Skip to main content
Top
Published in: MUSCULOSKELETAL SURGERY 1/2010

01-05-2010 | Original Article

The anatomical variation of the lateral femoral cutaneous nerve in relation to the anterior superior iliac spine and the iliac crest

Authors: Arkaphat Kosiyatrakul, Nattapol Nuansalee, Suriya Luenam, Tunyarut Koonchornboon, Sunya Prachaporn

Published in: MUSCULOSKELETAL SURGERY | Issue 1/2010

Login to get access

Abstract

The location of lateral femoral cutaneous nerve (LFCN) in relation to the anterior superior iliac spine (ASIS) and the iliac crest was investigated in 96 embalmed cadaveric specimens. Fifty-six nerves (58.3%) passed medial to the ASIS. Twenty-two nerves (22.9%) passed at the ASIS. Eighteen nerves (18.8%) passed lateral to the ASIS. The LFCN is usually located at 2.1 ± 0.8 to 3.9 ± 1.0 cm below the crest in the range of 2–5 cm lateral to the ASIS, respectively. When the anterior iliac crest bone graft harvesting is planned, the anatomical variation in this area should be concerned to reduce the risk of LFCN injury.
Literature
1.
go back to reference Ebraheim NA, Elgafy H, Xu R (2001) Bone-graft harvesting from iliac and fibular donor sites: techniques and complications. J Am Acad Orthop Surg 9(3):210–218PubMed Ebraheim NA, Elgafy H, Xu R (2001) Bone-graft harvesting from iliac and fibular donor sites: techniques and complications. J Am Acad Orthop Surg 9(3):210–218PubMed
2.
go back to reference Weikel AM, Habal MB (1977) Meralgia paresthetica: a complication of iliac bone procurement. Plast Reconstr Surg 60(4):572–574CrossRefPubMed Weikel AM, Habal MB (1977) Meralgia paresthetica: a complication of iliac bone procurement. Plast Reconstr Surg 60(4):572–574CrossRefPubMed
3.
go back to reference Massey EW (1980) Meralgia paresthetica secondary to trauma of bone graft. J Trauma 20(4):342–343PubMed Massey EW (1980) Meralgia paresthetica secondary to trauma of bone graft. J Trauma 20(4):342–343PubMed
4.
go back to reference Laurie SW, Kaban LB, Mulliken JB, Murray JE (1984) Donor-site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg 73(6):933–938CrossRefPubMed Laurie SW, Kaban LB, Mulliken JB, Murray JE (1984) Donor-site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg 73(6):933–938CrossRefPubMed
5.
go back to reference Kurz LT, Garfin SR, Booth RE Jr (1989) Harvesting autogenous iliac bone grafts. A review of complications and techniques. Spine 14(2):1324–1331 Kurz LT, Garfin SR, Booth RE Jr (1989) Harvesting autogenous iliac bone grafts. A review of complications and techniques. Spine 14(2):1324–1331
6.
go back to reference Banwart JC, Asher MA, Hassanein RS (1995) Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. Spine 20(9):1055–1060 Banwart JC, Asher MA, Hassanein RS (1995) Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. Spine 20(9):1055–1060
7.
go back to reference van den Broecke DG, Schuurman AH, Borg ED, Kon M (1998) Neurotmesis of the lateral femoral cutaneous nerve when coring for iliac crest bone grafts. Plast Reconstr Surg 102(4):1163–1166CrossRefPubMed van den Broecke DG, Schuurman AH, Borg ED, Kon M (1998) Neurotmesis of the lateral femoral cutaneous nerve when coring for iliac crest bone grafts. Plast Reconstr Surg 102(4):1163–1166CrossRefPubMed
8.
go back to reference Mirovsky Y, Neuwirth M (2000) Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine 25(10):1266–1269CrossRefPubMed Mirovsky Y, Neuwirth M (2000) Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine 25(10):1266–1269CrossRefPubMed
9.
go back to reference Grossman MG, Ducey SA, Nadler SS, Levy AS (2001) Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg 9(5):336–344PubMed Grossman MG, Ducey SA, Nadler SS, Levy AS (2001) Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg 9(5):336–344PubMed
10.
