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May 5, 2026Arthroscopy Techniques0 citationsOpen Access

Suprainguinal Lateral Femoral Cutaneous Neurectomy for Recurrent Meralgia Paresthetica: A Technique Guide

JFJoshua T FinertyUniversity of Kentucky AGAllison R GardenIndiana University School of Medicine MRManuel A. Romero‐PadronIndiana University – Purdue University Indianapolis

Key Points

This research aims to present a detailed technique for suprainguinal lateral femoral cutaneous neurectomy as a solution for recurrent meralgia paresthetica.
Describes the preferred surgical technique for suprainguinal LFCN neurectomy.
Focuses on patients with recurrent or persistent symptoms from meralgia paresthetica.
Addresses challenges of infrainguinal approaches due to neuroma formation.
Reports favorable outcomes for patients treated with the suprainguinal approach.
Highlights the effectiveness of fully transecting the LFCN in alleviating symptoms.
Indicates the technique reduces complications related to neuroma formation.

Abstract

Abstract Meralgia paresthetica (MP) is a neuropathy caused by injury or compression of the lateral femoral cutaneous nerve (LFCN), presenting as numbness, tingling, or burning pain in the lateral thigh. While surgical decompression has traditionally been a common surgical treatment for MP, recently, fully transecting the LFCN is increasingly becoming the first‐line surgical management as more favorable outcomes are reported. Although infrainguinal neurectomy is the primary surgical approach, recurrent or persistent symptoms due to neuroma formation or proximal variations in branching patterns can necessitate revision surgery via a suprainguinal approach. This technical note details our preferred suprainguinal LFCN neurectomy technique for the treatment of recurrent MP.

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