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At least 19 recordsLinked to original sources
PubMed1979

Iatrogenic femoral nerve injuries.

Eighteen cases of iatrogenic femoral nerve injury are described. In two patients the damage was incurred as a result of an intra-abdominal operation. In three others the nerve was injured at the level of the inguinal ligament. In the majority femoral nerve palsy followed surgery to the hip joint and was attributable to a lesion-in-continuity. Only one of the patients in the series made a full recovery, but because only severe cases were included these disappointing results by no means represent the expected outcome. To avoid this serious and distressing complication of surgery, the surgeon must be familiar with the anatomic features of the region and must take care to avoid compression of the femoral nerve by retractors and its overstretching during operations on the the hip joint.

Adolescent↗
PubMed1977

[Paralysis of the femoral nerve after abdominal and vaginal surgery].

Damages of the femoral nerve during gynaecological operations are more frequent than generally supposed. They are observed after abdominal and vaginal operations caused by pressure on the nerve. During abdominal procedures an unsuitable self-retaining retractor is due to the paralysis. If the legs of the patients are deposited on the shoulder-back-parties of the assistants during vaginal procedures there is the danger of pressing the femoral nerve against the inguinal ligament by strong bending and abduction of the thighs. We report about 3 cases of paralysis of this nerve; recommendations for avoidance are given.

Abdomen↗
PubMed1979

Femoral nerve palsy: compression by lymph glands in the inguinal region.

Femoral neuropathy caused by compression of the femoral nerve is not a common syndrome when compared with other compression neuropathies. In most cases reported, the compression was intraabdominal, either in the retroperitoneal region or in the course of the nerve through the psoas major muscle. In this case, the lesion was located extraabdominally. Enlarged and inflamed nodes in the inguinal region caused compression of the nerve resulting in femoral neuropathy. Electromyography (emg) and nerve conduction studies revealed that the lesion was neurapraxia. As expected, the condition was reversible; the patient responded to treatment of the inflamed glands and to physical therapy. The use of emg was helpful for confirming the diagnosis and making the prognosis.

Adult↗
PubMed1978

Ultrastructural sequence of myelin degradation. II. Wallerian degeneration in the rat femoral nerve.

Myelin degradation in Wallerian degeneration of rat femoral nerves has been studied with the electron microscope. In the initial stages, a decrease of myelin periodicity from 115 A to 88 A was noted, followed by the transformation of the myelin structure into uniformly layered lipid inclusions. 10--14 days after nerve section, most of the inclusions found represented unstructured lipid droplets or crystals. In the later stages of degeneration, numerous pleomorphic lamellar inclusions were found, some of them resembling the structure of pi and micron-granules. Lysosomal enzyme activity was found especially in pleomorphic inclusions during the late stages of myelin degradation. Normal myelin sheaths, as well as unstructured lipid droplets and crystals, were devoid of enzyme activity. The results are compared with alterations found in Wallerian degeneration of the central nervous system.

Animals↗
PubMed1975

Femoral nerve compression syndrome with paresis of the quadriceps muscle caused by radiotherapy of malignant tumours. A report of four cases.

Four patients showed signs of femoral nerve compression with subsequent paresis of the quadriceps muscle, after radiation therapy of malignant tumours. The compression was caused by scar tissue due to radiation treatment of the inguinal region. The first symptom was radiating pain in the front of the thigh and lower leg which appeared 12-16 months after X-ray treatment. A decrease in the strength of quadriceps muscle occurred some months later. In one case the femoral nerve was decompressed, another patient was treated by an intradural phenolglycerin injection and one patient was treated with cortisone and oxiphenbutazone. In these cases the pain decreased considerably, but in one case only the paresis of the quadriceps muscle improved after treatment.

Adult↗
PubMed1975

[Paresis of the femoral nerve following vaginal hysterectomy and its medico-legal implication (author's transl)].

Following the North American example, mal-practice suits become more common in Germany. The rare complication of a paresis of the femoral nerve following vaginal hysterectomy is reported. Among 1307 vaginal hysterectomies, including 33 radical vaginal hysterectomies between 1969 and 1974, three cases occurred. In one case, the surgeon was sued but the patient lost the mal-practice suit. In another case a diminished employability was recognized later. The causes and the prevention of damage of the femoral nerve during vaginal procedures are discussed.

Adult↗
PubMed1978

Bilateral iliacus haematoma with femoral nerve palsy complicating anticoagulant therapy.

A patient is reported who sustained bilaterial iliacus haematoma with femoral nerve palsy during treatment with constant intravenous infustion of heparin for deep venous thrombosis. She was promptly treated with operative decompression and recovered completely from the palsy. Daily examinations of the blood revealed that the plasma heparin concentration, activated partial thromboplastin time, APTT, and thrombin time all were above the therapeutic range at the time when the bleeding started, and before the initial symptoms occurred. Early operative decompression is considered to be the ideal treatment in patients who develop this complication during anticoagulant therapy.

Female↗
PubMed1976

[Femoral nerve paralysis complicating anticoagulant treatments. A propos of 3 cases].

The authors report 3 new cases of femoral nerve paralysis complicating anticoagulant treatment. The first sign was pain, the neurological signs occurred later and the patient usually recovered but recovery was sometimes incomplete. The pathogenesis is not clear : a muscle hematoma, ischemia of the nerve trunk, and intraneural hemorrhage are the commonest theories.

Aged↗
PubMedDate not supplied

A new single-position supine approach to sciatic-femoral nerve block.

To overcome the disadvantages of other methods, the authors have devised a procedure for below-the-knee operations, involving a new technic of sciatic-femoral nerve block. The technic has so far been successful without use of adjuvant agents in 90 percent of over 100 patients so handled.

Anesthesia, Intravenous↗
PubMed1976

The femoral nerve traction test with lumbar disc protrusions.

A easily performed test which can be carried out at the patient's bedside has been described. It is referred to as the femoral nerve traction test. Clinical evidence suggests it may have merit as an aid in the diagnosis of disc herniations that affect the upper lumbar spine.

Adult↗