Ultrasound guided block of the saphenous neuroma following use of an AFO in a patient with paraplegia: A case report
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Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Edizioni Minerva Medica
Abstract
The saphenous nerve is the terminal branch of the femoral nerve and a pure sensory nerve that provide sensation to medial leg. Injury to saphanous nerve following trauma or surgery of the knee can result in formation of a painful neuroma along its distribution. We present a case of saphenous neuroma following use of an ankle-foot orthosis (AFO) in a patient with paraplegia. A 36-year-old patient with paraplegia who was capable of walking independently with his AFO presented to our department with a 3-month history of pain in his left calf. Examination revealed tenderness, paresthesias and positive Tinel sign over the anteromedial aspect of the calf. Ultrasonographic examination of the painful area showed a mass with heterogenous echogenity which was consistent with a saphenous neuroma at the site where fastener band of AFO compressed to skin. We performed a nerve block with steroid and local anesthetic injection under ultrasound guidance to the neuroma. The patient reported pain relief following injection. The use of the AFO may cause a painful saphenous neuroma which is an unusual cause of extremity pain in patients with paraplegia. Ultrasound may be a beneficial diagnostic tool and a guidance for the therapeutic interventions in this condition.
Description
Keywords
Neuroma, Spinal cord injuries, Orthotic devices, Nerve, Rehabilitation
Citation
Kesikburun, S. vd. (2014). "Ultrasound guided block of the saphenous neuroma following use of an AFO in a patient with paraplegia: A case report". European Journal of Physical and Rehabilitation Medicine, 50(2), 197-198.