go back to reference Murata Y, Takahashi K, Yamagata M, Sameda H, Moriya H (2002) Injury to the lateral femoral cutaneous nerve during harvest of iliac bone graft, with reference to the size of the graft. J Bone Joint Surg Br 84(6):798–801CrossRefPubMed Murata Y, Takahashi K, Yamagata M, Sameda H, Moriya H (2002) Injury to the lateral femoral cutaneous nerve during harvest of iliac bone graft, with reference to the size of the graft. J Bone Joint Surg Br 84(6):798–801CrossRefPubMed
11.
go back to reference Ghent WR (1961) Further studies on meralgia paresthetica. Can Med Assoc J 85:871–875PubMed Ghent WR (1961) Further studies on meralgia paresthetica. Can Med Assoc J 85:871–875PubMed
12.
go back to reference Keegan JJ, Holyoke EA (1962) Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 19:341–345CrossRefPubMed Keegan JJ, Holyoke EA (1962) Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 19:341–345CrossRefPubMed
13.
go back to reference Aszmann OC, Dellon ES, Dellon AL (1997) Anatomical course of the lateral femoral cutaneous nerve and its susceptibility to compression and injury. Plast Reconstr Surg 100(3):600–604CrossRefPubMed Aszmann OC, Dellon ES, Dellon AL (1997) Anatomical course of the lateral femoral cutaneous nerve and its susceptibility to compression and injury. Plast Reconstr Surg 100(3):600–604CrossRefPubMed
14.
go back to reference Hospodar PP, Ashman ES, Traub JA (1999) Anatomic study of the lateral femoral cutaneous nerve with respect to the ilioinguinal surgical dissection. J Orthop Trauma 13(1):17–19CrossRefPubMed Hospodar PP, Ashman ES, Traub JA (1999) Anatomic study of the lateral femoral cutaneous nerve with respect to the ilioinguinal surgical dissection. J Orthop Trauma 13(1):17–19CrossRefPubMed
15.
go back to reference de Ridder VA, de Lange S, Popta JV (1999) Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma 13(3):207–211CrossRefPubMed de Ridder VA, de Lange S, Popta JV (1999) Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma 13(3):207–211CrossRefPubMed
16.
go back to reference Murata Y, Takahashi K, Yamagata M, Shimada Y, Moriya H (2000) The anatomy of the lateral femoral cutaneous nerve, with special reference to the harvesting of iliac bone graft. J Bone Joint Surg Am 82(5):746–747PubMed Murata Y, Takahashi K, Yamagata M, Shimada Y, Moriya H (2000) The anatomy of the lateral femoral cutaneous nerve, with special reference to the harvesting of iliac bone graft. J Bone Joint Surg Am 82(5):746–747PubMed
17.
go back to reference Grothaus MC, Holt M, Mekhail AO, Ebraheim NA, Yeasting RA (2005) Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res 437:164–168CrossRefPubMed Grothaus MC, Holt M, Mekhail AO, Ebraheim NA, Yeasting RA (2005) Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res 437:164–168CrossRefPubMed
18.
go back to reference Mischkowski RA, Selbach I, Neugebauer J, Koebke J, Zöller JE (2006) Lateral femoral cutaneous nerve and iliac crest bone grafts-anatomical and clinical considerations. Int J Oral Maxillofac Surg 35(4):366–372CrossRefPubMed Mischkowski RA, Selbach I, Neugebauer J, Koebke J, Zöller JE (2006) Lateral femoral cutaneous nerve and iliac crest bone grafts-anatomical and clinical considerations. Int J Oral Maxillofac Surg 35(4):366–372CrossRefPubMed
19.
go back to reference Bjurlin MA, Davis KE, Allin EF, Ibrahim DT (2007) Anatomic variations in the lateral femoral cutaneous nerve with respect to pediatric hip surgery. Am J Orthop 36(3):143–146PubMed Bjurlin MA, Davis KE, Allin EF, Ibrahim DT (2007) Anatomic variations in the lateral femoral cutaneous nerve with respect to pediatric hip surgery. Am J Orthop 36(3):143–146PubMed
20.
