PWV and ΔPWV gradually increased in age decades. Despite an improvement in BP control (from 37 to 60%), at follow-up the population showed a PWV increase (ΔPWV 0.87 ± 3.05 m/s). We performed a PWV follow-up examination with a median time amounting to 3.75 ± 0.53 years. At baseline anamnestic, clinical, BP, laboratory data and cfPWV were assessed. Materials and Methods: We enrolled 333 consecutive hypertensive outpatients 18–80 aged, followed by the Hypertension Unit of St. The aim of the current longitudinal study was to evaluate the determinants of the PWV progression over a 4 years follow-up period in hypertensive subjects. Nabil Ebraheim.Objective: The role of risk factors on the progression of arterial stiffness has not yet been extensively evaluated. ↑ 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. The knee joint is supplied by the nerves to the three vasti.The femoral nerve also innervates the capsule of the hip joint and allows for proprioceptive feedback about the joint.The saphenous nerve is the largest and longest branch of the femoral nerve and supplies the skin over the medial side of the leg.The posterior division supplies the four heads of the quadriceps femoris ( vastus medialis, vastus lateralis, vastus intermedius and rectus femoris) and then continues along the medial border of the calf as the saphenous nerve.Femoral and lateral-femoral-cutaneous-nervesThe anterior division gives rise to the medial and intermediate cutaneous nerves of the thigh and muscular branches to the sartorius and pectineus muscles.
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