Ultrasound-Guided Pulsed Radiofrequency Treatment for Superficial Peroneal Nerve Entrapment in a Professional Handball Player.
athlete
entrapment
pain
peripheral neuropathy
pulsed radiofrequency
superficial peroneal nerve
ultrasound
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
accepted:
16
07
2023
medline:
18
8
2023
pubmed:
18
8
2023
entrez:
18
8
2023
Statut:
epublish
Résumé
Peripheral nerve injury in athletes is rare but deleterious to their performance, entrapment being one of the most frequent causes. Isolated injury to the superficial peroneal nerve (SPN) is rare and often underdiagnosed. The authors reported a clinical case of a 34-year-old handball athlete who presented with neuropathic pain in the inferolateral third of the leg and dorsum of the foot, with three months of evolution, after an ankle sprain, refractory to conservative treatment. After clinical assessment and ultrasound investigation, it was considered that the pain source was likely to be an SPN entrapment. Thus, a diagnostic ultrasound-guided nerve block with 2ml of 2% lidocaine and 3ml of 0.2% ropivacaine was performed, followed by nerve hydrodissection, with a major improvement in the patient's symptoms and functionality for three weeks. Thereafter, a long-lasting alternative was made - pulsed radiofrequency (pRF). There were no complications after the procedure. As a form of neuromodulation, pRF offered pain resolution without tissue damage or painful sequela, after 3, 6, 12, and 24 months of follow-up and complete participation in sports activity, avoiding surgical treatment. With this clinical case, the authors intend to demonstrate the effectiveness of pRF in the resolution of peripheral neuropathy due to entrapment, avoiding more invasive treatment options and, in the case of an athlete, allowing an early return to play. They also intend to corroborate the advantage of using ultrasound in the diagnosis and guide of minimally invasive procedures.
Identifiants
pubmed: 37593284
doi: 10.7759/cureus.42043
pmc: PMC10427882
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e42043Informations de copyright
Copyright © 2023, Martins da Silva et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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