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Spontaneous saphenous neuralgia.

T G Luerssen, R L Campbell, R J Defalque

    Neurosurgery
    |September 1, 1983
    PubMed
    Summary

    Spontaneous saphenous neuralgia, caused by nerve entrapment, leads to medial knee and leg pain. Surgical treatment, including neurolysis and sometimes neurectomy, offers symptomatic relief for this condition.

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    Area of Science:

    • Orthopedic Surgery
    • Neurology
    • Pain Management

    Background:

    • Saphenous neuralgia is a rare condition characterized by pain in the medial lower leg.
    • Entrapment of the saphenous nerve within the subsartorial canal is a potential cause.
    • Differential diagnosis for medial lower extremity pain can be challenging.

    Observation:

    • This study presents seven cases of spontaneous saphenous neuralgia in six patients.
    • Patients reported medial knee and leg pain, with tenderness over the subsartorial canal.
    • Sensory deficits were noted in the distribution of the saphenous nerve's terminal branches.

    Findings:

    • Diagnosis was confirmed via saphenous nerve block in all cases.
    • Surgical intervention, primarily external neurolysis, led to symptomatic improvement.
    • Three patients experienced recurrent symptoms and required subsequent saphenous neurectomy.

    Implications:

    • Saphenous neuralgia should be considered in the differential diagnosis of medial lower extremity pain.
    • Operative management, including neurolysis and neurectomy, can effectively treat saphenous neuralgia.
    • Understanding nerve entrapment in the subsartorial canal is crucial for accurate diagnosis and treatment.

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