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Femoral Neuropathy
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Femoral mononeuropathy, femoral nerve (FN) palsy
              • Definitions

                • FN entrapment or injury 2° to direct trauma, compression, stretch injury, or ischemia

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Other Modality Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Gurbuz O et al: Femoral Nerve Palsy due to Anticoagulant Induced Retroperitoneal Hematoma. Case Rep Med. 2014:450750, 2014
                                          2. Filosto M et al: MR neurography in diagnosing nondiabetic lumbosacral radiculoplexus neuropathy. J Neuroimaging. 23(4):543-4, 2013
                                          3. Fox AJ et al: Femoral neuropathy following total hip arthroplasty: review and management guidelines. Acta Orthop Belg. 78(2):145-51, 2012
                                          4. Hof JJ et al: What's new in MRI of peripheral nerve entrapment? Neurosurg Clin N Am. 19(4):583-95, vi, 2008
                                          5. Kornbluth ID et al: Femoral, saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil. 84(6):909-11, 2003
                                          6. Seijo-Martinez M et al: Acute femoral neuropathy secondary to an iliacus muscle hematoma. J Neurol Sci. 209(1-2):119-22, 2003
                                          7. Nogues MA et al: Unilateral femoral neuropathy. Muscle Nerve. 21(1):126-7, 1998
                                          8. Kuntzer T et al: Clinical and prognostic features in unilateral femoral neuropathies. Muscle Nerve. 20(2):205-11, 1997
                                          9. Brasch RC et al: Femoral neuropathy secondary to the use of a self-retaining retractor. Report of three cases and review of the literature. Dis Colon Rectum. 38(10):1115-8, 1995
                                          10. Kent KC et al: Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg. 20(6):905-10; discussion 910-3, 1994
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Femoral mononeuropathy, femoral nerve (FN) palsy
                                                      • Definitions

                                                        • FN entrapment or injury 2° to direct trauma, compression, stretch injury, or ischemia

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Other Modality Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Gurbuz O et al: Femoral Nerve Palsy due to Anticoagulant Induced Retroperitoneal Hematoma. Case Rep Med. 2014:450750, 2014
                                                                                  2. Filosto M et al: MR neurography in diagnosing nondiabetic lumbosacral radiculoplexus neuropathy. J Neuroimaging. 23(4):543-4, 2013
                                                                                  3. Fox AJ et al: Femoral neuropathy following total hip arthroplasty: review and management guidelines. Acta Orthop Belg. 78(2):145-51, 2012
                                                                                  4. Hof JJ et al: What's new in MRI of peripheral nerve entrapment? Neurosurg Clin N Am. 19(4):583-95, vi, 2008
                                                                                  5. Kornbluth ID et al: Femoral, saphenous nerve palsy after tourniquet use: a case report. Arch Phys Med Rehabil. 84(6):909-11, 2003
                                                                                  6. Seijo-Martinez M et al: Acute femoral neuropathy secondary to an iliacus muscle hematoma. J Neurol Sci. 209(1-2):119-22, 2003
                                                                                  7. Nogues MA et al: Unilateral femoral neuropathy. Muscle Nerve. 21(1):126-7, 1998
                                                                                  8. Kuntzer T et al: Clinical and prognostic features in unilateral femoral neuropathies. Muscle Nerve. 20(2):205-11, 1997
                                                                                  9. Brasch RC et al: Femoral neuropathy secondary to the use of a self-retaining retractor. Report of three cases and review of the literature. Dis Colon Rectum. 38(10):1115-8, 1995
                                                                                  10. Kent KC et al: Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg. 20(6):905-10; discussion 910-3, 1994