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前交叉韧带重建术后短暂性腓浅神经麻痹

Transient Superficial Peroneal Nerve Palsy After Anterior Cruciate Ligament Reconstruction.

作者信息

Alrowaili Majed

机构信息

Department of Surgery, Northern Border University , Arar, Saudi Arabia.

出版信息

Clin Pract. 2016 Jun 29;6(2):832. doi: 10.4081/cp.2016.832. eCollection 2016 Apr 26.

Abstract

A 19-year-old male subject was diagnosed with medial meniscal, lateral meniscal and anterior cruciate ligament (ACL) tear. The symptoms did not subside after 4 months of physical therapy, and he underwent arthroscopic partial medial and lateral meniscectomy and ACL reconstruction. Immediately after the patient woke up from general anesthesia, he started experience loss of sensation in the area of superficial peroneal nerve with inverted dorsiflexion of foot and ankle. Instantly, the bandage and knee brace was removed and a diagnosis of compartment syndrome was ruled out. After eight hours, post-operatively, the patient started receiving physiotherapy. He complained of numbness and tingling in the same area. After 24 h, post-operatively, the patient started to regain dorsiflexion and eversion gradually. Two days after the surgery, the patient exhibited complete recovery of neurological status.

摘要

一名19岁男性患者被诊断为内侧半月板、外侧半月板和前交叉韧带(ACL)撕裂。经过4个月的物理治疗,症状仍未消退,随后他接受了关节镜下部分内侧和外侧半月板切除术以及ACL重建术。患者从全身麻醉中醒来后,立即开始出现腓浅神经区域感觉丧失,足和踝关节背屈内翻。绷带和膝关节支具随即被拆除,排除了骨筋膜室综合征的诊断。术后8小时,患者开始接受物理治疗。他抱怨同一区域有麻木和刺痛感。术后24小时,患者开始逐渐恢复背屈和外翻。手术后两天,患者的神经功能完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a7/4943099/d6b6fcf650a9/cp-2016-2-832-g001.jpg

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