Spontaneous Recovery of Common Peroneal Nerve Function After Multiligamentous Knee Injury: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00524
Kaelli N Thiel, Andrew S Cuthbert, Nicholas G Poulos, Zylyftar Gorica, Robert S O'Connell
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Abstract

Case: This case report describes an 18-year-old man with a complete common peroneal nerve motor palsy after sustaining a multiligamentous knee injury while jumping on a trampoline. He underwent anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner reconstruction with neurolysis of the peroneal nerve. Despite poor initial electromyography findings, he began showing evidence of spontaneous recovery of the peroneal nerve 13 months postinjury.

Conclusion: Late spontaneous recovery of common peroneal nerve function is possible after a multiligamentous knee injury with complete nerve palsy, signifying that conservative management with physical therapy alone may not be unreasonable.

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膝关节多韧带损伤后腓总神经功能自然恢复1例。
病例:本病例报告描述了一名18岁的男性,在跳蹦床时膝盖多韧带损伤,导致完全腓总神经运动麻痹。他接受了前交叉韧带、后交叉韧带和腓神经松解术的后外侧角重建。尽管最初的肌电图表现不佳,但他在受伤13个月后开始表现出腓神经自发恢复的迹象。结论:膝关节多韧带损伤伴完全性神经麻痹后腓总神经功能的晚期自发恢复是可能的,提示单纯采用物理治疗的保守治疗并非不合理。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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