Department of Family and Community Medicine, Uniformed Services University of Health Sciences Faculty, Pendleton, California; and.
John H. Bradley Naval Branch Health Clinic, Quantico, Virginia.
Clin J Sport Med. 2022 Nov 1;32(6):e644-e646. doi: 10.1097/JSM.0000000000001040. Epub 2022 Apr 21.
Saphenous entrapment neuropathy in the distal thigh most commonly occurs at Hunter's canal and is characterized by neurologic symptoms distal to the midthigh in the saphenous nerve distribution. Presented is a 23-year-old active duty female service member with left medial knee pain worse with knee flexion and extension. Evaluation raised suspicion for saphenous nerve entrapment at Hunter's canal, and ultrasound-guided subsartorius fascial plane hydrodissection was performed in addition to focused rehabilitation of the adductor and core musculature. No reports of this treatment have been published to date. This case introduces ultrasound-guided subsartorius fascial plane hydrodissection as novel treatment in Hunter's canal syndrome.
股神经卡压性神经病在大腿远端最常发生于 Hunter 管，其特征为股神经分布区域在大腿中下段出现神经症状。本文报道了一名 23 岁现役女性士兵，表现为左膝内侧疼痛，屈膝和伸膝时加重。评估提示 Hunter 管股神经卡压，除了内收肌和核心肌群的针对性康复外，还进行了超声引导下的股薄肌筋膜平面水分离术。目前尚未有关于这种治疗方法的报道。本病例介绍了超声引导下股薄肌筋膜平面水分离术作为 Hunter 管综合征的一种新的治疗方法。
