We present a patient with a spontaneous iliacus muscle hematoma, appearing immediately after a minor physical maneuver, presenting with pain and femoral neuropathy initially evidenced by massive quadriceps muscle fasciculations. [ncbi.nlm.nih.gov]

• Spontaneous Hemorrhage

  hemorrhage—typically due to anticoagulant therapy Idiopathic Hypertrophic mononeuropathy [ 9 ] The femoral nerve arises from the anterior rami of the lumbar nerve roots 2, 3, and 4. [clinicalgate.com]

  Tallroth A: Hemophilia with spontaneous hemorrhage in the iliopsoas muscle followed by injury to the femoral nerve - Report of a case. Acta Chir Scand 1939; 82:1-9. 14. [healio.com]

• Soft Tissue Mass

  Unilateral enlargement of the iliopsoas muscle or a soft tissue mass involving the iliopsoas compartment was noted in the 23 patients with positive studies. [ncbi.nlm.nih.gov]

• Left Upper Quadrant Pain

  One month prior to admission, upon evaluation she was found to have left quadriceps atrophy and developed left upper quadrant pain. Sensory exam at that time was noted to be normal. [healio.com]

• Thigh Pain

  We describe a 58-year-old man who had progressive thigh pain, weakness, and numbness develop 13 years after cementless arthroplasty of his left hip. Plain radiographs showed substantial liner wear. [ncbi.nlm.nih.gov]

  History A 67-year-old black woman presented one year prior to admission to this institution with left distal anterior thigh pain and left hip pain with an event of giving way of her left knee. [healio.com]

  pain with anomalous perception". [en.wikipedia.org]

  Pain may be increased with hip extension and relieved with external rotation of the hip. If compression occurs at the inguinal region, no hip flexion weakness is present. [davidhinman.com]

• Quadriceps Muscle Weakness

  Admitted to the rehabilitation service 6 weeks after the fall, the patient was found to have a previously undiagnosed profound quadriceps muscle weakness. [ncbi.nlm.nih.gov]

  Signs [ 12 ] These may include: Quadriceps muscle weakness and wasting. Loss of knee jerk. Numbness along the medial side of the thigh and anteromedial side of the calf (the L2-L4 dermatomes - see figures below). [patient.info]

• Thigh Weakness

  CONCLUSIONS: Leg pain, thigh weakness, and atrophy are compatible with femoral neuropathy and are symptoms and signs compatible with recurrent large-bowel cancer. [ncbi.nlm.nih.gov]

  Key points • Femoral neuropathy presents, often acutely, with thigh weakness, numbness, and variable pain. [medlink.com]

• Anterior Thigh Pain

  History A 67-year-old black woman presented one year prior to admission to this institution with left distal anterior thigh pain and left hip pain with an event of giving way of her left knee. [healio.com]

• Neglect

  When the patient fails to address associated suffering, it is easy for clinicians to neglect this type of morbidity. [ncbi.nlm.nih.gov]

CT with contrast is usually required in workup. Patients with progressive neurological dysfunction should be taken up for decompression to avoid permanent disability. Financial support and sponsorship Nil. [indjvascsurg.org]

Differentials Conditions to consider in the differential diagnosis of femoral mononeuropathy include the following (see Presentation and Workup): Vasculitic neuropathy Lumbar plexopathies Lumbosacral disk syndromes Anatomy Knowledge of femoral nerve anatomy [emedicine.medscape.com]

[…] and external rotation of the thigh has been associated with femoral neuropathy, particularly after prolonged surgery.29 Lumbar disc disease, specifically L3-L4 herniations, can present as peripheral femoral neuropathy and should be ruled out.30 The workup [healio.com]

In the United States, duloxetine has been approved for the treatment of major depressive disorder, diabetic peripheral neuropathic pain and fibromyalgia in the adult population. [ncbi.nlm.nih.gov]

Non-somatic Treatment Psychological Treatment Depression Treatment Cognitive-Behavioural Treatment Rehabilitation Treatment Somatic Treatment Pharmacological treatment: Tricyclic antidepressants Anticonvulsives: carbamazepine, oxcarbazepine, gabapentine [pijn.com]

The prognosis was found to be excellent with complete recovery within eight to ten weeks. The complication is preventable by using lateral thigh supports limiting the degree of abduction. [ncbi.nlm.nih.gov]

Use of prolonged digital pressure for post-procedural hemostasis is implicated as possible etiology. [ncbi.nlm.nih.gov]

We report this unusual complication that followed major pelvic surgery and also review the literature and discuss the possible etiology for prevention of this injury. [tmu.pure.elsevier.com]

Working with ATs to identify and implement methods to obtain more specific diagnostic information via surveillance will help researchers better understand the epidemiology of peripheral nerve injuries. Publisher Full Text New Search Next [unboundmedicine.com]

Midha R (1997) Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40;1182–1189 PubMed CrossRef Google Scholar 6. [link.springer.com]

Epidemiology Femoral nerve lesions are uncommon. [patient.info]

The variability in clinical presentation of iatrogenic femoral nerve lesions, some new insights in their diverse pathophysiology, and in the diagnostic and treatment options are discussed with an update from the literature. [ncbi.nlm.nih.gov]

Such complications can be prevented by minimising the procedural time, avoiding injury to the vessels and maintaining optimal posture of patient's thigh by limiting abduction and external rotation of hip. [ncbi.nlm.nih.gov]