Abstract

English

Highlights

  • The knowledge of the variant nerves in the adductor canal and around the knee has gained importance with the increased popularity of knee surgeries, like knee replacement, anterior cruciate ligament repair and arthroscopy for diagnosis and treatment of knee disorders

  • Surgeons performing total knee ­arthroplasty, anterior cruciate ligament repair and arthroscopy through medial approach should be aware of such rare variation

  • This finding has an equal importance to anaesthetists giving saphenous nerve block in the adductor canal to relieve pain following surgical interventions of the knee

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Summary

Conclusion

Apart from academic interest, the knowledge about the presence of unusual mixed nerves and its branches in the adductor canal and around the knee along with the dual nerve supply to the vastus medialis should help the surgeons and anaesthetists performing different procedures in these regions. Surgeons should be aware of such rare variation of nerves while performing various surgical procedures around the knee through medial approach to avoid postoperative complications. The anaesthetists should have an idea of this kind of variation while giving saphenous nerve block to avoid unintentional involvement of nerves supplying the vastus medialis, which may result in undesired motor weakness. Abbreviations list VML, vastus medialis longus; VMO, vastus medialis obliquus

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