ABSTRACT
Common peroneal nerve (CPN) injury is a recognised complication of traumatic knee dislocation with a direct association between the degree of ligamentous injury and the degree of CPN injury. It is essential explore and repair these injuries in good time to reduce morbidity. Often exploration only involves the portion of this nerve associated with the joint as it courses around the fibular head. However, a recent case highlighted the importance of proximal exploration to its branching point from the sciatic nerve, a known point of fragility, even if other defects have been identified.
Subject(s)
Knee Dislocation/complications , Knee Injuries/complications , Neurosurgical Procedures/methods , Peripheral Nerve Injuries , Peroneal Nerve , Plastic Surgery Procedures/methods , Adult , Athletic Injuries/diagnosis , Bicycling , Humans , Knee Injuries/diagnosis , Knee Injuries/surgery , Male , Patient Care Team , Peripheral Nerve Injuries/etiology , Peripheral Nerve Injuries/physiopathology , Peripheral Nerve Injuries/surgery , Peroneal Nerve/diagnostic imaging , Peroneal Nerve/injuries , Peroneal Nerve/surgery , Time-to-Treatment , Trauma Severity Indices , Treatment OutcomeABSTRACT
Posterior ischemic optic neuropathy following burns is a rare but devastating condition that can result in total bilateral visual loss. Numerous treatment modalities have been trialed, yet there is no effective therapy to delay or reverse the disease. Hence, it is imperative for burns surgeons to be aware of the potential risk factors and have a high index of suspicion right from the outset to prevent this outcome. Here, we discuss the case of a patient that developed posterior ischemic optic neuropathy subsequent to a major burn injury. We also present a literature review on optic neuropathies following burns to describe the etiology, clinical signs, and potential management.