go back to reference Doklamyai P, Agthong S, Chentanez V, Huanmanop T, Amarase C, Surunchupakorn P, Yotnuengnit P (2008) Anatomy of the lateral femoral cutaneous nerve related to inguinal ligament, adjacent bony landmarks and femoral artery. Clin Anat 21(8):769–774CrossRefPubMed Doklamyai P, Agthong S, Chentanez V, Huanmanop T, Amarase C, Surunchupakorn P, Yotnuengnit P (2008) Anatomy of the lateral femoral cutaneous nerve related to inguinal ligament, adjacent bony landmarks and femoral artery. Clin Anat 21(8):769–774CrossRefPubMed
21.
go back to reference Ropars M, Morandi X, Huten D, Thomazeau H, Berton E, Darnault P (2009) Anatomical study of the lateral femoral cutaneous nerve with special reference to minimally invasive anterior approach for total hip replacement. Surg Radiol Anat 31(3):199–204CrossRefPubMed Ropars M, Morandi X, Huten D, Thomazeau H, Berton E, Darnault P (2009) Anatomical study of the lateral femoral cutaneous nerve with special reference to minimally invasive anterior approach for total hip replacement. Surg Radiol Anat 31(3):199–204CrossRefPubMed
22.
go back to reference Carai A, Fenu G, Sechi E, Crotti FM, Montella A (2009) Anatomical variability of the lateral femoral cutaneous nerve: findings from a surgical series. Clin Anat 22(3):365–370CrossRefPubMed Carai A, Fenu G, Sechi E, Crotti FM, Montella A (2009) Anatomical variability of the lateral femoral cutaneous nerve: findings from a surgical series. Clin Anat 22(3):365–370CrossRefPubMed
23.
go back to reference Alberti O, Wickboldt J, Becker R (2009) Suprainguinal retroperitoneal approach for the successful surgical treatment of meralgia paresthetica. J Neurosurg 110(4):768–774CrossRefPubMed Alberti O, Wickboldt J, Becker R (2009) Suprainguinal retroperitoneal approach for the successful surgical treatment of meralgia paresthetica. J Neurosurg 110(4):768–774CrossRefPubMed
24.
go back to reference Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J (2007) Ultrasound-guided blockade of the lateral femoral cutaneous nerve: technical description and review of 10 cases. Arch Phys Med Rehabil 88(10):1362–1364CrossRefPubMed Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J (2007) Ultrasound-guided blockade of the lateral femoral cutaneous nerve: technical description and review of 10 cases. Arch Phys Med Rehabil 88(10):1362–1364CrossRefPubMed
25.
go back to reference Ng I, Vaghadia H, Choi PT, Helmy N (2008) Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg 107(3):1070–1074CrossRefPubMed Ng I, Vaghadia H, Choi PT, Helmy N (2008) Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg 107(3):1070–1074CrossRefPubMed
26.
go back to reference Bodner G, Bernathova M, Galiano K, Putz D, Martinoli C, Felfernig M (2009) Ultrasound of the lateral femoral cutaneous nerve: normal findings in a cadaver and in volunteers. Reg Anesth Pain Med 34(3):265–268CrossRefPubMed Bodner G, Bernathova M, Galiano K, Putz D, Martinoli C, Felfernig M (2009) Ultrasound of the lateral femoral cutaneous nerve: normal findings in a cadaver and in volunteers. Reg Anesth Pain Med 34(3):265–268CrossRefPubMed
27.
go back to reference Kiyama T, Naito M, Shiramizu K, Shinoda T, Maeyama A (2009) Ischemia of the lateral femoral cutaneous nerve during periacetabular osteotomy using Smith-Petersen approach. J Orthop Traumatol 10(3):123–126CrossRefPubMed Kiyama T, Naito M, Shiramizu K, Shinoda T, Maeyama A (2009) Ischemia of the lateral femoral cutaneous nerve during periacetabular osteotomy using Smith-Petersen approach. J Orthop Traumatol 10(3):123–126CrossRefPubMed
Metadata
Title
The anatomical variation of the lateral femoral cutaneous nerve in relation to the anterior superior iliac spine and the iliac crest
Authors
Arkaphat Kosiyatrakul
Nattapol Nuansalee
Suriya Luenam
Tunyarut Koonchornboon
Sunya Prachaporn
Publication date
01-05-2010
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue 1/2010
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-010-0054-y

Other articles of this Issue 1/2010

MUSCULOSKELETAL SURGERY 1/2010 Go to the issue