Femoral Nerve Indications

Regional Anesthesia

  • Anterior Thigh, Medial Lower leg surgery
  • Knee Surgery 
  • BKA

Pain Management

  • Anterior Thigh, Medial Lower leg pain
  • Peripheral Stimulation Trial/Implant
  • Femoral Neuralgia
  • Knee pain

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Femoral Nerve Block

  • Lies deep to the ileopectineal arch, and overlying the groove between the iliac and psoas muscles
  • 2 layers of fascia beneath the skin (superficially the fascia lata and deeper the iliacus fascia). 

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Locating the Femoral Nerve

  • First locate the femoral artery and vein and then examine the space lateral to the artery
  • Nerve- a roundish or oblong, bright (echo-dense) structure when viewed transversely with ultrasound
  • May contain bright dots which represent the nerve fascicles it holds inside

Femoral Nerve Block


and Interesting Articles

  • Sykes Z, Pak A. Femoral Nerve Block. [Updated 2021 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546704/
  • Szűcs, S., Morau, D., Sultan, S.F. et al. A comparison of three techniques (local anesthetic deposited circumferential to vs. above vs. below the nerve) for ultrasound guided femoral nerve block. BMC Anesthesiol 14, 6 (2014). https://doi.org/10.1186/1471-2253-14-6
  • Tekgül, Z.T., Bilgin, M.U. & Kayalı, C. Efficiency of femoral nerve block for recovery after primary total knee arthroplasty. Ain-Shams J Anesthesiol 14, 17 (2022). https://doi.org/10.1186/s42077-022-00217-2


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