title: Posttraumatic saphenous neuroma after open tibial fracture.
abstract: Neuralgia and neuroma secondary to iatrogenic saphenous nerve injury have been described in the setting of orthopedic surgical interventions. However, postoperative neuropathic pain caused by saphenous neuroma in the setting of orthopedic trauma has not been reported. We present a case of a 43-year-old woman with a symptomatic saphenous neuroma after an open, laterally angulated tibial fracture. The diagnosis was confirmed in the clinical setting, and treatment consisted of neurolysis and partial neurectomy, resulting in complete pain relief and functional recovery. This case demonstrates the diagnosis and treatment strategy for a symptomatic posttraumatic saphenous neuroma in the setting of a healed, open distal one-third tibial fracture.
authors.forename: Austin
authors.initials: A
authors.lastname: Heare
authors.forename: Justin J
authors.initials: JJ
authors.lastname: Mitchell
authors.affiliation: Division of Sports Medicine and Shoulder Surgery, University of Colorado Hospital, Denver, CO. Jonathan.bravman@ucdenver.edu.
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Bravman
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009437:Neuralgia / Q000209:etiology* / Q000601:surgery; D009463:Neuroma / Q000209:etiology* / Q000601:surgery; D010524:Peripheral Nervous System Neoplasms / Q000209:etiology* / Q000601:surgery; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome