007;50(4):245-6.

The femoral nerve usually divides into anterior and posterior branches below the inguinal ligament. In the present case, we report the anomalous higher branching pattern of the femoral nerve on both sides of a 52 year male cadaver. The femoral nerve divided into the anterior and posterior branches above the inguinal ligament. Such a higher division of femoral nerve is a rare finding and it may be important for surgeons, orthopaedicians and anaesthetists in day to day clinical practice.

Matched MeSH terms: Femoral Nerve/abnormalities*; Femoral Nerve/anatomy & histology

Successful Transcatheter Arterial Embolisation for a Traumatic Iliacus Hematoma: A Case Report

Kato T, Chinzei N, Katayama N, Hirota S, Takahashi M

Malays Orthop J, 2020 Mar;14(1):92-95.

PMID: 32296490 DOI: 10.5704/MOJ.2003.016

A traumatic iliacus hematoma is rare and usually occurs in patients after a fall involving a lower back injury. Although the hematoma may compress the femoral nerve causing femoral nerve palsy, the gold standard treatment for this condition has not been established. Here we report transcatheter arterial embolisation as a useful treatment strategy for a traumatic iliacus hematoma.

Matched MeSH terms: Femoral Nerve

Topographical anatomy of the profunda femoris artery and the femoral nerve: normal and abnormal relationships

Choy KW, Kogilavani S, Norshalizah M, Rani S, Aspalilah A, Hamzi H, et al.

Clin Ter, 2013;164(1):17-9.

PMID: 23455736 DOI: 10.7417/T.2013.1504

Femoral nerve (FN) is the largest branch of lumbar plexus. It lies lateral to femoral artery (FA) and it is located outside the femoral sheath. Profunda femoris artery (PFA) is a branch of the FA. The present study aimed to observe the topographical anatomy and relationship of the PFA and the FN.

Matched MeSH terms: Femoral Nerve/abnormalities*; Femoral Nerve/anatomy & histology

Fulltext Intercostal nerve neurotization of the femoral nerve in patients with paraplegia--an anatomical feasibility study

Lim HH, Baskaran

Med J Malaysia, 2001 Jun;56 Suppl C:61-5.

PMID: 11814252

Neurotization of the brachial plexus is an established procedure in the upper limb. However, neurotization of the lower limb remains experimental. Brunelli reported the use of the ulnar nerve to neurotize the lower limb. Zhao et al reported the use of intercostals nerve to neurotize the lower limb in rats. The aim of the study was to determine the feasibility of using intercostals nerve to neurotize the femoral nerve in human cadavers and to ascertain the ideal intercostals nerve that has the anatomical course that suit this role. Six fresh cadaveric dissection were performed through an extensile midline incision in the postmortem room and the lower six (T7-T12) were identified and traced from their origin. Their length and course identified and charted. T9 and T10 intercostal nerve was thought to be the most suitable nerve as the donor nerve, and the T11 and T12 intercostal nerve could not be free from its intra-muscular course sufficiently to be use as donor.

Matched MeSH terms: Femoral Nerve/pathology*; Femoral Nerve/surgery*

Fulltext Alcohol neurolysis of lateral femoral cutaneous nerve for recurrent meralgia paresthetica

Chen CK, Phui VE, Saman MA

Agri, 2012;24(1):42-4.

PMID: 22399128 DOI: 10.5505/agri.2012.47450

Meralgia paresthetica is an entrapment mononeuropathy of lateral femoral cutaneous nerve, which results in localized area of paresthesia and numbness on the anterolateral aspect of the thigh. We describe the use of alcohol neurolysis of lateral femoral cutaneous nerve in a 74-year-old female who presented with paresthesia over antero-lateral aspect of her left thigh, which was consistent with meralgia paresthetica. Diagnostic block with local anaesthetic confirmed the diagnosis but only archieved temporary pain relief. Alcohol neurolysis was then offered and patient responded well with no complication. The patient experienced prolonged pain relief at 6-month follow-up, with return of ability to ambulate and perform daily activity. Alcohol neurolysis of lateral femoral cutaneous nerve is safe, effective and able to provide sustained pain relief for recurrent meralgia paresthetica.

Matched MeSH terms: Femoral Nerve/drug effects*

Contralateral Obturator Nerve to Femoral Nerve Transfer for Restoration of Knee Extension After Acute Flaccid Myelitis: A Case Report

Doi K, Sem SH, Hattori Y, Sakamoto S, Hayashi K, Maruyama A

JBJS Case Connect, 2019 Dec;9(4):e0073.

PMID: 31850914 DOI: 10.2106/JBJS.CC.19.00073

CASE: A 7-year-old boy presented with left femoral and obturator nerves (ONs) palsy after an asthmatic attack with a viral prodrome, and his right lower limb was unaffected. He was diagnosed with acute flaccid myelitis (AFM) after positive spinal magnetic resonance imaging findings. After contralateral ON to femoral nerve transfer (CONFNT), his left quadriceps was reinnervated at 5.5 months, full knee extension was recovered at 14 months, and good functional outcomes were achieved at 31 months.

CONCLUSIONS: This first clinical report on CONFNT demonstrated a feasible good alternative in treating young patients with AFM with unilateral L2-L4 palsy and short duration of deficit.

Matched MeSH terms: Femoral Nerve/transplantation*

Fulltext Bilateral femoral neuropathy associated with disseminated intravascular coagulopathy: a case report

Cheok CY, Merican A, Ng WM

Med J Malaysia, 2006 Feb;61 Suppl A:97-9.

PMID: 17042241

We report a case of 20-year-old man who presented with bilateral femoral nerve palsy following resuscitation for traumatic massive blood loss and its consequence. A high suspicious index for this complication may lead to its early recognition. Its related pathoanatomy is discussed based on the described evidences in the literature. Nonoperative treatment remains as a recommended option for coagulopathy-related neuropathy.

Matched MeSH terms: Femoral Nerve/pathology*

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