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Platt’s Syndrome: A Nerve Complication Associated with Ligament Injuries

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Abstract

Common peroneal nerve (CPN) palsy is associated with acute trauma injuries in the lower extremity, especially around the knee. The occurrence rate of CPN palsy in the general population with knee dislocation or bicruciate ligament injury ranges from 10 to 40% [1]; the peroneal nerve injury associated with sports-related knee injury has been reported to account for 18%. Cho [2] retrospectively reviewed 84 cases, evaluated for injury mechanism and other items and found 84 of 448 cases of peroneal nerve injury, all of which were found to be sports related (skiing 42 cases, football 23 cases, soccer 8 cases, basketball 6 cases, ice hockey 2 cases, track 2 cases, and volleyball 1 case). Sports that are more related to knee injury and peroneal nerve lesion are skiing, American football and soccer. The high prevalence is due to the risks associated not only with particular sport but also with the biomechanics of the trauma. These biomechanics could be direct or indirect such as a common occurrence in football in which injury happens when the foot is fixed on the ground with a typical varus and hyperextension of the knee. In Spain of course, soccer is the main cause of nerve lesion and sport-related knee injury. Our group, Mutualitat Catalana de Futbolistes (soccer players’ mutual insurance in Catalonia) includes 150,000 athletes and performs medical assistance to 26,000 soccer players per year.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic and Traumatology, Hospital Clínic, Barcelona, Spain

    M. Llusa & M. R. Morro

  2. Department of Human Anatomy, University of Barcelona, Barcelona, Spain

    M. Llusa & M. R. Morro

  3. Trauma Unit, Teknon University Hospital, Barcelona, Spain

    M. Llusa & J. Casañas

  4. Mutualidad Catalana de Futbolistas, Barcelona, Spain

    P. Alvarez, E. Alentorn, D. Barastegui & R. Cugat

  5. Artroscopia GC, Quirón University Hospital, Barcelona, Spain

    P. Alvarez, X. Cusco, R. Seijas, E. Alentorn, D. Barastegui & R. Cugat

  6. Fundación García Cugat, Barcelona, Spain

    P. Alvarez, X. Cusco, R. Seijas, E. Alentorn, D. Barastegui & R. Cugat

  7. Universitat Internacional de Catalunya, Barcelona, Spain

    P. Alvarez & R. Seijas

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  1. M. Llusa
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Correspondence to M. Llusa .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Basel Land, Switzerland

    Michael Tobias Hirschmann

  2. Center of Functional and Biological Reconstruction of the Knee, Humanitas University, Humanitas Research Hospital, Milan, Italy

    Elizaveta Kon

  3. Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden

    Kristian Samuelsson

  4. Istituto Ortopedico Galeazzi, Milano, Italy

    Matteo Denti

  5. Department of Orthopaedics, Lyon Ortho Clinic, LYON, France

    David Dejour

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Llusa, M. et al. (2020). Platt’s Syndrome: A Nerve Complication Associated with Ligament Injuries. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_27

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  • DOI: https://doi.org/10.1007/978-3-662-61264-4_27

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