Saphenous Neuropathy

2018 ◽  
Author(s):  
Anna Zdunczyk ◽  
Nora F. Dengler
Keyword(s):  
Venous Insufficiency ◽  
Meniscal Tear ◽  
Pain Medication ◽  
Saphenous Nerve ◽  
Burning Pain ◽  
Adductor Canal ◽  
Medial Thigh ◽  
Medial Meniscal Tear ◽  
Surgical Options ◽  
The Right

Burning pain at the medial thigh or knee area with aggravation after physical activity (such as running) may be caused by saphenous nerve entrapment at the adductor canal. Saphenous neuropathy may arise spontaneously or secondary to trauma or a surgical procedure. The differential diagnosis includes knee pathologies (e.g., medial meniscal tear or patellofemoral disorders) and others. Venous insufficiency may also mimic symptoms of saphenous entrapment syndrome. Careful anamnesis and examination as well as a saphenous nerve block help to make the right diagnosis. If conservative management with physical therapy and pain medication is not effective, surgical options include neurolysis or neurectomy of the saphenous nerve.

scholarly journals Discovery of anatomic variant of saphenous nerve from human cadaver dissection

2016 ◽  
Vol 33 (01) ◽  
pp. 005-007
Author(s):  
U. Ahmad ◽  
A. San ◽  
C. See ◽  
C. Taib ◽  
M. Moklas ◽  
...  
Keyword(s):  
Sensory Nerve ◽  
Saphenous Nerve ◽  
Human Anatomy ◽  
Sartorius Muscle ◽  
Anatomical Variant ◽  
Motor Branch ◽  
Adductor Canal ◽  
Medial Side ◽  
Male Cadaver ◽  
The Right

Abstract Introduction: Saphenous nerve is the longest and largest pure sensory nerve, supplying the medial side of the thigh, leg and foot. Materials and Methods: In the present case study, during routine cadaveric dissection of the antero-medial part of the thigh, an interesting anomalous pattern of saphenous nerve was seen in the right lower limb of a 62 years old embalmed male cadaver from the Department of Human Anatomy, Universiti Putra Malaysia (UPM). Results: This saphenous nerve can be recognised as an unusual anatomical variant in which it gives a motor branch to the sartorius muscle during traversing the adductor canal and it was accompanied by blood vessels at the same time. The nerve continues its usual course and pierces the fascia lata, between the tendon of sartorius and gracilis and becomes subcutaneous. Conclusion: Knowledge of the variant anatomy of the saphenous nerve is important to surgeon in avoiding nerve injuries during adductor canal nerve block, nerve entrapment surgery, reconstructive surgery, pain management services and knee surgery successfully.

scholarly journals Arthroscopic Articular Cartilage Scores of the Canine Stifle Joint with Naturally Occurring Cranial Cruciate Ligament Disease

2020 ◽  
Author(s):  
Kimberly A. Agnello ◽  
Kei Hayashi ◽  
Dorothy Cimino Brown
Keyword(s):  
Articular Cartilage ◽  
Cruciate Ligament ◽  
Cartilage Damage ◽  
Meniscal Tear ◽  
Trochlear Groove ◽  
Cranial Cruciate Ligament ◽  
Stifle Joint ◽  
Naturally Occurring ◽  
Medial Meniscal Tear ◽  
Severity Scores

Abstract Objective This study aimed to evaluate frequency, location and severity of cartilage pathology in dogs with naturally occurring cranial cruciate ligament (CCL) disease. Study Design Stifle arthroscopic video recordings (n = 120) were reviewed. A modified Outerbridge classification system (MOCS) (0–4) was used to score cartilage at 10 locations in the femorotibial (medial and lateral femoral condyles and tibial plateaus) and patellofemoral compartments (proximal, middle and distal locations of the patella and femoral trochlear groove) of the stifle joint. Synovial pathology was scored and the presence of a medial meniscal tear was recorded. A Kruskal–Wallis test was used to evaluate association of location and synovitis with cartilage score; and presence of meniscal tear with cartilage and synovitis scores. Bonferroni correction was utilized and p < 0.05 was considered significant. Results Cartilage pathology and synovitis were identified in all joints. Overall cartilage severity scores were low (median MOCS 1). The median MOCS of the proximal trochlear groove (2) was significantly higher than all other locations evaluated. Higher synovitis scores were significantly associated with higher cartilage severity scores and a medial meniscal tear had no association with cartilage severity scores or synovitis. Conclusion Arthroscopic articular cartilage lesions are common in dogs with CCL disease at the time of surgical intervention, although the severity of cartilage damage is mild. The proximal trochlear groove of the femur had the most severe cartilage score in the stifle joint.

