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The lateral cutaneous nerve of the thigh may have multiple branches. [1] Its position with relation to the ASIS can be very variable. [3] It may partially pass through sartorius muscle rather than over its surface. [1] It may be absent, and the sensory supply replaced by branches of the femoral nerve and the ilioinguinal nerve. [1]
The use of a nerve decompression or neurectomy to treat nerve pain along the lateral femoral cutaneous nerve is a firmly established surgical treatment. [ 24 ] [ 25 ] However, the more effective treatment between a decompression and neurectomy is still being researched.
For this reason, a nerve resection may be considered after a failed decompression. Examples of nerves that may be good candidates for resection are lateral femoral cutaneous nerve, [42] zygomaticotemporal branch of the trigeminal nerve, [43] the posterior femoral cutaneous nerve, [44] [45] and the middle/superior cluneal nerves. [46]
Meralgia paresthetica or meralgia paraesthetica is pain or abnormal sensations in the outer thigh not caused by injury to the thigh, but by injury to a nerve which provides sensation to the lateral thigh. Meralgia paresthetica is a specific instance of nerve entrapment. [5] The nerve involved is the lateral femoral cutaneous nerve (LFCN).
The most commonly injured nerve is the lateral femoral cutaneous nerve, although this risk is very low with proper arthroscopic portal placement. A new postless table designed by Stryker has nearly eliminated the risk of postoperative saddle parasthesia, which was previously a common complication.
Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs (including the feet) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which nerves , but there are minor variations in some of the details.
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The intermediate cutaneous nerve (middle cutaneous nerve) pierces the fascia lata (and generally the sartorius) about 7.5 cm below the inguinal ligament, and divides into two branches which descend in immediate proximity along the forepart of the thigh, to supply the skin as low as the front of the knee.