Skip to main content
SpringerLink
Log in

Lumbar Plexus Entrapment: Abdominal

  • Chapter
Peripheral Nerve Entrapments

  • 5255 Accesses

Abstract

Entrapment of the lumbosacral plexus is an under-recognized cause of low back, abdominal, pelvic, and lower extremity pain; because of the wide variety of entrapments, there can be a wide variety of potentially confusing clinical presentations. The clinician needs to have a high index of suspicion to diagnose and therefore treat entrapment of the lumbosacral plexus.

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

Access this chapter

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 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover 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

Institutional subscriptions

References

  1. Yeo PT, Grice AC. Lumbosacral nerve plexus compression by ovarian-fallopian cysts. Clin Exp Neurol. 1986;22:139–43.

    CAS  PubMed  Google Scholar 

  2. Batchelor TJ, Vowden P. A persistent sciatic artery aneurysm with an associated internal iliac artery aneurysm. Eur J Vasc Endovasc Surg: Off J Eur Soc Vasc Surg. 2000;20(4):400–2.

    Article  CAS  Google Scholar 

  3. Vinnicombe SJ, Norman AR, Nicolson V, Husband JE. Normal pelvic lymph nodes: evaluation with CT after bipedal lymphangiography. Radiology. 1995;194(2):349–55.

    Article  CAS  PubMed  Google Scholar 

  4. Tonsgard JH, Kwak SM, Short MP, Dachman AH. CT imaging in adults with neurofibromatosis-1: frequent asymptomatic plexiform lesions. Neurology. 1998;50(6):1755–60.

    Article  CAS  PubMed  Google Scholar 

  5. Griffiths EA, Kalbassi MR, Cunliffe WJ, Browell DA. Psoas abscess as a secondary complication of gastrointestinal disease: report of five cases. Case Rep Clin Pract Rev. 2003;4(2):73–6.

    Google Scholar 

  6. Ozcakar L, Sivri A, Aydinli M, Tavil Y. Lumbosacral plexopathy as the harbinger of a silent retroperitoneal hematoma. South Med J. 2003;96(1):109–10.

    Article  PubMed  Google Scholar 

  7. Ozkan OF, Guner A, Cekic AB, Turan T, Kaya U, Reis E. Iliopsoas haematoma: a rare complication of warfarin therapy. J Coll Physicians Surg Pak: JCPSP. 2012;22(10):673–4.

    PubMed  Google Scholar 

  8. Aydogmus S, Sen Selim H, Eris S, Kelekci S. A rare complication of cesarean delivery: iliopsoas abscess. Acta Obstet Gynecol Scand. 2014;93(10):1071–2.

    Article  PubMed  Google Scholar 

  9. Jaeckle KA, Young DF, Foley KM. The natural history of lumbosacral plexopathy in cancer. Neurology. 1985;35(1):8–15.

    Article  CAS  PubMed  Google Scholar 

  10. Taylor BV, Kimmel DW, Krecke KN, Cascino TL. Magnetic resonance imaging in cancer-related lumbosacral plexopathy. Mayo Clin Proc. 1997;72(9):823–9.

    Article  CAS  PubMed  Google Scholar 

  11. Jaeckle KA. Nerve plexus metastases. Neurol Clin. 1991;9(4):857–66.

    CAS  PubMed  Google Scholar 

  12. Hughes MS, Burd TA, Allen WC. Post-traumatic catamenial sciatica. Orthopedics. 2008;31(4):400.

    Article  PubMed  Google Scholar 

  13. Lang EM, Borges J, Carlstedt T. Surgical treatment of lumbosacral plexus injuries. J Neurosurg Spine. 2004;1(1):64–71.

    Article  PubMed  Google Scholar 

  14. Kutsy RL, Robinson LR, Routt Jr ML. Lumbosacral plexopathy in pelvic trauma. Muscle Nerve. 2000;23(11):1757–60.

    Article  CAS  PubMed  Google Scholar 

  15. Alsever JD. Lumbosacral plexopathy after gynecologic surgery: case report and review of the literature. Am J Obstet Gynecol. 1996;174(6):1769–77; discussion 77–8.

    Article  CAS  PubMed  Google Scholar 

  16. Myers MA, Harmon RL. Sacral plexopathy and sciatic neuropathy after total knee arthroplasty. Electromyogr Clin Neurophysiol. 1998;38(7):423–6.

