外侧半月板内侧修复术造成的腓总神经损伤：2 例病例报告。

Q4 Medicine

JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00277

Rajul Gupta, Nick Lopreiato, Kevin Little, Mohab Foad, Shital N Parikh

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引用次数: 0

摘要

病例：我们报告了两例腓总神经（CPN）麻痹病例，均在外侧半月板（LM）内侧修复术后发生，尽管采取了标准的手术预防措施（开放式反切口，在股二头肌肌腱、外侧腓肠肌和关节囊之间进行适当牵拉），但表现却截然不同。探查时发现，一个病例的针穿透了神经，另一个病例的针穿透了神经鞘。1 号患者的神经功能几乎完全恢复，而 2 号患者在拆线和神经溶解后神经功能部分恢复：结论：尽管在 LM 修复过程中采取了所有预防措施，但仍有可能发生 CPN 麻痹，除非另有证明，否则应将其作为先天性损伤处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Iatrogenic Common Peroneal Nerve Injuries From Inside-out Lateral Meniscus Repair: A Report of 2 Cases.

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.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.