Common Peroneal Nerve Palsy Associated with Multiple Knee Ligament Injury

Ho Jong Ra; Ki-Won Lee; Hyung-Kwon Cho; Byeong Cheol Ho; Dong-Kyo Seo; Young-Joon Choi

doi:10.5763/kjsm.2018.36.1.45

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Ra, Lee, Cho, Ho, Seo, and Choi: Common Peroneal Nerve Palsy Associated with Multiple Knee Ligament Injury

Case Report

The Korean Journal of Sports Medicine 2018; 36(1): 45-48.

Published online: 7 March 2018

DOI: https://doi.org/10.5763/kjsm.2018.36.1.45

Common Peroneal Nerve Palsy Associated with Multiple Knee Ligament Injury

Ho Jong Ra, Ki-Won Lee, Hyung-Kwon Cho, Byeong Cheol Ho, Dong-Kyo Seo, Young-Joon Choi

Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Correspondence: Young-Joon Choi. Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, 38 Bangdong-gil, Gangneung 25440, Korea. Tel: +82-33-610-3249, Fax: +82-33-641-8050, yjchoi@gnah.co.kr

Received 24 October 2017 Revised 22 February 2018 Accepted 23 February 2018

The Korean Society of Sports Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Common peroneal nerve (CPN) injury associated with multiple-ligament knee injury is relatively rare. A 38-year-old male presented with left knee pain occurred during ssireum (Korean wrestling). The patient exhibited positive Lachman, grade 3 varus stress, and also positive dial testing at 30°. Sensory loss of some area of left foot and foot drop were observed. Magnetic resonance imaging showed complete anterior cruciate ligament (ACL) rupture and posterolateral corner (PLC) injury. Motor nerve conduction velocity indicated left CPN palsy. ACL and PLC reconstructions were performed 10 days after injury and nerve exploration was done simultaneously. Neurolysis and primary repair were also performed. At 26 months after injury, muscle power of the tibialis anterior and extensor hallucis longus improved to grade 3, and sensation in CPN area recovered to about 60%. There was good stability in injured knee. To the best of our knowledge, this is the first case report describing CPN palsy with multiple-ligament knee injury during ssireum.

Keywords: Common peroneal nerve, Knee, Ligament injury, Nerve palsy, Posterolateral corner

Figures and Tables

Fig. 1

Magnetic resonance imaging. (A) Proton density (PD) fat suppression sagittal image shows the complete rupture of anterior cruciate ligament (arrow heads). (B) PD fat suppression coronal image shows the lateral collateral ligament rupture at femoral attachment site (arrow). (C) PD fat suppression coronal image shows the popliteus tendon rupture at femoral attachment site (arrow).

Fig. 2

There was evidence of contusion and incomplete rupture of common peroneal nerve, and the patient underwent neurolysis and primary repair (arrow heads).

Notes

^{Conflict of Interest} No potential conflict of interest relevant to this article was reported.

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