Infraptellar nerve neuropathy as a cause of chronic pain in knee joint area


DOI: https://dx.doi.org/10.18565/therapy.2023.5.148-155

Lyalina V.V., Skripnichenko E.A., Borisovskaya S.V., Oknin V.Yu., Migachev S.L., Plieva Z.Kh., Lazko F.L., Baskov A.V., Belykh Yu.A., Nikitin I.G.

1) N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow; 2) V.M. Buyanov City Clinical Hospital of the Department of Healthcare of Moscow; 3) «Orthospine» clinic LLC, Moscow; 4) Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia, Moscow; 5) Peoples’ Friendship University of Russia, Moscow; 6) «Reafit» LLC, Obninsk
Abstract. Infrapatellar nerve neuropathy (IPNN) is one of the causes of chronic pain in the knee joint area and often leads to motor activity difficulties and significant decrease in the patient’s life quality. It is well known that IPNN neuropathy may develop after the surgery on anterior or medial knee segments. However, the list of causes of this condition is not limited to iatrogenic effects alone. The clinical picture of IPNN neuropathy is generally represented by the symptoms of mononeuropathy, but it is characterized by a significant variety of clinical manifestations. In combination with insufficient information content of instrumental data, the diagnosis of IPNN neuropathy is a difficult analytical task for the clinician.
Keywords: knee joint neuropathy, gonialgia, knee pain, mononeuropathy, mononeurites, infrapatellar neuropathy, knee joint osteoarthritis
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About the Autors

Vera V. Lyalina, PhD in Medical Sciences, associate professor of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: vera_lyalina@mail.ru. ORCID: https://orcid.org/0000-0002-4262-4060
Elina A. Skripnichenko, postgraduate student of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: elkaskrip@gmail.com. ORCID: https://orcid.org/0000-0001-6321-8419
Svetlana V. Borisovskaya, PhD in Medical Sciences, associate professor of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: svabor@inbox.ru. ORCID: https://orcid.org/0000-0002-9365-1472
Vladislav Yu. Oknin, MD, neurologist at «Orthospine» clinic. Address: 125252, Moscow, 12 Berezovoi Roshchi Drive. E-mail: voknin@gmail.com
Sergey L. Migachev, PhD in Medical Sciences, anesthesiologist at «Orthospine» clinic. Address: 125252, Moscow, 12 Berezovoi Roshchi Drive
Zarina Kh. Plieva, neurosurgeon at «Orthospine» clinic. Address: 125252, Moscow, 12 Berezovoi Roshchi Drive. ORCID: https://orcid.org/0000-0003-1297-1616
Fedor L. Lazko, MD, professor of the Department of traumatology and orthopedics, Peoples’ Friendship University of Russia. Address: 117198, Moscow, 6 Miklukho-Maklaya Str. E-mail: fedor-lazko@mail.ru.
ORCID: https://orcid.org/0000-0001-5292-7930
Andrey V. Baskov, MD, professor of the Department of neurosurgery, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia, Address: 125047, Moscow, 16 4th Tverskaya-Yamskaya Str. E-mail: abaskov@mail.ru
Yuri A. Belykh, physical rehabilitation specialist, head of «Reafit» LLC. Address: 249034, Kaluga region, Obninsk, 51 Marksa Avenue. E-mail: 3456275@gmail.com
Igor G. Nikitin, MD, professor, head of the Department of hospital therapy No. 2 of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, director of Treatment and Rehabilitation Center of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: igor.nikitin.64@mail.ru. ORCID: https://orcid.org/0000-0003-1699-0881


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