Neuroma of the infrapatellar branch of the saphenous nerve a cause of reversible knee stiffness after total knee arthroplasty.
Injury of the infrapatellar branch of the saphenous nerve (ISN) may be caused by a surgical laceration or trauma about the knee and can result in formation of a painful neuroma. There has been no report of knee stiffness after a total knee arthroplasty secondary to a painful neuroma of the ISN. In this report, we present a patient with pain and severe stiffness of her knee after a total knee arthroplasty. A neuroma of the ISN was resected, and the pain as well as the stiffness of the knee resolved. A source of pain such as a neuroma should be considered as a cause of reversible knee stiffness or "pseudoarthrofibrosis" after a total knee arthroplasty.
Kachar
Sergey M
SM
The University of Chicago Bone and Joint Replacement Center, Louis A.Weiss Memorial Hospital, Chicago, Illinois 60640, USA.
Williams
Kristopher M
KM
Finn
Henry A
HA
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000294:innervation / Q000503:physiopathology*; D009463:Neuroma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology*