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J R Soc Med. 1998 November; 91(11): 573–575.
PMCID: PMC1296949

Knee pain and the infrapatellar branch of the saphenous nerve.


Pain over the front of the knee is common after surgery or trauma but often a definite diagnosis is difficult to make. Over the past year we have seen five cases in which the pain could be ascribed to damage to a branch of the infrapatellar branch of the saphenous nerve. Two were subsequent to trauma and three to surgical procedures. In all five cases surgical exploration gave symptomatic relief. Eight cadaveric knees were prosected to explore further the anatomy of this nerve in relation to the injuries. Injury to one of these branches should be considered in cases of persistent anterior, anteromedial or anterolateral knee pain or neurological symptoms following surgery or trauma.

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Selected References

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  • GORDON GC. Traumatic prepatellar neuralgia. J Bone Joint Surg Br. 1952 Feb;34-B(1):41–44. [PubMed]
  • Ikpeme JO, Gray C. Traumatic prepatellar neuralgia. Injury. 1995 May;26(4):225–229. [PubMed]
  • Detenbeck LC. Infrapatellar traumatic neuroma resulting from dashboard injury. J Bone Joint Surg Am. 1972 Jan;54(1):170–172. [PubMed]
  • Lippitt AB. Neuropathy of the saphenous nerve as a cause of knee pain. Bull Hosp Jt Dis. 1993 Winter;52(2):31–33. [PubMed]
  • Swanson AJ. The incidence of prepatellar neuropathy following medial meniscectomy. Clin Orthop Relat Res. 1983 Dec;(181):151–153. [PubMed]
  • Small NC. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy. 1988;4(3):215–221. [PubMed]
  • Sherman OH, Fox JM, Snyder SJ, Del Pizzo W, Friedman MJ, Ferkel RD, Lawley MJ. Arthroscopy--"no-problem surgery". An analysis of complications in two thousand six hundred and forty cases. J Bone Joint Surg Am. 1986 Feb;68(2):256–265. [PubMed]
  • Mochida H, Kikuchi S. Injury to infrapatellar branch of saphenous nerve in arthroscopic knee surgery. Clin Orthop Relat Res. 1995 Nov;(320):88–94. [PubMed]

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