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The saphenous nerve (long or internal saphenous nerve) is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal.
The saphenous nerve block is often done in combination with the popliteal block for surgeries below the knee. [53] The saphenous nerve is numbed at the medial part of the lower thigh under the sartorius muscle. [53] The lumbar plexus block is an advanced technique indicated for hip, anterior thigh, and knee surgery. [54]
The medial cutaneous nerve, before dividing, gives off a few filaments, which pierce the fascia lata, to supply the integument of the medial side of the thigh, accompanying the long saphenous vein. One of these filaments passes through the saphenous opening; a second becomes subcutaneous about the middle of the thigh; a third pierces the fascia ...
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve , though this may also refer to nerve root compression (by a herniated disc , for example).
The infrapatellar branch of saphenous nerve is a nerve of the lower limb. [1] The saphenous nerve, located about the middle of the thigh, gives off a branch which joins the subsartorial plexus. It pierces the sartorius and fascia lata, and is distributed to the skin in front of the patella.
Identifying the level of entrapment is an important consideration for surgery as decompressing the wrong area will lead to a failed surgery (e.g. performing back surgery for extra-spinal sciatica), [2] [3] failure to treat nerve entrapment early can lead to permanent nerve injury, [4] and the patient may be unnecessarily exposed to surgical ...
Femoral nerve blocks are very effective. [3] During pelvic surgery and abdominal surgery, the femoral nerve must be identified early on to protect it from iatrogenic nerve injury. [4] The femoral nerve stretch test can be performed to identify the compression of spinal nerve roots. [5] The test is positive if thigh pain increases. [5]
The lateral cutaneous nerve of the thigh can be studied using ultrasound. [1] A patient lies on a bed facing upwards (supine). [3] The ultrasound probe is moved along the length of the nerve, often starting from near the ASIS. [3] The nerve is easier to see over the sartorius muscle than in other subcutaneous tissue, as there is greater ...