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Case Report: Ultrasound Reveals Cause of Post-Arthroplasty Knee Pain

Mark H. Greenberg, MD, RMSK, RhMSUS, Elijah Mitcham, MD, Prem Patel, James W. Fant Jr., MD, & Frank R. Voss, MD  |  Issue: April 2020  |  

10(3):2364–2368.

  • Kim JY, Ihn YK, Kim JS, et al. Non-traumatic peroneal nerve palsy: MRI findings. Clinical Radiology. 2007 Jan;62(1):58–64.
  • Idusuyi OB, Morrey BF. Peroneal nerve palsy after total knee arthroplasty: Assessment of predisposing and prognostic factors. J Bone Joint Surg Am. 1996 Feb;78(2):177–184.
  • Rose HA, Hood RW, Otis JC, et al. Peroneal-nerve palsy following total knee arthroplasty. A review of The Hospital for Special Surgery experience. J Bone Joint Surg Am. 1982 Mar;64(3):347–351.
  • Margulis M, Ben Zvi L, Bernfeld B. Bilateral common peroneal nerve entrapment after excessive weight loss: Case report and review of the literature. J Foot Ankle Surg. 2018 May–Jun;57(3):632–634.
  • Sotaniemi KA. Slimmer’s paralysis—peroneal neuropathy during weight reduction. J Neurol Neurosurg Psychiatry. 1984 May;47(5):564–566.
  • Elias, WJ, Pouratian N, Oskouian RJ, et al. Peroneal neuropathy following successful bariatric surgery. Case report and review of the literature. J Neurosurg. 2006 Oct;105(4):631–635.
  • Agarwal M, Syed AA, Singh R, Kamdar BA. Common peroneal nerve palsy after lateral unicompartmental knee arthroplasty. J Arthroplasty. 2003 Jan;18(1):92–95.
  • Fritz J, Lurie B, Potter HG. MR imaging of knee arthroplasty implants. Radiographics. 2015 Sep–Oct;35(5):1483–1501.
  • Bayrak İK, Oytun Bayrak A, Turker H, et al. Diagnostic value of ultrasonography in peroneal neuropathy. Turk J Med Sci. 2018 Dec;48(6):1115–1120.
  • Suk JI, Walker FO, Cartwright MS. Ultrasound of peripheral nerves. Curr Neurol Neurosci Rep. 2013 Feb;13(2):328.
  • Visser LH, Hens V, Soethout M, et al. Diagnostic value of high-resolution sonography in common fibular neuropathy at the fibular head. Muscle Nerve. 2013 Aug;48(2):171–178.
  • Kim JY, Song S, Park HJ, et al. Diagnostic cutoff value for ultrasonography of the common fibular neuropathy at the fibular head. Ann Rehabil Med. 2016 Dec;40(6):1057–1063.
  • Nageeb RS, Mohamed WS, Nageeb GS, et al. Role of superficial peroneal sensory potential and high-resolution ultrasonography in confirmation of common peroneal mononeuropathy at the fibular neck. Egypt J Neurol Psychiatr Neurosurg. 2019 Mar 28;55(23).
  • Krackow KA, Maar DC, Mont MA, et al. Surgical decompression for peroneal nerve palsy after total knee arthroplasty. Clin Orthop Relat Res. 1993 Jul;292:223–228.
  • Ward JP. Yang LJ-S, Urquhart AG. Surgical decompression improves symptoms of late peroneal nerve dysfunction after total knee arthroplasty. Orthopedics. 2013 Apr;36(4):e515–e519.
  • Mahoney OM, Kinsey T. Overhang of the femoral component in total knee arthroplasty: Risk factors and clinical consequences. J Bone Joint Surg Am. 2010 May;92(5):1115–1121.
  • Chau R, Gulati A, Pandit H, et al. Tibial component overhang following unicompartmental knee replacement—Does it matter? Knee. 2009 Oct;16(5):310–313.
  • Abram SG, Marsh AG, Brydone AS, et al. The effect of tibial component sizing on patient reported outcome measures following uncemented total knee replacement. Knee. 2014 Oct;21(5):955–959.

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