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Meralgia paresthetica
From WikEM
Contents
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
- Femur fracture
- Hip dislocation
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic Arthritis (Hip)
- Obturator nerve entrapment
- Pelvic fractures
- Avascular necrosis of hip
Evaluation
Management
- NSAIDs
- Weight loss
- Corticosteroid injection
See Also
References
Authors
Jordan Swartz, Ross Donaldson, Neil Young, Daniel Ostermayer
