Prolonged Femoral Nerve Palsy After Ilio-Inguinal Nerve Block

2007 ◽  
Vol 32 (3) ◽  
pp. 271-271 ◽  
Author(s):  
Y SALIB ◽  
P KUKREJA ◽  
M PARIKH
Keyword(s):  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Femoral Nerve Palsy

Prolonged Femoral Nerve Palsy After Ilio-Inguinal Nerve Block

2007 ◽  
Vol 32 (3) ◽  
pp. 271 ◽  
Author(s):  
Y. Salib ◽  
P. K. Kukreja ◽  
M. K. Parikh
Keyword(s):  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Femoral Nerve Palsy

scholarly journals P102 FEMORAL NERVE PALSY POST OPEN INGUINAL HERNIA REPAIR - CASE REPORT AND LITERATURE REVIEW

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Mohamed Salama ◽  
Mahmoud Salama ◽  
c. shabaz ◽  
Himanshu Yadav
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Ilioinguinal Nerve ◽  
Open Mesh Repair ◽  
Femoral Nerve Palsy

Abstract Aim and Introduction “Inguinal hernia repair is one of the most common surgical procedures performed worldwide. Postoperative pain control is very important and recently nerve block has gained popularity as an alternative to opioid use. Transient femoral nerve palsy (TNFP) is a potential complication of ilioinguinal nerve block, but it is extremely rare with only a few cases reported. We discuss a case of TNFP post-left inguinal hernia repair to highlight this rare complication.” Material and Methods “Case Report: A 17-year-old male with clinically and radiologically confirmed left inguinal hernia underwent open mesh repair (Lichtenstein repair). At the end of the procedure, he had ilioinguinal and iliohypogastric nerve block (10ml, 0.5% bupivacaine). In the recovery room, he developed numbness of his anteromedial aspect of his left thigh with weakness of hip flexion and paralysis of quadriceps with an inability to extend his knee. He was reviewed by the anaesthetic team and was admitted overnight. His symptoms resolved spontaneously within 18 hours. He was subsequently discharged and followed up in the surgical OPD 2 weeks, 6 weeks and 6 months later and there were no residual neurological symptoms.” Results and Conclusion “TNFP post open hernia repair is very rare. Mechanisms of femoral nerve injury include suturing, stapling, scar tissue entrapment or direct compression. Careful attention is needed to the technique of local anaesthesia post-operatively (avoid deep infiltration, lowest volume and concentration used, ultrasound use) to avoid potential morbidity if this complication is not recognised.”

scholarly journals Femoral Nerve Palsy Following Landmark Based Ilioinguinal-Iliohypogastric Nerve Block: Case Report and Safety Review

2017 ◽  
Vol 8 (5) ◽  
pp. 155-158
Author(s):  
Logan Thomas Mellert ◽  
Maureen Elizabeth Cheung ◽  
Rick Alan Gemma
Keyword(s):  
Case Report ◽  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Safety Review ◽  
Femoral Nerve Palsy

Femoral Nerve Palsy Following Total Hip Arthroplasty: Incidence and Course of Recovery

2018 ◽  
Vol 33 (4) ◽  
pp. 1194-1199 ◽  
Author(s):  
Andrew N. Fleischman ◽  
Richard H. Rothman ◽  
Javad Parvizi
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Total Hip ◽  
Femoral Nerve Palsy

scholarly journals Transient femoral nerve palsy in spica cast treatment for developmental dysplasia of the hip

2018 ◽  
Vol 40 (2) ◽  
Author(s):  
Luisella Pedrotti ◽  
Barbara Bertani ◽  
Gabriella Tuvo ◽  
Redento Mora ◽  
Mario Mosconi ◽  
...  
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Female Child ◽  
Plaster Cast ◽  
Developmental Dysplasia ◽  
Congenital Dislocation ◽  
X Rays ◽  
Spica Cast ◽  
Femoral Nerve Palsy ◽  
Previously Treated

A 4 months and half female child come to our attention for congenital dislocation of the left hip, previously treated in another hospital with abduction bracing, without satisfactory results. After progressive longitudinal bilateral traction, closed reduction under general anesthesia was performed and a spica cast was applied in the so-called human position. The patients remained in the spica cast for 6 weeks and then the plaster cast was renewed in narcosis for another 6 weeks. Once the second cast has been removed left femoral nerve palsy was detected. Orthopaedic treatment was interrupted and in 3 months the nerve completely recovered, while the hip was still stable. We followed the child regularly since then, she is now five years old, she is totally asymptomatic, X-rays shows a residual acetabular dysplasia, with no sign of avascular necrosis.

Spontaneous iliacus haematoma with femoral nerve palsy: an appeal to involve surgical teams early

2021 ◽  
Vol 14 (1) ◽  
pp. e239024
Author(s):  
Alexander M Crawford ◽  
Theodore T Guild ◽  
Brendan M Striano ◽  
Arvind G Von Keudell
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Surgical Decompression ◽  
Patient Benefit ◽  
Surgical Case ◽  
Compressive Neuropathy ◽  
Femoral Nerve Palsy ◽  
Surgical Teams ◽  
High Index Of Suspicion ◽  
Bridge Therapy

We report the case of a 68-year-old man who was placed on heparin as bridge therapy and subsequently developed an iliacus haematoma with associated femoral nerve palsy. His team involved the orthopaedic surgery team in delayed fashion after his symptom onset. Due to his active medical conditions, he did not undergo surgical decompression of his haematoma until late into his hospital course. Unfortunately, this patient did not regain meaningful function from his femoral nerve deficit. We believe this case highlights the high index of suspicion necessary for making this diagnosis as well as the repercussions of an untimely decompression for this acute, compressive neuropathy. Although we are surgeons and this is a surgical case, we hope to publish this case in a medical journal to raise awareness that surgical decompression does have a role in this diagnosis and should ultimately be pursued early in its course for optimal patient benefit.

Femoral Nerve Palsy Following Iliacus Hematoma

Orthopedics ◽  
2008 ◽  
Vol 31 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Jennifer M. Weiss ◽  
Vernon Tolo
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Femoral Nerve Palsy
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