Department of Orthopedic Surgery, Marugame Medical Center, Kagawa, Japan.
JBJS Case Connect. 2021 Apr 2;11(2):01709767-202106000-00004. doi: e20.00727.
A 51-year-old woman presented with a 2-month history of pain in the right thigh. Radiography and computed tomography of the pelvis showed cortical hyperostosis of the right ilium. She was diagnosed with meralgia paresthetica (MP) caused by melorheostosis involving the right ilium. After 6 weeks of conservative management, an operation was performed for the persisting pain. At the 1-year follow-up, no findings of recurrence were observed clinically and radiographically.
MP, caused by proximal irritation of the lateral femoral cutaneous nerve, can occur because of melorheostosis, which is a rare condition.
一名 51 岁女性，诉右侧大腿疼痛 2 个月。骨盆的 X 线和 CT 显示右侧髂骨皮质过度增生。诊断为因累及右侧髂骨的弥漫性硬化性肥厚骨病导致的感觉异常性股痛。经 6 周的保守治疗后，因持续疼痛而行手术治疗。1 年随访时，临床和影像学均未见复发迹象。
由于弥漫性硬化性肥厚骨病导致的股外侧皮神经近端激惹可引起感觉异常性股痛，这种疾病较为罕见。