scholarly journals Surgical Management of Ascending Aortic Aneurysm and Its Complications

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Sisira Sran ◽  
Manpreet Sran ◽  
Nicole Ferguson ◽  
Amgad N. Makaryus
Keyword(s):  
Open Surgery ◽  
Innominate Artery ◽  
Aortic Aneurysms ◽  
Dacron Graft ◽  
Ascending Aortic Aneurysm ◽  
Pseudoaneurysm Formation ◽  
Aortic Pathology ◽  
Surgical Options ◽  
The Right ◽  
Continuous Bleeding

Ascending aortic aneurysms involving the proximal aortic arch, arising anywhere from the aortic valve to the innominate artery, represent various problems in which open surgery is generally required. Surgical options include excision of the aortic pathology or wrapping the aneurysm shell with an aortic Dacron graft. Intervention using the latter method can lead to extravasation of blood along the suture lines resulting in continuous bleeding within the periprosthetic space. The Cabrol technique was developed as a method for decompression of postoperative leaks by the formation of a conduit system from the periprosthetic space to the right atrium. The coronary ostia are anastomosed to a second graft in an end-to-end fashion, which is then anastomosed to the ascending aortic conduit side to side. The native aorta is then sewn around the prosthesis, hereby creating a shunt to drain anastomotic leakage. This shunt reduces postsurgical risk of pseudoaneurysm formation and normally closes a few days following surgery. We discuss the case of a patient who underwent Cabrol’s variation and six months later was demonstrated to have a patent shunt.

The spread of injectate during saphenous nerve block at the adductor canal: a cadaver study

2014 ◽  
Vol 59 (2) ◽  
pp. 238-245 ◽  
Author(s):  
H. L. ANDERSEN ◽  
S. L. ANDERSEN ◽  
J. TRANUM-JENSEN
Keyword(s):  
Nerve Block ◽  
Cadaver Study ◽  
Saphenous Nerve ◽  
Adductor Canal

scholarly journals Chronic Venous Insufficiency (CVI) - A Study of 100 Cases

1970 ◽  
Vol 9 (1) ◽  
pp. 20-26
Author(s):  
MM Shahin-Ul-Islam ◽  
Md Zahirul Haque ◽  
Saki Md Jakiul Alam ◽  
Mesbahuddin Noman ◽  
FM Siddiqui
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Leg Pain ◽  
Advanced Stage ◽  
College Hospital ◽  
Prolonged Standing ◽  
Burning Pain ◽  
Significant Difference ◽  
Ceap Classification ◽  
Relationship Of

This study was carried out in the out patient department of Dhaka Medical College Hospital. 100 patients presented with chronic venous insufficiency during the period of January 2005 to June 2005 were studied to find out the various modes of presentation, risk factors and relationship of symptoms with age, sex and Body Mass Index of the patients. It was found that, maximum patients presented with heaviness in the leg (87%), followed by aching leg pain (75%), leg swelling (70%), cramping leg pain (68%), tiredness (48%), burning pain (43%), engorged leg vein (39%), restless leg at night (21%), throbbing leg pain (18%), itching (13%), various skin changes without active ulceration (7%) and active leg ulceration only 3% of cases. Increasing age of the patients, obesity, increasing number of pregnancy, prolonged standing and sitting position at work were found to be positively correlated with CVI. Advanced age is associated with more advanced stage of CVI according to clinical CEAP classification. There is almost equal sex distribution among the stages of CVI except in advanced stage, in stage C4, C5 and C6 there is 10 patients out of them 9 are male and only 1 is female. Relationship of symptoms with BMI of the patients were also sort out and found that, in C3 group of CEAP classification out of 61 patients 46 are obese according to BMI, of which 32 are female and 14 are male and only 17 patients have BMI within normal range, but in other group there is no significant difference in incidence between two groups.   DOI = 10.3329/jom.v9i1.1421 J MEDICINE 2008; 9 : 20-26

scholarly journals Minimally invasive surgical options for ureteropelvic junction obstruction: A significant step in the right direction

