PMC5791473_01
Schematic showing the trigger points.
10.1177_2325967117751042-fig1.jpg
PMC5791473_01_10.1177_2325967117751042-fig1.jpg
fig1-2325967117751042
We found 3 precise trigger points (Figure 1). We palpated the 3 triggering points (Figure 1) for the pain.
Infrapatellar branch of saphenous nerve during dissection. The neuroma is circled.
10.1177_2325967117751042-fig2.jpg
PMC5791473_01_10.1177_2325967117751042-fig2.jpg
fig2-2325967117751042
During the surgery, we dissected the branches of the IBSN (Figures 2 and 3).
Infrapatellar branch of saphenous nerve with neuroma (circled).
10.1177_2325967117751042-fig3.jpg
PMC5791473_01_10.1177_2325967117751042-fig3.jpg
fig3-2325967117751042
During the surgery, we dissected the branches of the IBSN (Figures 2 and 3).
Infrapatellar branch of saphenous nerve showing the 3 branches (arrows).
10.1177_2325967117751042-fig4.jpg
PMC5791473_01_10.1177_2325967117751042-fig4.jpg
fig4-2325967117751042
Macroscopically, we saw a neuroma (Figure 4).
Infrapatellar branch of saphenous nerve during injection of bupivacaine solution.
10.1177_2325967117751042-fig5.jpg
PMC5791473_01_10.1177_2325967117751042-fig5.jpg
fig5-2325967117751042
We injected 1% bupivacaine solution into the region of the neuroma (Figure 5).
Infrapatellar branch of saphenous nerve after excision of the neuroma.
10.1177_2325967117751042-fig6.jpg
PMC5791473_01_10.1177_2325967117751042-fig6.jpg
fig6-2325967117751042
Next, we ligated the nerve and cut proximally to the neuroma (Figure 6).