    CAS  PubMed  Google Scholar 

  17. Cottier JP, Descamps P, Sonier CB, Rosset P. Sciatic endometriosis: MR evaluation. AJNR Am J Neuroradiol. 1995;16(7):1399–401.

    CAS  PubMed  Google Scholar 

  18. Katirji B, Wilbourn AJ, Scarberry SL, Preston DC. Intrapartum maternal lumbosacral plexopathy. Muscle Nerve. 2002;26(3):340–7.

    Article  PubMed  Google Scholar 

  19. Feasby TE, Burton SR, Hahn AF. Obstetrical lumbosacral plexus injury. Muscle Nerve. 1992;15(8):937–40.

    Article  CAS  PubMed  Google Scholar 

  20. Irvin W, Andersen W, Taylor P, Rice L. Minimizing the risk of neurologic injury in gynecologic surgery. Obstet Gynecol. 2004;103(2):374–82.

    Article  PubMed  Google Scholar 

  21. Soldatos T, Andreisek G, Thawait GK, Guggenberger R, Williams EH, Carrino JA, et al. High-resolution 3-T MR neurography of the lumbosacral plexus. Radiographics. 2013;33(4):967–87.

    Article  PubMed  Google Scholar 

  22. Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions. Am J Obstet Gynecol. 2003;189(6):1574–8.

    Article  PubMed  Google Scholar 

  23. Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. MR imaging of entrapment neuropathies of the lower extremity. Part 1. The pelvis and hip. Radiographics. 2010;30(4):983–1000.

    Article  PubMed  Google Scholar 

  24. Gibbons KJ, Soloniuk DS, Razack N. Neurological injury and patterns of sacral fractures. J Neurosurg. 1990;72(6):889–93.

    Article  CAS  PubMed  Google Scholar 

  25. Hacker HS, King JC. Plexopathy: lumbosacral. In: Frontera WR, Silver SK, Rizzo Jr TD, editors. Essentials of physical medicine and rehabilitation: musculoskeletal disorders, pain, and rehabilitation. Philadelphia: Sanders Elsevier; 2008. p. 779–86.

    Chapter  Google Scholar 

  26. Paley M, Sidhu PS, Evans RA, Karani JB. Retroperitoneal collections – aetiology and radiological implications. Clin Radiol. 1997;52(4):290–4.

    Article  CAS  PubMed  Google Scholar 

  27. Chevalier X, Larget-Piet B. Femoral neuropathy due to psoas hematoma revisited. Report of three cases with serious outcomes. Spine (Phila Pa 1976). 1992;17(6):724–6.

    Article  CAS  Google Scholar 

  28. Whitaker R, Borley N. Chapter 6. Instant anatomy. 1st ed. Oxford: Blackwell Scientific; 1994. p. 114–23.

    Google Scholar 

  29. Lu S, Chang S, Zhang YZ, Ding ZH, Xu XM, Xu YQ. Clinical anatomy and 3D virtual reconstruction of the lumbar plexus with respect to lumbar surgery. BMC Musculoskelet Disord. 2011;12:76.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Planner AC, Donaghy M, Moore NR. Causes of lumbosacral plexopathy. Clin Radiol. 2006;61(12):987–95.

    Article  CAS  PubMed  Google Scholar 

  31. Thomas JE, Cascino TL, Earle JD. Differential diagnosis between radiation and tumor plexopathy of the pelvis. Neurology. 1985;35(1):1–7.

    Article  CAS  PubMed  Google Scholar 

  32. Laughlin RS, Dyck PJ. Electrodiagnostic testing in lumbosacral plexopathies. Phys Med Rehabil Clin N Am. 2013;24(1):93–105.

    Article  PubMed  Google Scholar 

  33. Boon AJ, Gertken JT, Watson JC, Laughlin RS, Strommen JA, Mauermann ML, et al. Hematoma risk after needle electromyography. Muscle Nerve. 2012;45(1):9–12.

    Article  PubMed  Google Scholar 

  34. Donaghy M. Lumbosacral plexus lesions. In: Dyk PJ, Thomas PK, editors. Peripheral neuropathy, vol. 2. 4th ed. Philadelphia: Elsevier Saunders; 2005. p. 1375–90.

    Chapter  Google Scholar 

  35. Hammersted JP. Plexopathy syndromes. In: Goetz CG, editor. Textbook of clinical neurology. 2nd ed. Philadelphia: Saunders; 2003. p. 271–2.

