Toshiaki Haraguchi1,2, Shinichiro Kume1, Kotaro Jimbo2, Masafumi Gotoh1, Naoto Shiba3, Takahiro Okawa1. 1. Department of Orthopedic Surgery, Kurume University Medical Center, Kurume, Fukuoka, Japan. 2. Department of Orthopedic Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan. 3. Department of Orthopedic Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Abstract
CASE: A 43-year-old man who underwent intramedullary nailing for a closed tibial fracture developed saphenous nerve entrapment neuropathy. He developed severe medial leg pain, which was worse on walking or standing, 2 years postoperatively. Surgical neurolysis resulted in complete pain relief and functional recovery of the limb without recurrence of symptoms. CONCLUSION: Clinicians should consider several etiologies in the diagnostic evaluation of a patient with chronic pain after limb trauma. If a patient complains of lower extremity pain after intramedullary fixation of closed fractures of the tibial shaft, the possibility of saphenous nerve entrapment neuropathy should be considered.
CASE: A 43-year-old man who underwent intramedullary nailing for a closed tibial fracture developed saphenous nerve entrapment neuropathy. He developed severe medial leg pain, which was worse on walking or standing, 2 years postoperatively. Surgical neurolysis resulted in complete pain relief and functional recovery of the limb without recurrence of symptoms. CONCLUSION: Clinicians should consider several etiologies in the diagnostic evaluation of a patient with chronic pain after limb trauma. If a patient complains of lower extremity pain after intramedullary fixation of closed fractures of the tibial shaft, the possibility of saphenous nerve entrapment neuropathy should be considered.