Table 3.
14 traumatic causes of meralgia paresthetica
Traumatic cause | Number of cases | Interval trauma-presentation | Remarks | Procedure | Outcome |
---|---|---|---|---|---|
Hip surgery | 3 THP, 1 intramedullary rod femur | 1.5–3 yrs |
2 cases complete transection, 1 neuroma, 1 anatomical variant type E |
Neurectomy (4) | Complete pain relief in 2 cases; other 2 cases no effect |
Fixation acetabular fracture | 1 | 5 yrs | Type D variant | Neurolysis | Temporary pain relief |
Seat-belt injury | 2 | 1 yr | Neurectomy (2) | Almost complete pain relief in both cases: one case recurrence 7 years after neurectomy, complete relief following suprainguinal re-resection | |
Bike accidents | 2 | 5 yrs | Neurexeresis (1), neurolysis (1) | Partial pain relief after neurexeresis, no relief after neurolysis | |
Inguinal hernia repair | 2 | 6 mo | 1 open: 1 scopic, anatomical variant (type E) | Neurolysis (1), neurectomy (1) | 1 good results after neurolysis, 1 recurrence of symptoms after neurolysis |
Vascular surgery for false aneurysm iliac artery | 1 | 1.5 yrs | Neurectomy | Almost complete pain relief | |
Abdominal uterus extirpation | 1 | 1 yr | Neurolysis | Complete pain relief | |
Heparin injection | 1 | 9 mo | Neurolysis followed by neurectomy | No pain relief after neurolysis, complete pain relief after neurectomy |
Mo months, THP total hip procedure, anterior approach, yrs years