Editorial Commentary: Neuropathy After Fascia Iliaca Blocks for Hip Arthroscopy: Should We Just Blame Anesthesia?

Abstract

Hip arthroscopy has been the subject of recent controversy in the literature with regard to outcomes and complications. The current investigation demonstrates a significant increase in the risk of postoperative medial thigh neuropathy with fascia iliaca block. Although the association between lateral thigh and groin numbness with traction and anterior portal instrumentation cannot be ruled out, this investigation begs the question: Should we just blame anesthesia? Probably not, as regional blocks, portal placement, and traction are all likely to play some role.