Anatomical Variation of Lateral Femoral Cutaneous Nerve around Anterior Iliac Crest in Thais

Authors

  • Likit Rugpolmuang Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Saranatra Waikakul Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

Abstract

Background: Lateral femoral cutaneous nerve (LFCN) usually passes along the inner surface of the iliac crest and medial to the anterior superior iliac spine (ASIS), Many orthopaedic procedures that are operated around ASIS may cause injuries to the nerve.

Aim of Investigation: To find out normal variation of the nerve in relationship to the ASIS.

Materials and Methods: The study was carried out as a survey research in preserved 40 Thai cadavers. Dissection was performed on both sides. The AS IS was used as the referent point. The distribution of the nerve was dissected from spinal foramens down to iliac crest, ASIS and at about 5 cm below the spine. Distances between the nerve and the iliac crest and ASIS were measured.

Results: Mean distance between iliac crest and the nerve is 4.52 cm. All nerves ran medial to the iliac crest and inferiorly below the ASIS. In all specimens the nerve passed medial to the ASIS.

Conclusions: Most of the specimens revealed classical nerve distribution while 2.5 % had variation in the course of the nerve so that the nerve might be injured during surgical procedure around the anterior part of iliac crest.

References

1. Yasuaki M, Kazuhisa T, Masatsune Y, Yutaka S. The anatomy of the lateral femoral cutaneous nerve with special reference to the harvesting of iliac bone graft. JBJS 1997; 82 A: 746-7.

2. Aporn C, Sanjai S, Siriporn T, Rungsan s, Nutchaya A, Anatomical variation of the lateral femoral cutaneous nerve as it exits the pelvis in Thais from the central region. Siriraj medical document 2003; 55-3:152-7.

3. Massey EW. Meralgia paresthetica secondary to trauma of bone graft. J Trauma 1980; 20: 342-3.

4. Warfield CA, Meralgia paresthetica. Cause and cures. Hosp Prac Off Ed 1986; 21: 40A, 40C, 401.

5. Mirovsdy T, Neuwirth M. Injuries to the lateral femoral cutaneous nerve during spine surgery, Spine 2000; 25: 1266-9.

6. Kurz LT, Garfin SR, Booth RE. Harvesting autogenous iliac bone grafts. Spine 1989; 14: 1324-31.

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Published

2005-12-30

How to Cite

1.
Rugpolmuang L, Waikakul S. Anatomical Variation of Lateral Femoral Cutaneous Nerve around Anterior Iliac Crest in Thais. Thai J Surg [Internet]. 2005 Dec. 30 [cited 2024 Nov. 23];26(4):133-5. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242067

Issue

Vol. 26 No. 4 (2005): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.