Abstract
Knee dislocation with a common peroneal nerve injury is a serious problem. A case of multi-ligamentous knee injury with the unusual and interesting finding of a common peroneal nerve rupture incarcerated within the knee joint is presented. MRI and arthroscopic images are used to document this occurrence. To date, there are no published reports of a similar finding in the English orthopaedic literature.
Level of evidence IV.
References
Almekinders LC, Logan TC (1992) Results following treatment of traumatic dislocations of the knee joint. Clinic Orthop Relat Res 284:203–207
Becker EH, Watson JD, Dreese JC (2013) Investigation of multiligamentous knee injury patterns with associated injuries presenting at a level i trauma center. J Orthop Trauma 27(4):226–231
Deutsch A, Wyzykowski RJ, Victoroff BN (1999) Evaluation of the anatomy of the common peroneal nerve—defining nerve-at-risk in arthroscopically assisted lateral meniscus repair. Am J Sport Med 27(1):10–15
Fanelli GC (2004) Multiple ligament reconstruction rehabilitation. In: Fanelli GC (ed) The multiple ligament injured knee: a practical guide to management. Springer, New York, pp 211–212
Giuffre JL, Bishop AT, Spinner RJ, Shin AY (2012) Surgical technique of a partial tibial nerve transfer to the tibialis anterior motor branch for the treatment of peroneal nerve injury. Ann Plastic Surg 69(1):48–53
Johnson ME, Foster L, Delee JC (2008) Neurologic and vascular injuries associated with knee ligament injuries. Am J Sport Med 36(12):2448–2462
Kim DH, Murovic JA, Tiel RL, Kline DG (2004) Management and outcomes in 318 operative common peroneal nerve lesions at the Louisiana State University Health Sciences Center. Neurosurgery 54(6):1421–1428
Malizos KN, Xenakis T, Mavrodontidis AN, Xanthis A, Korobilias AB, Soucacos PN (1997) Knee dislocations and their management—a report of 16 cases. Acta Orthop Scand 68:80–83
Meyers MH, Harvey JP (1971) Traumatic dislocation of the knee joint—study of 18 cases. J Bone Jt Surg Am Vol A 53(1):16
Niall DM, Nutton RW, Keating JF (2005) Palsy of the common peroneal nerve after traumatic dislocation of the knee. J Bone Jt Surg Br 87B(5):664–667
Wascher DC, Becker JR, Dexter JG, Blevins FT (1999) Reconstruction of the anterior and posterior cruciate ligaments after knee dislocation—results using fresh-frozen nonirradiated allografts. Am J Sport Med 27(2):189–196
Wascher DC, Dvirnak PC, DeCoster TA (1997) Knee dislocation: initial assessment and implications for treatment. J Orthop Trauma 11(7):525–529
Acknowledgments
There was no funding for this research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Alhoukail, A., Panu, A., Olson, J. et al. Intra-articular peroneal nerve incarceration following multi-ligament knee injury. Knee Surg Sports Traumatol Arthrosc 23, 3044–3048 (2015). https://doi.org/10.1007/s00167-015-3626-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-015-3626-4