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The Journal of Bone and Joint Surgery (American) 82:746 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

The Orthopaedic Forum

The Anatomy of the Lateral Femoral Cutaneous Nerve, with Special Reference to the Harvesting of Iliac Bone Graft*

Yasuaki Murata, M.D.{dagger}, Kazuhisa Takahashi, M.D.{dagger}, Masatsune Yamagata, M.D.{dagger}, Yutaka Shimada, M.D.{dagger} and Hideshige Moriya, M.D.{dagger}

Investigation performed at the Department of Orthopaedic Surgery and the First Department of Anatomy, School of Medicine, Chiba University, Chiba, Japan
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
{dagger}Department of Orthopaedic Surgery (Y. M., K. T., M. Y., and H. M.) and First Department of Anatomy (Y. S.), School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba 260-8677, Japan. Please address requests for reprints to Yasuaki Murata. E-mail address: murata@anatlab1.m.chiba-u.ac.jp (Yasuaki Murata).

Autogenous bone graft is frequently obtained from the anterior part of the ilium; however, many studies have shown that the harvesting of autogenous iliac bone graft carries the risk of meralgia paresthetica2,4-6,8,9. Although the lateral femoral cutaneous nerve usually emerges from the lateral border of the psoas major muscle and crosses the ilium as it runs toward the anterior superior iliac spine, its course can vary1,3,7. We investigated the anatomy of the lateral femoral cutaneous nerve, particularly as it relates to the harvesting of autogenous anterior iliac bone graft.

The position of the lateral femoral cutaneous nerve was identified on both sides of the pelvis in 108 formalin-embalmed cadavera from Japanese individuals (sixty-four men and forty-four women) who had been sixty to ninety-seven years old at the time of death. Eleven of . . . [Full Text of this Article]


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