• Medicine · Aug 2024

    Review

    Rare entrapment neuropathies of the lower extremity: A narrative review.

    • Nicu Cătălin Drăghici, Roxana Bolchis, Livia Livinț Popa, Vitalie Văcăraș, Silvina Iluț, Atamyrat Bashimov, Diana Maria Domnița, Hanna Maria Dragoș, Irina Vlad, and Dafin Fior Mureșanu.
    • IMOGEN Institute, Centre of Advanced Research Studies, Cluj-Napoca, Romania.
    • Medicine (Baltimore). 2024 Aug 30; 103 (35): e39486e39486.

    AbstractLower limb entrapment neuropathies comprise a wide range of disorders, including less common conditions like tarsal tunnel syndrome, Morton neuroma, obturator nerve entrapment syndrome, superior gluteal nerve entrapment, and cluneal nerve entrapment syndrome. Despite being less prevalent, these syndromes are equally significant, presenting with symptoms such as pain, dysesthesia, muscular weakness, and distinct physical signs. Accurate diagnosis of these less common disorders is crucial for successful therapy and patient recovery, as they can sometimes be mistaken for lumbar plexopathies, radiculopathies, or musculotendinous diseases. This narrative review highlights the significance of identifying and diagnosing these particular neuropathies through a comprehensive assessment of the patient's medical history, detailed physical examination, and the use of electrodiagnostic and/or ultrasound investigations. When the diagnosis is uncertain, advanced imaging techniques like magnetic resonance neurography or magnetic resonance imaging are necessary to confirm the diagnosis. A positive diagnosis ensures prompt and targeted treatments, preventing further nerve impairments and muscle wasting. This article explores the epidemiology, anatomy, pathophysiology, etiology, clinical presentation, and electrodiagnostic interpretation of lower limb entrapment neuropathies, highlighting the importance of precise diagnosis in achieving favorable patient outcomes.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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