Tennent T D, Birch N C, Holmes M J, Birch R, Goddard N J
Orthopaedic Department, Royal Free Hospital, London, UK.
J R Soc Med. 1998 Nov;91(11):573-5. doi: 10.1177/014107689809101106.
Pain over the front of the knee is common after surgery or trauma but often a definite diagnosis is difficult to make. Over the past year we have seen five cases in which the pain could be ascribed to damage to a branch of the infrapatellar branch of the saphenous nerve. Two were subsequent to trauma and three to surgical procedures. In all five cases surgical exploration gave symptomatic relief. Eight cadaveric knees were prosected to explore further the anatomy of this nerve in relation to the injuries. Injury to one of these branches should be considered in cases of persistent anterior, anteromedial or anterolateral knee pain or neurological symptoms following surgery or trauma.
膝关节前部疼痛在手术或创伤后很常见，但往往难以做出明确诊断。在过去一年里，我们遇到了5例这种疼痛可归因于隐神经髌下支分支损伤的病例。其中2例继发于创伤，3例继发于手术操作。在所有5例病例中，手术探查均缓解了症状。解剖了8个尸体膝关节，以进一步探究该神经与损伤相关的解剖结构。对于手术后或创伤后持续存在膝关节前部、前内侧或前外侧疼痛或神经症状的病例，应考虑这些分支之一受到损伤的可能性。
