Determining the real site of peroneal nerve injury with knee dislocation: Earlierier is easier

J Plast Reconstr Aesthet Surg. 2021 Oct;74(10):2776-2820. doi: 10.1016/j.bjps.2021.05.063. Epub 2021 Jun 17.

Abstract

Common peroneal nerve (CPN) injury is a recognised complication of traumatic knee dislocation with a direct association between the degree of ligamentous injury and the degree of CPN injury. It is essential explore and repair these injuries in good time to reduce morbidity. Often exploration only involves the portion of this nerve associated with the joint as it courses around the fibular head. However, a recent case highlighted the importance of proximal exploration to its branching point from the sciatic nerve, a known point of fragility, even if other defects have been identified.

Keywords: Common peroneal nerve; Injury; Knee dislocation; Reconstruction; Trauma.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Athletic Injuries / diagnosis
  • Bicycling
  • Humans
  • Knee Dislocation / complications*
  • Knee Injuries / complications*
  • Knee Injuries / diagnosis
  • Knee Injuries / surgery
  • Male
  • Neurosurgical Procedures / methods*
  • Patient Care Team
  • Peripheral Nerve Injuries* / etiology
  • Peripheral Nerve Injuries* / physiopathology
  • Peripheral Nerve Injuries* / surgery
  • Peroneal Nerve* / diagnostic imaging
  • Peroneal Nerve* / injuries
  • Peroneal Nerve* / surgery
  • Plastic Surgery Procedures / methods*
  • Time-to-Treatment
  • Trauma Severity Indices
  • Treatment Outcome