    Google Scholar 

  36. Rancont CM. Chronic psoas syndrome caused by the inappropriate use of a heel lift. J Am Osteopath Assoc. 2007;107(9):415–8.

    PubMed  Google Scholar 

  37. Waldman SD. Lumbar plexus block: psoas compartment technique. In: Waldman SD, editor. Atlas of interventional pain management. 2nd ed. Philadelphia: Saunders; 2004. p. 443–8.

    Google Scholar 

  38. Waldman SD. Ultrasound-guided lumbar plexus nerve block. In: Waldman SD, editor. Comprehensive altas of ultrasound-guided pain management injection techniques. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2014. p. 719–26.

    Google Scholar 

  39. Brown DL. Lumbar plexus block. In: Brown DL, editor. Atlas of regional anesthesia. Philadelphia: W. B. Saunders; 1992. p. 76–7.

    Google Scholar 

  40. Capdevila X, Macaire P, Dadure C, Choquet O, Biboulet P, Ryckwaert Y, et al. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: new landmarks, technical guidelines, and clinical evaluation. Anesth Analg. 2002;94(6):1606–13, table of contents.

    Article  PubMed  Google Scholar 

  41. Hadzic A, Vioka JD. Lumar plexus block. In: Hadzic A, editor. Hadzic’s peripheral nerve blocks and anatomy for ultrasound-guided regional anesthesia. 2nd ed. New York: McGraw-Hill; 2012. p. 217–28.

    Google Scholar 

  42. Enneking FK, Chan V, Greger J, Hadzic A, Lang SA, Horlocker TT. Lower-extremity peripheral nerve blockade: essentials of our current understanding. Reg Anesth Pain Med. 2005;30(1):4–35.

    PubMed  Google Scholar 

  43. Paradise LA, Raj PP, Fryer JR. Lumbar myofascial blocks. In: Raj PP, Lou L, Erdine S, Staats PS, Waldman SD, Racz GB, et al., editors. Interventional pain management image-guided procedures. 2nd ed. Philadelphia: Saunders; 2008. p. 382–90.

    Google Scholar 

  44. Lang SA, Yip RW, Chang PC, Gerard MA. The femoral 3-in-1 block revisited. J Clin Anesth. 1993;5(4):292–6.

    Article  CAS  PubMed  Google Scholar 

  45. Mulchandani H, Awad I, McCaetney C. Ultrasound-guided nerve blocks of the lower limb. In: Narouze SM, editor. Atlas of ultrasound-guided procedures in interventional pain management. New York: Springer; 2010. p. 249–50.

    Google Scholar 

  46. Calava JM, Patt RB, Reddy S, Varma DG, Chiang J. Psoas sheath chemical neurolysis for management of intractable leg pain from metastatic liposarcoma. Clin J Pain. 1996;12(1):69–75.

    Article  CAS  PubMed  Google Scholar 

  47. Douglas I, Bush D. The use of patient-controlled boluses of local anaesthetic via a psoas sheath catheter in the management of malignant pain. Pain. 1999;82(1):105–7.

    Article  CAS  PubMed  Google Scholar 

  48. Deschner B, Robards C, Xu D, Hadzic A. Lower extremity peripheral nerve block. In: Benzon HT, Rathmell JP, Turk DC, Argoff CE, editors. Raj’s practical management of pain. 4th ed. Philadelphia: Mosby Elsevier; 2008. p. 891–2.

    Google Scholar 

  49. Aveline C, Bonnet F. Delayed retroperitoneal haematoma after failed lumbar plexus block. Br J Anaesth. 2004;93(4):589–91.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Pain Management Clinic, Liberty Hospital, Liberty, MO, USA

    Susan R. Anderson-Jones MD, FIPP

  2. Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA

    Tiffany Zhang MD, MSc, PhD

Authors
  1. Susan R. Anderson-Jones MD, FIPP
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tiffany Zhang MD, MSc, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Susan R. Anderson-Jones MD, FIPP .

Editor information

Editors and Affiliations

  1. Pain and Headache Center, Anchorage, AK, USA

    Andrea M. Trescot MD, ABIPP, FIPP (Medical Director) (Medical Director)

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Anderson-Jones, S.R., Zhang, T. (2016). Lumbar Plexus Entrapment: Abdominal. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27482-9_43

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27480-5

  • Online ISBN: 978-3-319-27482-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation