Iatrogenic Common Peroneal Nerve Injuries From Inside-out Lateral Meniscus Repair: A Report of 2 Cases.
Autor: | Gupta R; Department of Orthopedic Surgery, Cincinnati Children's Hospital, Cincinnati, Ohio., Lopreiato N; Department of Orthopedic Surgery, Walter-Reed Military Medical Center, Bethesda, Maryland., Little K; Department of Orthopedic Surgery, Cincinnati Children's Hospital, Cincinnati, Ohio., Foad M; Beacon Orthopedics and Sports Medicine, Cincinnati, Ohio., Parikh SN; Department of Orthopedic Surgery, Cincinnati Children's Hospital, Cincinnati, Ohio. |
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Jazyk: | angličtina |
Zdroj: | JBJS case connector [JBJS Case Connect] 2024 Oct 11; Vol. 14 (4). Date of Electronic Publication: 2024 Oct 11 (Print Publication: 2024). |
DOI: | e24.00277 |
Abstrakt: | Cases: We report 2 cases of common peroneal nerve (CPN) palsy after inside-out lateral meniscus (LM) repair with very different presentations, occurring despite the standard surgical precautions (open counter incision and proper retraction between the biceps femoris tendon, lateral gastrocnemius, and capsule). On exploration, needle was found to have penetrated the nerve in one case and the nerve sheath in the other case. Patient 1 had near-complete neurological recovery, while patient 2 had partial neurological recovery after suture removal and neurolysis. Conclusion: CPN palsy can occur despite following all precautions during LM repair and should be managed as an iatrogenic injury unless proven otherwise. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C452). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.) |
Databáze: | MEDLINE |
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