Skip to main content
SpringerLink
Log in
Book cover

Kompressionssyndrome peripherer Nerven pp 395–402Cite as

Nervus femoralis

  • Chapter

  • 52 Accesses

Zusammenfassung

Der N. femoralis (Abb. 157) bildet sich innerhalb der Muskelmasse des Psoas major aus den Rr. anteriores der Nn. lumbales II–IV. Er tritt einige Zentimeter proximal des Leistenbandes aus dem lateralen Rand des Psoas major aus und zieht in der Furche zwischen diesem und dem M. iliacus abwärts in das Trigonum femorale, bedeckt von Faszien und Peritoneum. Der intrapelvine Nervenabschnitt befindet sich rechts hinter der Ileozäkalregion, links hinter dem Colon sigmoideum, und entläßt Muskeläste für den M. psoas (der außerdem Äste von den Spinalnerven L2 und L3 erhält) sowie den M. iliacus. Ein weiterer Muskelast verläuft unter dem Leistenband in der Lacuna vasorum zum M. pectineus. Der Hauptstamm durchquert die Lacuna musculorum und zieht knapp lateral von der A.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Adelman, JU., Goldberg, GS., Puckett, JD., (1973) Postpartum bilateral femoral neuropathy. Obstet Gynecol 42: 845–850

    PubMed  CAS  Google Scholar 

  • Brower, TD., Wilde, AH., (1966) Femoral neuropathy in hemophilia. J Bone Joint Surg [Am] 48: 487–492

    CAS  Google Scholar 

  • Buchholz, HW., (1973) Das künstliche Hüftgelenk, Modell St. Georg. In: Cotta H, Schulitz KP (Hrsg) Der totale Hüftgelenksersatz. Thieme, Stuttgart, S., 81–92

    Google Scholar 

  • Chiu, WS., (1976) The syndrome of retroperitoneal hemorrhage and lumbar plexus neuropathy during anticoagulant therapy. South Med J 69: 595–599

    Article  PubMed  CAS  Google Scholar 

  • Cramer, H., Dietz, V., (1980) Das Kompressionssyndrom des N. femoralis bei retroperitonealer Raumforderung. Nervenarzt 51: 483–487

    CAS  Google Scholar 

  • DeBolt, WL., Jordan, JC., (1966) Femoral neuropathy from heparin hematoma. Report of two cases. Bull Los Angeles Neurol Soc 31: 45

    Google Scholar 

  • Frangakis, EK., (1977) Femoral neuropathy in haemophilia. Intern Orthop 1: 139–141

    Article  Google Scholar 

  • Gertzbein, SD., Evans, DC., (1972) Femoral nerve neuropathy complicating iliopsoas haemorrhage in patients without haemophilia. J Bone Joint Surg [Br] 54: 149–151

    CAS  Google Scholar 

  • Goodfellow, J., Fearn, CBD’A., Matthews, JM., (1967) Iliacus haematoma. A common complication of haemophilia. J Bone Joint Surg [Br] 49: 748–756

    CAS  Google Scholar 

  • Graif, M., Olchovsky, D., Frankl, O., Itzchak, Y., (1982) Ultrasonic demonstration of iliopsoas hematoma causing femoral neuropathy. Isr J Med Sei 18: 967–968

    CAS  Google Scholar 

  • Guha, SC., Poole, MD., (1983) Stress fracture of the iliac bone with subfascial femoral neuropathy. Unusual complications at a bone graft donor site: Case report. Br J Plast Surg 36: 305–306

    PubMed  CAS  Google Scholar 

  • Hern, M., Horoszowski, H., Selicohn, U., et al. (1982) Iliopsoas hematoma: Its detection and treatment with special reference to hemophilia. Arch Orthop Trauma Surg 99: 195–197

    Article  Google Scholar 

  • Hopper, CL., Baker, JB., (1968) Bilateral femoral neuropathy complicating vaginal hysterectomy. Analysis of contributing factors in 3 patients. Obstet Gynecol 32: 543

    PubMed  CAS  Google Scholar 

  • Kettlekamp, DB., Powers, SR., (1969) Femoral compression neuropathy in hemorrhagic disorders. Arch Surg 98: 367–368

    PubMed  CAS  Google Scholar 

  • Khella, L., (1979) Femoral nerve palsy: Compression by lymph glands in the inguinal region. Arch Phys Med Rehabil 60: 325–326

    PubMed  CAS  Google Scholar 

  • King, RB., Bechtold, DL., (1985) Warfarin-induced iliopsoas hemorrhage with subsequent femoral nerve palsy. Ann Emerg Med 14: 362–364

    Article  PubMed  CAS  Google Scholar 

  • Klammer, A., (1983) Faszienlogensyndrom der Iliakus-Psoas-Loge. Z Orthop 121: 298–304

    Article  PubMed  CAS  Google Scholar 

  • Komar, J., Cziffer, A., Szegvari, M., (1979) Als Komplikation von Schoenlein-Henochscher Purpura enstandenes Iliacus-Tunnelsyndrom. Nervenarzt 50: 405–407

    PubMed  CAS  Google Scholar 

  • Kounis, NJ., Macauley, MB., Ghorbal, MS., (1975) Iliacus hematoma syndrome. Can Med Assoc J 112: 872–873

    PubMed  CAS  Google Scholar 

  • Kubacz, GL., (1971) Femoral and sciatic compression neuropathy. Br J Surg 58: 580–582

    Article  PubMed  CAS  Google Scholar 

  • Lanz, T. von., Wachsmuth, W., (1984) Praktische Anatomie, Bd II, Teil 8A: Becken (hrsg von W Lierse). Springer, Berlin Heidelberg New York Tokyo Lau H, Shaban J (1973) Femoralislähmung nach vaginalen Operationen. Med Welt 24: 1214–1219