2009 ◽  
Vol 25 (1) ◽  
pp. 27 ◽  
Author(s):  
ChandraShekhar Biyani ◽  
JonJ Cartledge ◽  
AnthonyJ Browning ◽  
AdrianD Joyce ◽  
StephanieJ Symons ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Minimally Invasive Surgical ◽  
Significant Step ◽  
Surgical Options ◽  
The Right

scholarly journals Management of Phantom Limb Pain through Thalamotomy of the Centro-Median Nucleus

2021 ◽  
Vol 13 (4) ◽  
pp. 587-593
Author(s):  
Ramiro A. Pérez de la Torre ◽  
Job J. Rodríguez Hernández ◽  
Ali Al-Ramadan ◽  
Abeer Gharaibeh
Keyword(s):  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Limb Pain ◽  
Surgical Interventions ◽  
Burning Pain ◽  
A Value ◽  
Thoracic Limb ◽  
History Of ◽  
One Year ◽  
The Right

Background: Phantom limb syndrome is defined as the perception of intense pain or other sensations that are secondary to a neural lesion in a limb that does not exist. It can be treated using pharmacological and surgical interventions. Most medications are prescribed to improve patients’ lives; however, the response rate is low. In this case report, we present a case of phantom limb syndrome in a 42-year-old female with a history of transradial amputation of the left thoracic limb due to an accidental compression one year before. The patient underwent placement of a deep brain stimulator at the ventral posteromedial nucleus (VPM) on the right side and removal secondary to loss of battery. The patient continued to have a burning pain throughout the limb with a sensation of still having the limb, which was subsequently diagnosed as phantom limb syndrome. After a thorough discussion with the patient, a right stereotactic centro-median thalamotomy was offered. An immediate response was reported with a reduction in pain severity on the visual analogue scale (VAS) from a value of 9–10 preoperative to a value of 2 postoperative, with no postoperative complications. Although phantom limb pain is one of the most difficult to treat conditions, centro-median thalamotomy may provide an effective stereotactic treatment procedure with adequate outcomes.

scholarly journals Ruptured aneurysm of right sinus of valsalva - a case report

2016 ◽  
Vol 44 (3) ◽  
pp. 175-177
Author(s):  
Md Nazmul Hasan ◽  
Md Nazmul Hasan ◽  
Md Harisul Hoque ◽  
SM Mustafa Zaman ◽  
Md Rasul Amin ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiac Failure ◽  
Annulus Fibrosus ◽  
Common Complication ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Aortic Media ◽  
Surgical Options ◽  
Potential Risks ◽  
The Right

The sinus of valsalva aneurysm (SVA) is a small dilatation caused by a separation between the aortic media and annulus fibrosus. It may be either acquired or congenital. The right coronary sinus is most frequently affected, with the most common complication being rupture of the sinus. Cardiac failure and sudden auscultation changes suggest the possibility of SVA rupture. Echocardiography is sufficient to diagnose SVA, its complications, repercussions and to determine surgical options. SVA, even if asymptomatic, has potential risks of expansion, rupture, cardiac failure, endocarditis, embolism and sudden death. This justifies surgical correction which has a low mortality rate in both the short and long-term.Bangladesh Med J. 2015 Sep; 44 (3): 175-177

Medial Meniscal Tear

2010 ◽  
pp. 147
Author(s):  
Joel A. Vilensky ◽  
Edward C. Weber ◽  
Thomas E. Sarosi ◽  
Stephen W. Carmichael
Keyword(s):  
Meniscal Tear ◽  
Medial Meniscal Tear
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