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Hip Nerve Entrapment Syndromes: Difference between revisions

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|+ Sites of nerve entrapment in the hip region. From Martin et al 2017 <ref>Martin R, Martin HD, Kivlan BR. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther. 2017;12(7):1163-1173. doi:10.26603/ijspt20171163</ref>
|+ Sites of nerve entrapment in the hip region. From Martin et al 2017 <ref>Martin R, Martin HD, Kivlan BR. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther. 2017;12(7):1163-1173. doi:10.26603/ijspt20171163</ref>
!colspan="3"  style="text-align: center;|Anterior Nerve Entrapments
|-
!|Nerve
!|Nerve
!|Site of entrapment
!|Site of entrapment
!|Clinical features
!|Clinical features
|-
|-
!| Obturator
!colspan="3"  style="text-align: center;" class="tableSubHeading"|Anterior Nerve Entrapments
|-
| Obturator
| <ul><li>Obturator Canal</li><li>Adductor muscle fascia</li></ul>
| <ul><li>Obturator Canal</li><li>Adductor muscle fascia</li></ul>
| <ul><li>Pain in medial thigh</li><li>Aggravation with movement into abduction</li></ul>
| <ul><li>Pain in medial thigh</li><li>Aggravation with movement into abduction</li></ul>
|-
|-
!| Femoral
| Femoral
| <ul><li>Beneath iliopsoas tendon</li><li>Inguinal ligament</li><li>Adductor canal</li></ul>
| <ul><li>Beneath iliopsoas tendon</li><li>Inguinal ligament</li><li>Adductor canal</li></ul>
| <ul><li>Reproduction of symptoms with modified Thomas test position</li><li>Quadriceps muscle weakness</li><li>Pain in the anteromedial knee joint, medial leg, and foot</li></ul>
| <ul><li>Reproduction of symptoms with modified Thomas test position</li><li>Quadriceps muscle weakness</li><li>Pain in the anteromedial knee joint, medial leg, and foot</li></ul>
|-
|-
!| Lateral Femoral Cutaneous
| [[Lateral Femoral Cutaneous Nerve Entrapment|Lateral Femoral Cutaneous]]
|<ul><li>Inguinal ligament</li></ul>
|<ul><li>Inguinal ligament</li></ul>
|<ul><li>Positive pelvic compression test</li></ul>
|<ul><li>Positive pelvic compression test</li></ul>
|-
|-
!colspan="3"  style="text-align: center;|Posterior Nerve Entrapments
!colspan="3"  style="text-align: center;" class="tableSubHeading"|Posterior Nerve Entrapments
|-
|-
!| Sciatic
| Sciatic
| <ul><li>Piriformis and obturator internus/gemelli complex</li><li>Proximal hamstring</li><li>Lesser trochanter and ischium</li></ul>
| <ul><li>Piriformis and obturator internus/gemelli complex</li><li>Proximal hamstring</li><li>Lesser trochanter and ischium</li></ul>
| <ul><li>Positive seated piriformis stretch and/or active piriformis tests</li><li>Ischial tenderness</li><li>Pain in the posterior thigh to the popliteal fossa aggravated with running</li><li>Positive ischial femoral impingement test</li></ul>
| <ul><li>Positive seated piriformis stretch and/or active piriformis tests</li><li>Ischial tenderness</li><li>Pain in the posterior thigh to the popliteal fossa aggravated with running</li><li>Positive ischial femoral impingement test</li></ul>
|-
|-
!| Pudendal
| Pudendal
| <ul><li>Ischial spine, sacrospinous ligament, and lesser sciatic notch entrance.</li><li>Greater sciatic notch and piriformis</li><li>Alcock's canal and obturator internus</li></ul>
| <ul><li>Ischial spine, sacrospinous ligament, and lesser sciatic notch entrance.</li><li>Greater sciatic notch and piriformis</li><li>Alcock's canal and obturator internus</li></ul>
| <ul><li>Pain medial to ischium</li><li>Sciatic notch tenderness and piriformis muscle spasm and tenderness</li><li>Obturator internus spasm and tenderness</li></ul>
| <ul><li>Pain medial to ischium</li><li>Sciatic notch tenderness and piriformis muscle spasm and tenderness</li><li>Obturator internus spasm and tenderness</li></ul>
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==References==
==References==
[[Category:Mononeuropathies]]


[[Category:Pelvis, Hip & Thigh]]
[[Category:Pelvis, Hip and Thigh Conditions]]
[[Category:Stubs]]

Latest revision as of 15:17, 11 March 2023

This article is a stub.


Sites of nerve entrapment in the hip region. From Martin et al 2017 [1]
Nerve Site of entrapment Clinical features
Anterior Nerve Entrapments
Obturator
  • Obturator Canal
  • Adductor muscle fascia
  • Pain in medial thigh
  • Aggravation with movement into abduction
Femoral
  • Beneath iliopsoas tendon
  • Inguinal ligament
  • Adductor canal
  • Reproduction of symptoms with modified Thomas test position
  • Quadriceps muscle weakness
  • Pain in the anteromedial knee joint, medial leg, and foot
Lateral Femoral Cutaneous
  • Inguinal ligament
  • Positive pelvic compression test
Posterior Nerve Entrapments
Sciatic
  • Piriformis and obturator internus/gemelli complex
  • Proximal hamstring
  • Lesser trochanter and ischium
  • Positive seated piriformis stretch and/or active piriformis tests
  • Ischial tenderness
  • Pain in the posterior thigh to the popliteal fossa aggravated with running
  • Positive ischial femoral impingement test
Pudendal
  • Ischial spine, sacrospinous ligament, and lesser sciatic notch entrance.
  • Greater sciatic notch and piriformis
  • Alcock's canal and obturator internus
  • Pain medial to ischium
  • Sciatic notch tenderness and piriformis muscle spasm and tenderness
  • Obturator internus spasm and tenderness

References

  1. ↑ Martin R, Martin HD, Kivlan BR. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther. 2017;12(7):1163-1173. doi:10.26603/ijspt20171163
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