    Google Scholar 

  • Lazaro, RP., Brinker, RA., Weiss, JJ., Olejniczak, S., (1981) Femoral and obturator neuropathy secondary to retroperitoneal hemorrhage: The value of the CT scan. Comput Tomogr 5: 221–224

    Article  PubMed  CAS  Google Scholar 

  • Liaras, H., (1972) Paralysie bilatérale du crural par hématome sous-péritonéal lombo-iliaque. Lyon Chirurgie 68: 381–382

    CAS  Google Scholar 

  • Nobel, W., Marks, SC., Kubik, S., (1980) The anatomical basis for femoral nerve palsy following iliacus hematoma. J Neurosurg 52: 533–540

    Article  PubMed  CAS  Google Scholar 

  • Platzer, W., (1982) Atlas der topographischen Anatomie. Thieme, Stuttgart New York Probst A, Herder F, Hofer H, Thiel G (1982) Femoral nerve lesion subsequent to renal transplantation. Eur Urol 8: 314–316

    Google Scholar 

  • Razzuk, MA., Linton, RR., Darling, RC., (1967) Femoral neuropathy secondary to ruptured abdominal aortic aneurysms with false aneurysms. JAMA 201: 817–820

    Article  PubMed  CAS  Google Scholar 

  • Scholz, F., Hammans, W., Caniels, B., (1975) Femoralisparesen nach vaginaler Uterusexstirpation und ihre forensische Bedeutung. Geburtsh Frauenheilk 35: 710–714

    PubMed  CAS  Google Scholar 

  • Silverstein, A., (1979) Neurological complications in patients with hemorrhagic diathesis. In: Yinken, PJ., Bruyn, GW., (eds) Handbook of clinical neurology, vol 381. North Holland, Amsterdam

    Google Scholar 

  • Simeone, JF., Robinson, F., Rothman, SLG., Jaffe, CC., (1977) Computerized tomographic demonstration of a retroperitoneal hematoma causing femoral neuropathy. J Neurosurg 47: 946–948

    Article  PubMed  CAS  Google Scholar 

  • Sinclair, RH., Pratt, JH., (1972) Femoral neuropathy after pelvic operation. Am J Obstet Gynecol 112: 404–407

    PubMed  CAS  Google Scholar 

  • Sisto, D., Chiu, WS., Geelhoed, GW., Lewis, R., (1980) Femoral neuropathy after renal transplantation. South Med J 73: 1464–1466

    Article  PubMed  CAS  Google Scholar 

  • Spiegel, PC., Meitzer, JL., (1974) Femoral nerve neuropathy secondary to anticoagulation. J Bone Joint Surg [Am] 56: 425–427

    CAS  Google Scholar 

  • Stern, MN., Spiegel, P., (1975) Femoral neuropathy as complication of heparin anticoagulation therapy. Clin Orthop 106: 140–142

    Article  PubMed  Google Scholar 

  • Stöhr, M., (1980) Iatrogene Nervenläsionen. Thieme, Stuttgart New York

    Google Scholar 

  • Stöhr, M., Bluthardt, M., (1987) Atlas der klinischen Elektromyographie und Neurographie. 2. Aufl. Kohlhammer, Stuttgart Berlin Köln Mainz

    Google Scholar 

  • Stoeren, EJ., (1978) Bilateral iliacus haematoma with femoral nerve palsy complicating anticoagulant therapy. Acta Chir Scand 144: 181–183

    Google Scholar 

  • Strandell, G., (1942) Subcutaneous rupture of the iliopsoas muscle. Report on three cases. Acta Chir Scand 86: 149–167

    Google Scholar 

  • Susens, GP., Hendrickson, CG., Mulder, MJ., Sams, B., (1968) Femoral nerve entrapment secondary to a heparin hematoma. Ann Intern Med 69: 575–579

    PubMed  CAS  Google Scholar 

  • Vaziri, ND., Barnes, J., Khosrow, M., Ehrlich, R., Rosen, SM., (1976) Compression neuropathy subsequent to renal transplantation. Urology 7: 145–147

    Article  PubMed  CAS  Google Scholar 

  • Wells, J., Templeton, J., (1977) Femoral neuropathy associated with anticoagulant therapy. Clin Orthop 124: 155–60

    PubMed  Google Scholar 

  • White, AA., Crelin, ES., Mcintosh, S., (1974) Septic arthritis of hip joint secondary to umbilical artery catheterization associated with transient femoral and sciatic neuropathy. Clin Orthop 100: 190–194

    PubMed  Google Scholar 

  • Young, MR., Norris, JW., (1976) Femoral neuropathy during anticoagulant therapy. Neurology (Minn) 26: 1173–1175

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Neurologische Klinik der Weserberglandklinik, Grüne Mühle, D-3470, Höxter, Germany

    Prof. Dr. Wolfgang Tackman

  2. Neurochirurgische Klinik der Städtischen Kliniken Fulda, Pacelliallee 4, D-6400, Fulda, Germany

    Prof. Dr. Hans-Peter Richter

  3. Neurologische Klinik des Zentralklinikums Augsburg, Stenglinstraße 2, D-8900, Augsburg, Germany

    Prof. Dr. Manfred Stöhr

Authors
  1. Prof. Dr. Wolfgang Tackman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. Hans-Peter Richter
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Prof. Dr. Manfred Stöhr
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tackman, W., Richter, HP., Stöhr, M. (1989). Nervus femoralis. In: Kompressionssyndrome peripherer Nerven. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71768-0_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71768-0_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71769-7

  • Online ISBN: 978-3-642-71768-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation