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Current Pain and Headache Reports

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31-01-2024 | Knee Osteoarthritis | Neuropathic Pain (A Abd-Elsayed, Section Editor)

Infrapatellar Branch of the Saphenous Nerve: Therapeutic Approaches to Chronic Knee Pain

Authors: Alaa Abd-Elsayed, Lukas J. Henjum, Barnabas T. Shiferaw, Peter E. Yassa, Kenneth J. Fiala

Published in: Current Pain and Headache Reports | Issue 4/2024

Abstract

Purpose of Review

The infrapatellar branch of the saphenous nerve (IPS) is an under-investigated nerve that can be a source of chronic knee pain. This literature review aims to deliver an up-to-date review of chronic pain transmitted via the IPS along with therapeutic approaches available for pain refractory to conservative measures.

Recent Findings

Knee pain transmitted via the IPS can arise from several etiologies. Damage to the IPS is often iatrogenic and develops following total knee arthroplasty, anterior cruciate ligament reconstruction, and other knee surgical procedures. Other causes of IPS-derived pain include entrapment of the nerve, neuromas, Schwannomas, and pain from knee osteoarthritis transmitted through the IPS.This article investigated therapeutic approaches to pain derived from the IPS. Common approaches included radiofrequency ablation, neuroma excisions, Schwannoma excision, nerve blocks, surgical exploration, surgical release of an entrapped nerve, cryoablation, and peripheral nerve stimulation. Pain scores, duration of pain relief, adverse events, and secondary outcomes were all included in this review.

Summary

A subset of the patient population experiences chronic pain deriving from the IPS that is refractory to conservative treatment measures. This review aims to evaluate the etiologies and therapeutic approaches for chronic pain arising from the IPS refractory to conservative treatments.

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Title: Infrapatellar Branch of the Saphenous Nerve: Therapeutic Approaches to Chronic Knee Pain
Authors: Alaa Abd-Elsayed
Lukas J. Henjum
Barnabas T. Shiferaw
Peter E. Yassa
Kenneth J. Fiala
Publication date: 31-01-2024
Publisher: Springer US
Keywords: Knee Osteoarthritis
Knee Osteoarthritis
Schwannoma
Nerve Block
Published in: Current Pain and Headache Reports / Issue 4/2024
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI: https://doi.org/10.1007/s11916-024-01217-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Infrapatellar Branch of the Saphenous Nerve: Therapeutic Approaches to Chronic Knee Pain

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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