Meralgia paresthetica: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "Tintinalli" to "") |
Neil.m.young (talk | contribs) (Text replacement - " pt " to " patient ") |
||
| Line 10: | Line 10: | ||
*Numbness and pain of anterolateral thigh | *Numbness and pain of anterolateral thigh | ||
*Pelvic compression test | *Pelvic compression test | ||
**Turn | **Turn patient on side | ||
**Compress pelvis | **Compress pelvis | ||
**If symptoms are relieved after 30s of lateral compression diagnosis is confirmed | **If symptoms are relieved after 30s of lateral compression diagnosis is confirmed | ||
Revision as of 08:17, 2 July 2016
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
Diagnosis
Treatment
- NSAIDs
- Weight loss
- Corticosteroid injection