Batistaki Chrysanthi, Saranteas Theodosios, Chloros George, Savvidou Olga
2nd Department of Anaesthesiology School of Medicine, National and Kapodistrian University of Athens, "Attikon" Hospital, Athens, Greece.
1st Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, "Attikon" Hospital, Athens, Greece.
Indian J Orthop. 2019 Jan-Feb;53(1):208-212. doi: 10.4103/ortho.IJOrtho_520_17.
Saphenous neuralgia is characterized by persistent neuropathic pain at the distribution of the saphenous nerve. Injury to the saphenous nerve, and specifically to its infrapatellar branch of the saphenous nerve has been implicated as a cause of medial knee pain after orthopedic knee surgery or trauma. We present two cases of saphenous neuralgia, one after total knee arthroplasty and the other after anterior cruciate ligament reconstruction, that were adequately treated with ultrasound-guided saphenous nerve blocks distal to the adductor canal. Early recognition and treatment of saphenous neuralgia is essential to prevent persistent disabling pain, which significantly affects patients' quality of life.
隐神经痛的特点是在隐神经分布区域出现持续性神经病理性疼痛。隐神经损伤，特别是其隐神经髌下支损伤，被认为是骨科膝关节手术后或创伤后膝关节内侧疼痛的原因。我们报告两例隐神经痛病例，一例发生在全膝关节置换术后，另一例发生在前交叉韧带重建术后，均通过在收肌管远端进行超声引导下隐神经阻滞得到充分治疗。早期识别和治疗隐神经痛对于预防持续性致残性疼痛至关重要，这种疼痛会显著影响患者的生活质量。
