Management of an iatrogenic injury to the tibial nerve in a 24-year-old hurdle runner

According to previously published papers, neurovascular injuries seem to be the most unfortunate complications after surgical procedures. In this report, we present our therapeutic approach to iatrogenic injury of the posterior tibial nerve that occurred during ankle arthroscopy in a 24-year-old pat...

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Bibliographic Details
Main Authors: Joanna Kowalska, Radoslaw Grabowski, Justyna Pigonska, Marcin Domzalski
Format: Article
Language:English
Published: SAGE Publishing 2018-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060518776061
Description
Summary:According to previously published papers, neurovascular injuries seem to be the most unfortunate complications after surgical procedures. In this report, we present our therapeutic approach to iatrogenic injury of the posterior tibial nerve that occurred during ankle arthroscopy in a 24-year-old patient. The outcome of the therapy was a full sensory return and partial motor return (S4 and M3 according to the Medical Research Council Grading System for Nerve Recovery). Our patient was able to resume her typical training. In comparison with available reports, our therapeutic approach enabled earlier functional recovery after nerve injury. While sensory return is beneficial, motor improvement is also important. However, we are conscious of the poor functional outcomes reported by other researchers.
ISSN:0300-0605
1473-2300