Abstract
Obturator neuralgia is an uncommon cause of medial thigh pain that does not extend below the knee and occurs most often after trauma. Pelvic fractures, gunshot wounds, and occasionally childbirth have been implicated in the evolution of obturator neuralgia. With the increased number of total hip arthroplasties being performed, trauma to the branches of the obturator nerve may occur, producing pain and numbness over the medial thigh. Obturator neuralgia also may be due to compression of the nerve by tumor, hemorrhage, bone cement from total hip arthroplasties, endometriosis, or abscess. Stretch injuries to the obturator nerve can cause the symptoms of obturator neuralgia. Diabetes can affect the obturator nerve, but this is usually in conjunction with neuropathy of the other nerves of the lower extremity, especially the femoral nerve.
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