Nerve Transposition to Treat Meralgia Parethetica Caused by Tight-fitting Low-rise Jeans

以神經轉位手術治療因穿著緊身低腰牛仔褲引起的感覺錯亂性股痛

10.6558/MTJM.2006.11(4).10

林承志(Cheng Jyh Lin)；許弘昌(Hong-Chang Shu)

感覺錯亂性股痛 ； 神經轉位手術 ； 緊身低腰牛仔褲 ； meralgia paresthetica ； nerve transposition ； tight-fitting low-rise jeans

Mid-Taiwan Journal of Medicine

11卷4期（2006 / 12 / 01）

271 - 275

英文

Meragial parathetica是股外側皮神經於腸股前上脊處受到長時間壓迫所造成的神經發炎反應。常發生於時常穿緊身衣物，其他如肥胖懷孕婦女，長期側躺及糖尿病患者，特殊職業或手術造成。治療方法只要改變穿衣及生活習慣，給予抗發炎藥物，或局部注射類固醇，大多可以改善。只有少數病人需要手術治療。文獻記載手術採神經減壓手術，或神經切斷手術為主。我們報告一病例因長期穿著緊身低腰牛仔褲引發病痛，因保守治療無效，後來採減壓及神經轉位治療術後，症狀完全緩解。

Meralgia paresthetica (MP) is an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN) due to prolonged compression at the site of the anterior superior iliac spine (ASIS) where the nerve exits the pelvis. This condition is frequently associated with tight clothing, being overweight, pregnancy, prolonged lying in the lateral position, diabetes mellitus, specific occupations, and surgery. The majority of MP cases can be attenuated by change in clothing and living habits, administration of anti-inflammatory drugs, and local injection of corticosteroid. However, a few patients may need surgical intervention. According to the literature, the primary options for MP include nerve decompression surgery and neurolysis. The present case report describes a patient with MP due to long-term wearing of tight-fitting, low-rise jeans. Her symptoms were successfully alleviated by decompression surgery with transposition of the LFCN after failure of conservative therapies.