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Meralgia paresthetica in children

R Edelson1, P Stevens

  • 1Pediatric Orthopedic Associates, Salt Lake City, Utah 84113.

The Journal of Bone and Joint Surgery. American Volume
|July 1, 1994
PubMed
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Meralgia paresthetica, a nerve condition causing pain, is more common in children than previously thought. Surgical decompression of the lateral femoral cutaneous nerve offers significant pain relief and activity restoration in pediatric patients.

Area of Science:

  • Pediatric Neurology
  • Surgical Interventions

Background:

  • Meralgia paresthetica is typically seen in adults, rarely reported in children.
  • Delayed diagnosis in children leads to unnecessary investigations and prolonged symptoms.

Purpose of the Study:

  • To investigate the occurrence and outcomes of meralgia paresthetica in pediatric patients.
  • To evaluate the efficacy of open decompression for lateral femoral cutaneous nerve in children.

Main Methods:

  • Retrospective review of twenty children and adolescents diagnosed with meralgia paresthetica.
  • Surgical decompression of the lateral femoral cutaneous nerve performed on twenty-four lesions.
  • Follow-up of twenty-one surgical outcomes for at least two years.

Main Results:

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  • The average age of symptom onset was ten years, with initial diagnosis missed in half the patients.
  • Open decompression resulted in excellent outcomes (complete pain relief) in fourteen patients.
  • Good or fair outcomes were achieved in seven patients, with minimal to moderate residual symptoms.

Conclusions:

  • Meralgia paresthetica is likely underdiagnosed in the pediatric population.
  • Open decompression of the lateral femoral cutaneous nerve is an effective treatment for pediatric meralgia paresthetica.