Management of meralgia paresthetica.

Area of Science:

• Neurology
• Surgical Anatomy

Background:

• Meralgia paresthetica involves lateral femoral cutaneous nerve issues, causing thigh pain or dysesthesia.
• Entrapment or neurinoma formation are common causes of this condition.

Purpose of the Study:

• To evaluate treatment outcomes for meralgia paresthetica.
• To compare surgical interventions for intractable cases.

Main Methods:

• Review of 277 patients with meralgia paresthetica.
• Analysis of conservative and surgical treatment approaches, including neurolysis, transposition, and nerve sectioning.

Main Results:

• Conservative treatment succeeded in 91% of patients.
• Surgical intervention was required for 24 patients with intractable symptoms.
• Nerve sectioning in 24 cases resulted in 23 successful outcomes, with anatomical variations noted as a factor.

Conclusions:

• Conservative management is highly effective for meralgia paresthetica.
• Nerve sectioning is a successful surgical option for refractory cases.
• Understanding anatomical variations is crucial for surgical planning and preventing recurrence.