Diferencia entre revisiones de «Meralgia paresthetica»
(Text replacement - "==Treatment==" to "==Management==") |
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
||
| Línea 17: | Línea 17: | ||
{{Hip pain DDX}} | {{Hip pain DDX}} | ||
== | ==Evaluation== | ||
==Management== | ==Management== | ||
Revisión del 04:48 24 jul 2016
Background
- Entrapment of the lateral femoral cutaneous nerve usually in the inguinal canal
Etiology
- Intrapelvic (pregnancy, enlarging mass, aneurysm)
- Extrapelvic (trauma, tight garment or belt, obesity)
- Systemic (DM)
Clinical Features
- Numbness and pain of anterolateral thigh
- Pelvic compression test
- Turn patient on side
- Compress pelvis
- If symptoms are relieved after 30s of lateral compression diagnosis is confirmed
Differential Diagnosis
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Evaluation
Management
- NSAIDs
- Weight loss
- Corticosteroid injection