Chronische zenuwpijn na een operatie aan de knie

W.A. van Dijk; P.V. van Eerten; R.P.A. Janssen; R.M.H. Roumen; M.R.M. Scheltinga

Chronische zenuwpijn na een operatie aan de knie

W.A. van Dijk (Corresponding author), P.V. van Eerten, R.P.A. Janssen, R.M.H. Roumen, M.R.M. Scheltinga

Onderzoeksoutput: Bijdrage aan tijdschrift › Tijdschriftartikel › Academic › peer review

Samenvatting

BACKGROUND: Chronic knee symptoms after surgery around the knee may be neuropathic. These symptoms are often described after intramedullary osteosynthesis of the lower leg, placement of total knee prosthesis and arthroscopy. This neuropathic pain may be caused by partial damage to the infrapatellar nerve.

CASE DESCRIPTION: An 18-year-old patient had chronic neuropathic symptoms after intramedullary osteosynthesis of the lower leg. The diagnosis was made through physical examination and injection of lidocaine 1%. After surgical removal of the infrapatellar nerve, the patient became symptom-free for a long time.

CONCLUSION: In case of chronic pain around the knee, neuropathic pain resulting from infrapatellar nerve damage should be part of the differential diagnosis. Neurectomy of the patellar nerve is a good treatment if conservative therapy did not lead to improvement of the symptoms.

Vertaalde titel van de bijdrage	Chronic neuralgia after knee surgery
Originele taal-2	Nederlands
Artikelnummer	D2084
Aantal pagina's	4
Tijdschrift	Nederlands Tijdschrift voor Geneeskunde
Volume	161
Status	Gepubliceerd - 6 jan. 2018
Extern gepubliceerd	Ja

Trefwoorden

Adolescent
Chronic Pain/etiology
Denervation
Fracture Fixation, Intramedullary/adverse effects
Humans
Male
Neuralgia/etiology
Postoperative Complications
Tibial Fractures/surgery

Citeer dit

@article{aed7c4b03a5c412ba214760f7fd20964,

title = "Chronische zenuwpijn na een operatie aan de knie",

abstract = "BACKGROUND: Chronic knee symptoms after surgery around the knee may be neuropathic. These symptoms are often described after intramedullary osteosynthesis of the lower leg, placement of total knee prosthesis and arthroscopy. This neuropathic pain may be caused by partial damage to the infrapatellar nerve.CASE DESCRIPTION: An 18-year-old patient had chronic neuropathic symptoms after intramedullary osteosynthesis of the lower leg. The diagnosis was made through physical examination and injection of lidocaine 1%. After surgical removal of the infrapatellar nerve, the patient became symptom-free for a long time.CONCLUSION: In case of chronic pain around the knee, neuropathic pain resulting from infrapatellar nerve damage should be part of the differential diagnosis. Neurectomy of the patellar nerve is a good treatment if conservative therapy did not lead to improvement of the symptoms.",

keywords = "Adolescent, Chronic Pain/etiology, Denervation, Fracture Fixation, Intramedullary/adverse effects, Humans, Male, Neuralgia/etiology, Postoperative Complications, Tibial Fractures/surgery",

author = "{van Dijk}, W.A. and {van Eerten}, P.V. and R.P.A. Janssen and R.M.H. Roumen and M.R.M. Scheltinga",

year = "2018",

month = jan,

day = "6",

language = "Nederlands",

volume = "161",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Bohn Stafleu van Loghum",

}

TY - JOUR

T1 - Chronische zenuwpijn na een operatie aan de knie

AU - van Dijk, W.A.

AU - van Eerten, P.V.

AU - Janssen, R.P.A.

AU - Roumen, R.M.H.

AU - Scheltinga, M.R.M.

PY - 2018/1/6

Y1 - 2018/1/6

N2 - BACKGROUND: Chronic knee symptoms after surgery around the knee may be neuropathic. These symptoms are often described after intramedullary osteosynthesis of the lower leg, placement of total knee prosthesis and arthroscopy. This neuropathic pain may be caused by partial damage to the infrapatellar nerve.CASE DESCRIPTION: An 18-year-old patient had chronic neuropathic symptoms after intramedullary osteosynthesis of the lower leg. The diagnosis was made through physical examination and injection of lidocaine 1%. After surgical removal of the infrapatellar nerve, the patient became symptom-free for a long time.CONCLUSION: In case of chronic pain around the knee, neuropathic pain resulting from infrapatellar nerve damage should be part of the differential diagnosis. Neurectomy of the patellar nerve is a good treatment if conservative therapy did not lead to improvement of the symptoms.

AB - BACKGROUND: Chronic knee symptoms after surgery around the knee may be neuropathic. These symptoms are often described after intramedullary osteosynthesis of the lower leg, placement of total knee prosthesis and arthroscopy. This neuropathic pain may be caused by partial damage to the infrapatellar nerve.CASE DESCRIPTION: An 18-year-old patient had chronic neuropathic symptoms after intramedullary osteosynthesis of the lower leg. The diagnosis was made through physical examination and injection of lidocaine 1%. After surgical removal of the infrapatellar nerve, the patient became symptom-free for a long time.CONCLUSION: In case of chronic pain around the knee, neuropathic pain resulting from infrapatellar nerve damage should be part of the differential diagnosis. Neurectomy of the patellar nerve is a good treatment if conservative therapy did not lead to improvement of the symptoms.

KW - Adolescent

KW - Chronic Pain/etiology

KW - Denervation

KW - Fracture Fixation, Intramedullary/adverse effects

KW - Humans

KW - Male

KW - Neuralgia/etiology

KW - Postoperative Complications

KW - Tibial Fractures/surgery

M3 - Tijdschriftartikel

C2 - 29303093

SN - 0028-2162

VL - 161

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

M1 - D2084

ER -

Chronische zenuwpijn na een operatie aan de knie

Samenvatting

Trefwoorden

Vingerafdruk

Citeer dit