Involvement of the lateral femoral cutaneous nerve as source of persistent pain after total hip arthroplasty

被引：12

作者：

Dellon, A. Lee ^{[1
,2
,3
]}

Mont, Michael ^{[4
]}

Ducic, Ivica ^{[5
]}

机构：

[1] Inst Peripheral Nerve Surg, Baltimode, MD USA

[2] Johns Hopkins Univ, Div Plast Surg, Baltimore, MD USA

[3] Univ Arizona, Div Plast Surg, Tucson, AZ USA

[4] Rubin Inst Adv Orthoped, Baltimore, MD USA

[5] Georgetown Univ, Dept Plast Surg, Washington, DC USA

来源：

JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 03期

关键词：

hip arthroplasty; pain; lateral femoral cutaneous nerve;

D O I：

10.1016/j.arth.2007.04.027

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This report describes a situation in which the lateral femoral cutaneous (LFC) nerve was the source of incisional pain in a patient after a total hip arthroplasty. The painful scar was denervated by an approach that resected just the posterior branch of the LFC nerve. This was done through an incision near the anterior superior iliac crest, avoiding any potential exposure of the implant. One of the 3 patients reported here had a coexisting meralgia paresthetica that was treated by the same operative approach. The orthopedic surgeon should include the LFC nerve as an origin of persistent pain after total hip arthroplasty.

引用

页码：480 / 485

页数：6

共 25 条

[1] Anatomical course of the lateral femoral cutaneous nerve and its susceptibility to compression and injury [J].