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However, she then suffered from severe thigh pain and temporary numbness. Examinationrevealed decreased touch and pain sensation in the anterolateral aspect of left thigh, forcefulpalpation over a point 2 cm distal and 2 cm medial the right anterior superior iliac spineproduced pain and numbness, consistent with a left neuropathy of the lateral femoral cutaneousnerve. In our hospital, a local injection with Rinderon mixed with Lidocain was performed atthe iliac fracture lesion and nerve release by approach from last operative site. After thesemanagement, temporal pain relief but little numbness was still noted. After 4 weeks localinjection, the all symptoms were relief.ã€Discussion】Meralgia paresthetica this term from the Greek "meros" for thigh and "algia"for pain consists of unpleasant burning pain. Entrapment neuropathy of the lateral femoralcutaneous nerve was first described by Hager in 1885 and termed meralgia paresthetica” byRoth in 1895.Since then, many clinical reviews have been published regarding the reasons forirritation over the lateral femoral cutaneous nerve. However, many articles on meralgiaparesthetica were published during the first half of the 20th century, but despite such early andwidespread recognition, it has since become an obscure diagnosis. Few practicing physicianstoday seem to be aware of the condition or recognize the symptoms. Diagnosis is mainly basedon history and physical examination. Patients typically describe burning, coldness, lightningpain, deep muscle aching, tingling, frank numbness, or local hair loss on the anterolateral thigh.The symptoms may be mild and may resolve spontaneously or they may severely limit thepatient for many years. Macnicol and Thompson reported that surgical treatment would providesatisfactory results as long as it took place within 18 months from the beginning of thesymptoms. Edelson and Stevens reported that nonoperative treatment did not lead to longlastingrelief, whereas surgical decompression led to excellent or good results. In ourexperience, the differential diagnoses is important and sometimes the lumbosacral disksyndromes need to be considered. Local injection was pain relief but surgical decompression ifnonoperative treatment failed.Poster: 57Irreducible Acute Anterior Shoulder Dislocation Due to Rotator Cuff Tearand Associated Fracture of the Greater Tuberosity : The Double RowRepair Technique*Haoju Lo - Taipei City Hospital - Taichung City, Taiwan (R.O.C.)*Email: doctor@url.com.twã€Introduction】Difficulty in reduction of close shoulder dislocation is often seen in ER orOPD, not well sedation or pain control to patient is a impact factor for succeed close reduction.However, failure in closed manipulative reduction of an acute anterior shoulder dislocation israre. This condition is usually due to a structural block happened in shoulder joint by bonydefect or soft tissue impingement. We reviewed 8 cases of anterior shoulder dislocation withassociated rotator cuff tear and fracture of the greater tuberosity. These dislocations wasirreducible using standard closed methods. We use a double row repair for rotator cuff tear andfracture of great tuberosity.file:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]