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Lateral Femoral Cutaneous Nerve: Sensorik

This document summarizes several thigh, foot, and ankle disorders. It describes lateral femoral cutaneous nerve entrapment, also known as meralgia paresthetica, which causes pain and burning in the lateral thigh. It also discusses diabetic foot issues like neuropathy, ulcers, and infections. Further, it outlines causes and treatments for runner's foot from nerve entrapments or stress fractures. The document also summarizes tarsal tunnel syndrome, which involves tibial nerve entrapment, and interdigital neuralgia or Morton's neuroma. Poliomyelitis is also mentioned as causing atrophy of the peroneal muscles in the leg.

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yulia margareth
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68 views5 pages

Lateral Femoral Cutaneous Nerve: Sensorik

This document summarizes several thigh, foot, and ankle disorders. It describes lateral femoral cutaneous nerve entrapment, also known as meralgia paresthetica, which causes pain and burning in the lateral thigh. It also discusses diabetic foot issues like neuropathy, ulcers, and infections. Further, it outlines causes and treatments for runner's foot from nerve entrapments or stress fractures. The document also summarizes tarsal tunnel syndrome, which involves tibial nerve entrapment, and interdigital neuralgia or Morton's neuroma. Poliomyelitis is also mentioned as causing atrophy of the peroneal muscles in the leg.

Uploaded by

yulia margareth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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THIGH/HIP DISORDER

Lateral femoral
cutaneous nerve

Entrapment of nerve
under inguinal ligament

SENSORIK :

Dx : MERALGIA PARESTHETICA

• Nerve trapped near ASIS


• Due to activity (hip extension),
clothing (e.g.,
belt), or repetitive compression

Hx: Pain/burning in lateral


Thigh

PE: Decr. sensation on lateral


thigh, _ meralgia

XR: AP/lateral of hip: rule


out other pathology

TREAT : 1. Remove compressive


entity (e.g., belt, tight
clothing, etc.)
2. Surgical release: rare
Foot/Ankle disorder

DIABETIC FOOT

Sensorik:

Neuropati sensorik

Motorik:

Neuropati motorik/drop foot

Ulcers from pressure & neuropathy


(sensory & autonomic);
patient doesn’t feel
pain of lesion
• Previous ulcer #1 risk for
ulcer
• 15% of DM pts. have ulcers
• 2° infection can occur
• Vascular insuffi ciency leads
to decreased healing potential

Hx: NO pain,_/_wound
Drainage

PE: Skin changes (e.g.,


hair loss), diminished/
absent pulses, decreased
sensation
(monofi lament tests protective
sensation: 5.07
or better), ulcer; erythema,
swelling, drainage
may be present in
infection.

XR: Look for osteomyelitis


MR/indium scan: evaluate
for osteomyelitis
Labs: CBC/CRP (infection)
Ulcer Healing Indicators:
Lymphocytes: _1500
Albumin: _3.5
ABI: _0.45 (non-Ca__
vessels)
Toe pressures: _30 mmHg

1. Prevention: skin care,


DM shoes
2. Debride ulcer/callus,
total contact casting
(TCC)
3. Infection: Superfi cial:
debride, antibiotics;
Deep: surgical debridement,
IV antibiotics
Amputation for severe
or persistent cases

RUNNER’S FOOT

Multiple etiologies
• Medial plantar nerve
entrapment
• Baxter’s nerve
(1st br LPN)
• Stress fracture

Hx: Avid runner, pain

PE: MPN: medial arch


pain;
Baxter’s n.; plantar/lat.
pain
Bone TTP (MT, nav., etc)

XR: AP/lateral/oblique;
usually normal
Bone scan: evaluate for
stress fracture
treat :
Based on etiology:
MPN: release at knot of
Henry
Baxter’s: release abductor
hallucis fascia
Stress fx: immobilize, rest

Sensoris:

TARSAL TUNNEL syndrome

-Tibial nerve entrapped by


flexor retinaculum or
space-occupying lesion
(e.g., cyst) in tunnel
• Clinical diagnosis

Hx: Pain, numbness/


tingling
PE: Pain at tarsal tunnel,
_/_ sensory changes
and Tinel’s test

XR: AP/lateral; usu. normal


MR: Mass or lesion in
tunnel
EMG: Confi rm clinical diagnosis

1. NSAIDs, steroid inj.


2. Release retinaculum, abductor
hallucis fascia, remove
any mass (release
plantar nerves)

Interdigital neuralgia

(morton neuroma, morton neuralgia)


Kaki

Motorik:

Poliomielitis

Atrofi otot peroneus

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