The influence of the variety of the infrapatellar branch of the saphenous nerve on the risk of iatrogenic injuries during arthroscopic procedures in the knee joint

Szwedowski, Dawid; Herman, Katarzyna; Grabowski, Radosław; Dallo, Ignacio; Domżalski, Marcin

doi:10.1016/j.tria.2021.100120

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…This may be attributed to the short distance between the insertion site of the capsule and the joint line which was measured in a sub-centimeter scale inducing potential challenges in accurate measurement when using MR imaging. Additionally, considering the high variability in the average knee joint volume capacity among individuals, being reported to range between 40-290 mL [14], the defined large intraarticular effusions, according to our methods, may not suffice to ensure capsular distention in all cases.…”

Section: Discussionmentioning

confidence: 91%

“…Although the incidence of septic arthritis related to intracapsular penetration was found to be low in one prospective study (1 out of 145 patients, <0.7%), it is a serious complication which can be obsolete provided that normal anatomy is taken into consideration [4]. The knee surgeon, apart from the joint capsule topography, should be up to date with common anatomical variations in the course of the saphenous nerve and important vascular structures that are closely related to the joint capsule [14,15]. However, the exploration and documentation of anatomical structures outside the knee joint capsule was not the scope of the present study.…”

Section: Discussionmentioning

confidence: 99%

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Knee Capsule Anatomy: An MR Imaging and Cadaveric Study

et al. 2021

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This research focuses on the anatomical insertion of the synovial capsule around the knee. The attachments of the capsule were measured in 50 knee MR imaging studies with large intraarticular effusion. Corresponding measurements were performed in 20 fresh frozen cadaveric specimens, for validation. Femoral and tibial capsular reflections were defined as the distances between the attachment sites of the capsule and the femoral or tibial joint line and they were recorded in three coronal planes (anterior/middle/posterior). On MR imaging, the lateral/medial femoral capsular reflection mean values were 6.5/4.57 cm, 2.74/1.74 cm and 1.52/1.99 cm in the anterior, middle and posterior plane, respectively. MR imaging-based measurements did not differ significantly compared to corresponding cadaveric measurements. The mean values of the lateral/medial tibial capsular reflection on MR imaging were 0.09/0.11 cm, 0.34/0.26 cm and 0.62/0.34 cm in the anterior, middle and posterior plane, respectively. On cadaveric dissection, the maximum mean value was 1.45 cm, measured on the lateral side of the anterior plane. Apart from the lateral aspect of the posterior plane, MR imaging measurements were significantly lower, compared to the corresponding cadaveric measurements. The greatest femoral and tibial capsular reflections were found on the anterior and lateral side of the anterior plane. MR imaging appears to underestimate the distal extent of the knee capsule. Anatomical details of the knee capsule should be considered for safe insertion of external fixator pins.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Knee Capsule Anatomy: An MR Imaging and Cadaveric Study

et al. 2021

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“…Nerves around the knee joint can be damaged by sport and occupational injuries leading to neuropathy. In addition, neuropathy may be caused by surgical treatment of sports injuries [5]. It is well-known that all knee surgeries can be associated with iatrogenic injury to the nerves.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of the most common neuropathies following knee injuries and reconstructive surgery – A narrative review

Szwedowski

Ambroży²,

Grabowski

et al. 2021

Heliyon

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The main nerves in the knee region are the tibial nerve, the common peroneal nerve, and the saphenous nerve. These three nerves innervate the lower leg and foot, providing sensory and motor function. The large sciatic nerve splits just above the knee to form the tibial and common peroneal nerves. The tibial nerve travels down in the posterior region, while the common peroneal nerve runs around the lateral side of the knee and runs down the front of the leg to the foot. Although all these nerves can be affected by injuries of the knee, the infrapatellar branch of the saphenous nerve (IPBSN) and the common peroneal nerve (CPN) are most affected. In this narrative review we focus on neuropathies associated with nerves located in the region of the knee joint in the context of their injuries and possible iatrogenic damage during reconstructive surgery.

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The influence of the variety of the infrapatellar branch of the saphenous nerve on the risk of iatrogenic injuries during arthroscopic procedures in the knee joint

Cited by 2 publications

References 14 publications

Knee Capsule Anatomy: An MR Imaging and Cadaveric Study

Knee Capsule Anatomy: An MR Imaging and Cadaveric Study

Diagnosis and treatment of the most common neuropathies following knee injuries and reconstructive surgery – A narrative review

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