PDF(Pubmed)
Abstract：
Meralgia paresthetica (MP) is a painful condition caused by damage or constriction of the lateral femoral cutaneous nerve (LFCN). This entrapment condition typically arises due to various factors, including trauma, pelvic tumors, external compression from belts or snug attire, and weight gain. The prognosis is generally favorable since most cases are self-limiting or respond to conservative treatment. We present the case of a 53-year-old overweight man, with no relevant medical history, who was a victim of a traffic accident in October 2023 which resulted in polytrauma, according to the Case Reports (CARE) checklist. The main complaint of the patient was tingling of the left thigh, with dysesthesia to gentle rubbing along the anterolateral surface. After a diagnostic study, a diagnosis of post-trauma MP was thus established, probably due to seat-belt compression of the LFCN, and physiatric treatment was initiated. With the assistance of ultrasound, a large hematoma was seen, above the inguinal ligament with drainage of 140ccc of serosanguineous fluid with resolution of the symptoms. This case emphasizes the importance of a physiatry consultation for a correct diagnosis and focuses on the main complaint of a polytrauma patient.
摘要：
感觉异常疼痛（MP）是由股外侧皮神经（LFCN）的损伤或收缩引起的疼痛状况。这种截留状况通常是由于各种因素而产生的，包括外伤,骨盆肿瘤,来自皮带或紧身服装的外部压缩，和体重增加。预后通常是有利的，因为大多数病例是自限性或对保守治疗有反应。我们介绍了一个53岁超重男子的案例，没有相关病史，他是2023年10月交通事故的受害者，导致多发性创伤，根据病例报告（CARE）清单。病人的主诉是左大腿刺痛,感觉迟钝，沿着前外侧表面轻轻摩擦。经过诊断研究,因此建立了创伤后MP的诊断，可能是由于LFCN的安全带压缩，并开始了物理治疗。在超声波的帮助下，看到了一个大的血肿，腹股沟韧带上方有140cc的浆血液引流，症状消退。此病例强调了理疗咨询对正确诊断的重要性，并着重于多发性创伤患者的主要主诉。
