Transient Common Peroneal and Tibial Nerve Palsy Following Knee Arthroscopy for the Treatment of Discoid Lateral Meniscus

Bernardi, G.; Tudisco, Cosimo

doi:10.1055/s-0037-1603674

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Large cohort studies report overall knee arthroscopy complications to range from 0.6% to 8.2%. 46,47 More recent data identified knee arthroscopy surgical related complications in 3.7%. 48 Incidence of iatrogenic peripheral nerve injuries has been reported up to 0.6%, with saphenous nerve injuries being the most common.…”

Section: Kneementioning

confidence: 99%

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Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment

Leland

Pareek

Therrien

et al. 2022

Sports Medicine and Arthroscopy Review

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Arthroscopy of the shoulder, elbow, hip, and knee has become increasingly utilized due to continued advancements in technique, training, and instrumentation. In addition, arthroscopy is generally safe and effective in the utilization of joint preservation surgical techniques. The arthroscopist must utilize a thorough understanding of the surgical anatomy, detailed care with patient positioning, and safe instrumentation portals to prevent associated neurological injury. In the event of postoperative neurological complications, the physician must carefully document the patient history and physical examination while considering the utilization of additional imaging, testing, or surgical nerve exploration with a specialized team depending upon the severity of neurological injury. In this review, we discuss the prevention, evaluation, and treatment of neurological complications related for arthroscopic procedures of the shoulder, elbow, hip, and knee.

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Section: Kneementioning

confidence: 99%

“…Large cohort studies report overall knee arthroscopy complications to range from 0.6% to 8.2% 46,47. More recent data identified knee arthroscopy surgical related complications in 3.7% 48.…”

Section: Kneementioning

confidence: 99%

Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment

Leland

Pareek

Therrien

et al. 2022

Sports Medicine and Arthroscopy Review

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“…Injuries involving direct trauma to the nerves caused by intraoperative, direct posterior capsular violations,[ 18 , 20 , 24 ] posterior trocar placement,[ 14 ] or closed traction during intra-operative knee manipulation. [ 3 , 11 ] However, no study was identified to describe secondary tibial nerve injuries following a postoperative pseudoaneurysm. During knee arthroscopic surgeries, vessel violations are usually related to the popliteal artery.…”

Section: Discussionmentioning

confidence: 99%

“…We present two secondary tibial nerve injuries following ACLR as a long-term complication. e delayed diagnosis of popliteal Although ACLR is considered a safe procedure with low complication rates, [7] several studies [3,11,14,18,20,24] have already described iatrogenic common peroneal and tibial nerve injuries. Injuries involving direct trauma to the nerves caused by intraoperative, direct posterior capsular violations, [18,20,24] posterior trocar placement, [14] or closed traction during intra-operative knee manipulation.…”

Section: Discussionmentioning

confidence: 99%

Complete tibial nerve lesion secondary to postoperative popliteal pseudoaneurysm following anterior cruciate ligament arthroscopic reconstruction: A series of two patients

Bonfim,

Sporer,

Poeta

et al. 2023

Surgical Neurology International

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Background: Complications following arthroscopic anterior cruciate ligament reconstruction (ACLR) are rare, but injuries to the popliteal artery can occur. Popliteal pseudoaneurysms are a potential complication and can cause significant morbidity if not diagnosed and treated promptly. Cases Description: We describe the cases of two patients who developed nerve injuries following arthroscopic ACLR, with subsequent diagnosis of a popliteal pseudoaneurysm. The peroneal nerve recovered spontaneously in both cases, while the tibial nerve was reconstructed using autologous nerve grafting. Satisfying, functional recoveries were observed 24 months postoperatively. Conclusion: Prompt diagnosis and effective treatment of popliteal pseudoaneurysms are crucial to prevent further complications. However, timely diagnosis can be challenging due to inconsistent clinical presentations and a low index of suspicion. This case report highlights the need for increased awareness of this uncommon complication and provides insights into its pathophysiological mechanisms.

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“…[10][11][12] Bernardi and Tudisco reported a case of iatrogenic lesion of the common peroneal and tibial nerves caused by arthroscopy caused by the violation of the posterolateral angle by motorized arthroscopic instrumentation during the attempt to remove an osteochondral free body and a patient positioning case related to nerve traction during surgery. 13 SHOULDER Shoulder arthroscopy allows operating inside the joint through 2 to 4 small holes avoiding large incisions. Still, despite the indisputable advantages of less invasiveness and quicker functional and joint recovery time, this method is not without risk of complications related to the specific procedure.…”

Section: Knee (Fig2)mentioning

confidence: 99%

Nerve lesions during arthroscopic procedure: a literature overview

Amadei¹,

Basile

Leigheb

2021

Orthopedic Reviews

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Arthroscopy is more and more popular. Although minimally-invasive, it's not completely free of complications as nerves lesions which can be invalidating for the patient and frustrating for the surgeon with significant economic, psychological and medico-legal implications. The purpose was to review the literature about nerve injuries related to arthroscopy. A scientific literature review was performed in PubMed/Medline, including articles dealing with cases of iatrogen lesions of the peripheral nerves occurred during arthroscopic procedures. These lesions are mainly due to direct damage by nerve section while cutting for making the portals or during surgical maneuvers, or indirect damage due to traction or pressure mechanisms especially for errors in patient positioning. Also the tourniquet can lead to compression and ischemic nerve injury. Arthroscopy can cause both transient and permanent neurological lesions manifested with dysesthesia up to paralysis according to Seddon's classification in neuroapraxia, axonotmesis and neurotmesis. Incidence of complications in general and of nerve injuries during arthroscopy are reported by joint. A rigorous respect for surgical technique and all perioperative precautions, particularly in relation to the positioning of the patient, greatly reduce the risk of nerve injury. The suggested waiting time before surgical nerve revision is 6 months. In the meanwhile the patient should perform physiotherapy constantly and improvements should be evaluated with clinical examination and electromyography 15-20 days after the lesion, and thereafter at 3 and 6 months.

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Transient Common Peroneal and Tibial Nerve Palsy Following Knee Arthroscopy for the Treatment of Discoid Lateral Meniscus

Cited by 5 publications

References 10 publications

Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment

Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment

Complete tibial nerve lesion secondary to postoperative popliteal pseudoaneurysm following anterior cruciate ligament arthroscopic reconstruction: A series of two patients

Nerve lesions during arthroscopic procedure: a literature overview

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