NERWIAK GAŁĄZKI PODRZEPKOWEJ NERWU ODPISZCZELOWEGO PO OPERACJACH KOLANA. PRZEGLĄD METOD DIAGNOSTYKI, PREWENCJI I LECZENIA
Więcej
Ukryj
1
University of Medical Sciences, Poland
2
Orthopaedic, Rehasport Clinic, Poland
Data nadesłania: 07-02-2023
Data ostatniej rewizji: 16-07-2023
Data akceptacji: 13-09-2023
Data publikacji: 26-11-2025
Autor do korespondencji
Paweł Bąkowski
Orthopaedic, Rehasport Clinic, Górecka 30, 60201, Poznań, Poland
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2023;44(3):29-38
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Introduction:
Knee arthroscopy is a minimally invasive method of treatment of large joint disorders that allows to increase accuracy of the surgical procedure and diminish the chances of complications. Nevertheless, after the procedure some patients still experience pain or limited manoeuvrability for which several causes (e.g. inadequate rehabilitation, infection, arthrofibrosis or neuroma) have been identified.
Aim:
In this review, we focused on the symptoms associated with IBSN neuroma that arise during arthroscopic surgery, and described how to prevent, diagnose, and treat them.
Materials and methods:
The analysis was done based on literature review. A review of the literature was conducted in December 2022, through a search of the PubMed, MEDLINE, Cochrane, and Google Scholar databases, with no date limits.
Results:
Neuroma of the infrapatellar branch of the saphenous nerve (IBSN), mainly caused by physical damage to the nerve bundle during arthroscopy, has been recognized as an often underdiagnosed cause of prolonged pain in the postoperative knee joint.
Conclusions:
Several actions can be implemented to prevent the formation of IBSN neuromas, like proper position of the limb during the surgery, proper arthroscopic portal placement, incision in the hamstring harvest during ACL reconstruction, proceeding with IBSN stump, use of ultrasound during the procedure. The treatment of IBSN neuromas covers surgical and non-surgical methods.