Hanna Amgad S
Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, Madison, Wisconsin, 53792.
Clin Anat. 2017 Apr;30(3):409-412. doi: 10.1002/ca.22849.
Meralgia paresthetica causes pain in the anterolateral thigh. Most surgical procedures involve nerve transection or decompression. We conducted a cadaveric study to determine the feasibility of lateral femoral cutaneous nerve (LFCN) transposition. In three cadavers, the LFCN was exposed in the thigh and retroperitoneum. The two layers of the LFCN canal superficial and deep to the nerve were opened. The nerve was then mobilized medially away from the ASIS, by cutting the septum medial to sartorius. It was possible to mobilize the nerve for 2 cm medial to the ASIS. The nerve acquired a much straighter course with less tension. A new technique of LFCN transposition is presented here as an anatomical feasibility study. The surgical technique is based on the new understanding of the LFCN canal. Clin. Anat. 30:409-412, 2017. © 2017 Wiley Periodicals, Inc.
股外侧皮神经痛会导致大腿前外侧疼痛。大多数外科手术包括神经切断术或减压术。我们进行了一项尸体研究，以确定股外侧皮神经（LFCN）转位的可行性。在三具尸体中，股外侧皮神经在大腿和腹膜后被暴露出来。打开神经浅面和深面的两层股外侧皮神经管。然后通过切断缝匠肌内侧的隔膜，将神经从髂前上棘内侧游离出来。可以将神经游离至髂前上棘内侧2厘米处。神经走行变得更直，张力更小。本文提出了一种股外侧皮神经转位的新技术，作为一项解剖学可行性研究。该手术技术基于对股外侧皮神经管的新认识。《临床解剖学》30:409 - 412, 2017。© 2017威利期刊公司。
