2014, Number 2
Ortho-tips 2014; 10 (2)
Romo RR, Clifton CJF, López AL, Navarro BE, Villarruel SJÁ, Zermeño RJJ, Gutiérrez MI, Espinosa de los Monteros KAF
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ABSTRACTCompressive neuropathy of the femoral nerve is a pourly recognized clinical entity which is largely surpassed by the traumatic or secondary pathology of this nerve. It is characterized by numbness or neuropathic pain in the anterior thigh and knee as well as on the anteromedial aspect of the leg. In severe cases, weakness of knee extension and hip flexion may be present. Symptoms tend to increase with hip extension and diminish with external rotation. It has been suggested that compression occurs underneath the iliopectineal ligament. When these cases require a surgical treatment, it consists in cutting this ligament by a retroperitoneal approach or by laparoscopy.