26: Femoral Neuropathy

Question 1

What does the anterior division of the femoral nerve give rise to? The posterior?

Answer 1

Medial and intermediate cutaneous nerves of the thigh; muscular branches to the sartorius and pectineus muscles;
Quadriceps and the saphenous nerve

Question 2

If the iliopsoas muscle is compromised, where does that localize the lesion?

Answer 2

Proximal to the inguinal ligament

Question 3

Common causes of femoral neuropathy?

Answer 3

Retroperitoneal hematoma, diabetic amyotrophy, compression at the inguinal ligament due to lithotomy position; positioning or compression during abdominal or pelvic surgery; renal transplant and nerve ischemia