Department of Anatomy, Kasturba Medical College, Manipal, Karnataka, India.
Clin Anat. 2010 Nov;23(8):978-84. doi: 10.1002/ca.21043.
The lateral femoral cutaneous nerve (LFCN), a branch from the lumbar plexus, may come to the clinician's or surgeon's attention. We studied this nerve to determine its location and its relationship with neighboring structures around the anterior superior iliac spine (ASIS) and the inguinal ligament (IL). Additionally, cross-sectional microanatomy of the LFCN at the IL was studied. The LFCN was dissected in 47 lower limbs from formalin-fixed cadavers. The distances from the ASIS to the point where the LFCN crossed the IL and the lateral border of the sartorius were measured. The distance between the ASIS and the point it pierced the deep fascia was also measured. Twelve nerve specimens at the IL were collected for histological sectioning and were stained with hematoxylin and eosin. On examination of the cross-sectional area, the nonfascicular area was wider than the fascicular area because of an increased amount of thick collagen fibers. This study may be of help to clinicians managing meralgia paresthetica and may also assist in defining a safe area for surgical intervention on the anterolateral aspect of the thigh.
股外侧皮神经(LFCN)是腰丛的分支,可能会引起临床医生或外科医生的注意。我们研究了这条神经,以确定其在髂前上棘(ASIS)和腹股沟韧带(IL)周围的位置及其与邻近结构的关系。此外,还研究了 IL 处 LFCN 的横断微解剖结构。从福尔马林固定的尸体中解剖了 47 条下肢的 LFCN。测量了 LFCN 穿过 IL 和缝匠肌外侧缘的点到 ASIS 的距离,以及 ASIS 穿过深筋膜的点到 ASIS 的距离。在 IL 处收集了 12 个神经标本进行组织学切片,并用苏木精和伊红染色。在检查横截面积时,由于厚胶原纤维的增加,非束状区比束状区宽。这项研究可能对治疗股外侧皮神经炎的临床医生有帮助,也可能有助于确定股前外侧手术干预的安全区域。