Procedures Procedural Education Arterial Line Central Line Chest Tube Cricothyrotomy Lumbar Puncture Procedural Sedation Regional Anesthesia Transvenous Pacemaker IC Cordes / Airway.Operations Logistics SPAMs UC Policies WCMC Operations WCMC Consults.Resident Education Grand Rounds Bread & Butter EM Electives Global Health Journal Club Social Media Primer Wellness.Prehospital EMS Air Care Orientation Air Care Education Air Care Equipment Air Care Medications Air Care Procedures Air Care Quick Reference Air Care Nuts & Bolts Air Care Safety Air Care Secure.Emergency KT EmergencyKT CC Evaluation Guidelines Clinical Practice Guidelines Common Forms Observation Protocols Outpatient Follow Up/Resources Antibiograms.Nabil Ebraheim.The Anatomy of Femoral Vascular Access - Taming the SRU Top Taming the SRU ↑ Femoral Nerve Anatomy - Everything You Need To Know - Dr.↑ The health board What can I do About Femoral Nerve Damage? Available: (accessed ).Clinical Anatomy A revision and applied anatomy for clinical students. ![]() ↑ Physiopedia The Femoral Triangle Available (accessed ).↑ Musculoskeletal key femoral neuropathy Available: (accessed ).India CBS Publisher and Distributors Pvt Ltd. Human Anatomy Volume 2 Regional and Applied Dissection and Clinical Lower Limb, Abdomen and Pelvis. Anatomy, Bony Pelvis and Lower Limb, Thigh Femoral Nerve. ↑ Muscular branches of femoral nerve (highlighted in green) - anterior view image - © Kenhub.A femoral nerve block can also be used as peri- and post-operative analgesia for patients with a fractured neck of femur who cannot tolerate particular analgesics.īelow is a 6 minute video on the femoral nerve. Femoral nerve block: Femoral nerve block (in combination with sciatic nerve block) may be indicated in patients requiring lower limb surgery who cannot tolerate a general anaesthetic.Patellar Tendon Reflex: The femoral nerve is responsible for the patellar tendon reflex (tests 元-L4 spinal component.Other mediating factors include fracturing the pelvis, internal bleeding, or oxygen deprivation to the nerve due to becoming encased in a tumor or being subjected to pressure by the presence of a tumor.Certain medical conditions eg diabetes, can damage this nerve due to impaired metabolic functioning, and is common.Īpart from direct injury aside the femoral nerve damage can be caused by a number of other factors. Sensory loss on the medial side of the leg and foot up to the ball of the great toe (first metatarsophalangeal joint), because of engagement of the saphenous nerve.Sensory decline over the anterior and medial aspects of the thigh, as a result of engagement of the intermediate and lateral cutaneous nerves of the thigh.Inability to extend the knee, because of paralysis of the quadriceps femoris.Poor flexion of the hip, because of paralysis of the iliacus, psoas and sartorius muscles.Listed here are the characteristic clinical features: It can also be damaged during hip replacement operations, particularly the anterior approach (not commonly used) where the nerve can be stretched and damaged. ![]() The femoral nerve can be damaged during penetrating trauma to the thigh. Injury of the femoral is uncommon but may be injured by a stab, gunshot wounds, or a pelvic fracture. Typically, damage and dysfunction of the femoral nerve are associated with the leg weakness and sensation changes. Femoral Triangle Ĭasualty, suffering from a gunshot wound to the groin.įemoral nerve damage (also referred to as femoral nerve dysfunction or neuropathy), can occur from an injury or prolonged compression. Note: The lateral thigh is not supplied by the femoral nerve but is innervated by the lateral femoral cutaneous nerve, which is derived directly from the lumbar plexus, receiving innervation from the L2–元 nerve roots. The nerve to the vastus medialis contains numerous proprioceptive fibres from the knee joint, accounting for the thickness of the nerve.
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