Combined common peroneal and tibial nerve injury after knee dislocation: one injury or two? An MRI-clinical correlation

Neurosurgical Focus
Chandan G ReddyRobert J Spinner

Abstract

OBJECT Knee dislocations are often accompanied by stretch injuries to the common peroneal nerve (CPN). A small subset of these injuries also affect the tibial nerve. The mechanism of this combined pattern could be a single longitudinal stretch injury of the CPN extending to the sciatic bifurcation (and tibial division) or separate injuries of both the CPN and tibial nerve, either at the level of the tibiofemoral joint or distally at the soleal sling and fibular neck. The authors reviewed cases involving patients with knee dislocations with CPN and tibial nerve injuries to determine the localization of the combined injury and correlation between degree of MRI appearance and clinical severity of nerve injury. METHODS Three groups of cases were reviewed. Group 1 consisted of knee dislocations with clinical evidence of nerve injury (n = 28, including 19 cases of complete CPN injury); Group 2 consisted of knee dislocations without clinical evidence of nerve injury (n = 19); and Group 3 consisted of cases of minor knee trauma but without knee dislocation (n = 14). All patients had an MRI study of the knee performed within 3 months of injury. MRI appearance of tibial and common peroneal nerve injury was scored by 2 independent radiolo...Continue Reading

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Citations

Aug 3, 2020·Sports Medicine and Arthroscopy Review·Andrew C OckulyUNKNOWN “UNMKD Recon Group”
Jul 31, 2020·Skeletal Radiology·Danoob DaliliShivani Ahlawat
Dec 7, 2018·Journal of Medical Imaging and Radiation Oncology·Thi My Anh TranPatricia L Robertson
Aug 1, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Anant KrishnaManoj Kumar

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