期刊论文详细信息
BMC Musculoskeletal Disorders
Ultrasound of the lateral femoral cutaneous nerve in asymptomatic adults
Bing Hu4  Junjie Shao1  Yunxia Huang2  Fang liu3  Yiwen Zhao3  Jiaan Zhu2 
[1] Department of orthopedics, Shanghai Jiaotong University Affiliated Sixth People's Hospital, 600 Yishan Rd, Shanghai, 200233, China;Department of Ultrasound, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Rd, Shanghai, 200233, China;Department of Ultrasound, Central Hospital of Fengxian District, 9588 Nan Feng Road, Shanghai, 201400, China;600 Yishan Rd, Shanghai, 200233, China
关键词: Anatomy;    Inguinal ligament;    Lateral femoral cutaneous nerve;    Ultrasound;   
Others  :  1135681
DOI  :  10.1186/1471-2474-13-227
 received in 2012-03-12, accepted in 2012-11-19,  发布年份 2012
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【 摘 要 】

Background

To define the sites where the lateral femoral cutaneous nerve (LFCN) is more easily visualized and to describe the anatomical variations of the LFCN.

Methods

A total of 240 LFCNs in 120 volunteers were evaluated with 18 MHz ultrasound; the intermuscular space between the tensor fasciae latae muscle and the sartorius was used as an initial sonographic landmark. The time taken to identify the nerve was recorded. The number of nerve branches at the level of the inguinal ligament (IL) and the relationship between the LFCN and the IL was assessed. The nerve cross-sectional area (CSA) of the LFCN and the distance between the LFCN and the anterior superior iliac spine was measured.

Results

Each nerve was identified using ultrasound in all participants. The mean time for identifying the nerve was 7s for unilateral LFCNs. The nerve passed under the IL in 198 cases, whereas in 44 cases, it passed through to the IL. The LFCN consisted of 1–4 branches just after its passage under or through the IL. The CSA of the LFCN was 1.04±0.44 mm2, and the mean distance between the LFCN and the anterior superior iliac spine was 15.6 ± 4.2 mm.

Conclusions

It is easier to identify the LFCN if the intermuscular space between the tensor fasciae latae muscle and the sartorius is used as an initial sonographic landmark. The anatomical variation of the LFCN can be viewed with high-frequency ultrasound.

【 授权许可】

   
2012 Zhu et al.; licensee BioMed Central Ltd.

【 预 览 】
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【 参考文献 】
  • [1]Patijn J, Mekhail N, Hayek S, Lataster A, van Kleef M, Van Zundert J: Meralgia Paresthetica. Pain Pract 2011, 11(3):302-308.
  • [2]Harney D, Patijn J: Meralgia paresthetica: diagnosis and management strategies. Pain Med 2007, 8(8):669-677.
  • [3]Grothaus MC, Holt M, Mekhail AO, Ebraheim NA, Yeasting RA: Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res 2005, 437:164-168.
  • [4]Kosiyatrakul A, Nuansalee N, Luenam S, Koonchornboon T, Prachaporn S: The anatomical variation of the lateral femoral cutaneous nerve in relation to the anterior superior iliac spine and the iliac crest. Musculoskelet Surg 2010, 94(1):17-20.
  • [5]Carai A, Fenu G, Sechi E, Crotti FM, Montella A: Anatomical variability of the lateral femoral cutaneous nerve: findings from a surgical series. Clin Anat 2009, 22(3):365-370.
  • [6]Iida T, Nakagawa M, Asano T, Fukushima C, Tachi K: Free vascularized lateral femoral cutaneous nerve graft with anterolateral thigh flap for reconstruction of facial nerve defects. J Reconstr Microsurg 2006, 22(5):343-348.
  • [7]Kashiwa K, Kobayashi S, Nasu W, Kuroda T, Higuchi H: Facial nerve reconstruction using a vascularized lateral femoral cutaneous nerve graft based on the superficial circumflex iliac artery system: an application of the inferolateral extension of the groin flap. J Reconstr Microsurg 2010, 26(9):577-582.
  • [8]Ray B, D'Souza AS, Kumar B, Marx C, Ghosh B, Gupta NK, Marx A: Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance. Clin Anat 2010, 23(8):978-984.
  • [9]Shannon J, Lang SA, Yip RW, Gerard M: Lateral femoral cutaneous nerve block revisited, A nerve stimulator technique. Reg Anesth 1995, 20(2):100-104.
  • [10]Ng I, Vaghadia H, Choi PT, Helmy N: Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg 2008, 107(3):1070-1074.
  • [11]Bodner G, Bernathova M, Galiano K, Putz D, Martinoli C, Felfernig M: Ultrasound of the lateral femoral cutaneous nerve: normal findings in a cadaver and in volunteers. Reg Anesth Pain Med 2009, 34(3):265-268.
  • [12]Damarey B, Demondion X, Boutry N, Kim HJ, Wavreille G, Cotten A: Sonographic assessment of the lateral femoral cutaneous nerve. J Clin Ultrasound 2009, 37(2):89-95.
  • [13]Tumber PS, Bhatia A, Chan VW: Ultrasound-guided lateral femoral cutaneous nerve block for meralgia paresthetica. Anesth Analg 2008, 106(3):1021-1022.
  • [14]Mulvaney SW: Ultrasound-guided percutaneous neuroplasty of the lateral femoral cutaneous nerve for the treatment of meralgia paresthetica: a case report and description of a new ultrasound-guided technique. Curr Sports Med Rep 2011, 10(2):99-104.
  • [15]Tagliafico A, Serafini G, Lacelli F, Perrone N, Valsania V, Martinoli C: Ultrasound-guided treatment of meralgia paresthetica (lateral femoral cutaneous neuropathy): technical description and results of treatment in 20 consecutive patients. J Ultrasound Med 2011, 30(10):1341-1346.
  • [16]Hara K, Sakura S, Shido A: Ultrasound-guided lateral femoral cutaneous nerve block: comparison of two techniques. Anaesth Intensive Care 2011, 39(1):69-72.
  • [17]Boon AJ, Bailey PW, Smith J, Sorenson EJ, Harper CM, Hurdle MF: Utility of ultrasound-guided surface electrode placement in lateral femoral cutaneous nerve conduction studies. Muscle Nerve 2011, 44(4):525-530.
  • [18]Christos SC, Chiampas G, Offman R, Rifenburg R: Ultrasound-guided three-in-one nerve block for femur fractures. West J Emerg Med. 2010, 11(4):310-313.
  • [19]Martins RS, Siqueira MG, Silva FC Jr, Heise CO, Teixeira MJ: A practical approach to the lateral cutaneous nerve of the thigh: An anatomical study. Clin Neurol Neurosurg 2011, 113(10):868-871.
  • [20]Majkrzak A, Johnston J, Kacey D, Zeller J: Variability of the lateral femoral cutaneous nerve: An anatomic basis for planning safe surgical approaches. Clin Anat 2010, 23(3):304-311.
  • [21]Nathan H: Gangliform enlargement on the lateral cutaneous nerve of the thigh, Its significance in the understanding of the etiology of meralgia paresthetica. J Neurosurg 1960, 17:843.
  • [22]Dias Filho LC, Valença MM, Guimarães Filho FA, Medeiros RC, Silva RA, Morais MG, Valente FP, França SM: Lateral femoral cutaneous neuralgia: an anatomical insight. Clin Anat 2003, 16(4):309-316.
  • [23]Aszmann OC, Dellon ES, Dellon AL: Anatomical course of the lateral femoral cutaneous nerve and its susceptibility to compression and injury. Plast Reconstr Surg 1997, 100(3):600-604.
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