Meralgia paresthetica: Difference between revisions
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===Etiology=== | ===Etiology=== | ||
*Intrapelvic (pregnancy, enlarging mass, aneurysm) | *Intrapelvic ([[pregnancy]], enlarging mass, [[AAA|aneurysm]]) | ||
*Extrapelvic (trauma, tight garment or belt, obesity) | *Extrapelvic ([[trauma]], tight garment or belt, [[the obese patient|obesity]]) | ||
*Systemic (DM) | *Systemic ([[DM]]) | ||
==Clinical Features== | ==Clinical Features== | ||
*Numbness and pain of anterolateral thigh | *[[Numbness]] and pain of anterolateral thigh | ||
*Pelvic compression test | *Pelvic compression test | ||
**Turn patient on side | **Turn patient on side | ||
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==Management== | ==Management== | ||
*[[NSAIDs]] | |||
*Weight loss | |||
*[[Corticosteroid]] injection | |||
==See Also== | ==See Also== | ||
Revision as of 03:51, 3 October 2019
Background
- Entrapment of the lateral femoral cutaneous nerve usually in the inguinal canal
Etiology
- Intrapelvic (pregnancy, enlarging mass, aneurysm)
- Extrapelvic (trauma, tight garment or belt, obesity)
- Systemic (DM)
Clinical Features
- Numbness and pain of anterolateral thigh
- Pelvic compression test
- Turn patient on side
- Compress pelvis
- If symptoms are relieved after 30s of lateral compression diagnosis is confirmed
Differential Diagnosis
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Evaluation
Management
- NSAIDs
- Weight loss
- Corticosteroid injection