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Common Peroneal Nerve Palsy Associated with Multiple Knee Ligament Injury
Korean J Sports Med 2018;36:45-48
Published online March 1, 2018;  https://doi.org/10.5763/kjsm.2018.36.1.45
© 2018 The Korean Society of Sports Medicine.

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 to: 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
E-mail: yjchoi@gnah.co.kr
Received October 24, 2017; Revised February 22, 2018; Accepted February 23, 2018.
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 30째. 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
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