PLEASE HELP Perineal nerve TORN along with ACL

Usually with instability of the knee
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Justin A
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PLEASE HELP Perineal nerve TORN along with ACL

Post by Justin A »

My son is 21 years old and wrestles Div 1 and was injured 2 weeks ago. He tore everything and now they have found the Perineal nerve is torn. We cannot find anyone that has any experience with this surgery. We understand how serious this is, and we were told he may never walk again. We are praying for some guidance from anyone, because at this point everyone is throwing their hands up.
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vickster
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Re: PLEASE HELP Perineal nerve TORN along with ACL

Post by vickster »

Are you in the US?
Perhaps try HSS in New York (and Florida) who are an orthopaedic centre of excellence
https://www.hss.edu/
https://www.hss.edu/locations.asp
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Re: PLEASE HELP Perineal nerve TORN along with ACL

Post by The_KNEEguru »

@Justin A - if you are researching online, take care to spell it PERONEAL ... with an 'O'
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Re: PLEASE HELP Perineal nerve TORN along with ACL

Post by The_KNEEguru »

When I read about a difficult case on the forum, I like to review the literature that is available online and found this summary of a paper - https://pubmed.ncbi.nlm.nih.gov/36326829/ - "Relationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study". The full paper would be available from your library.

What the paper is saying is that it is likely that the posterolateral corner is damaged in addition to the ACL and the peroneal nerve. Here you can read a paper by a well-respected (but retired) surgeon, Dr Frank R Noyes - "What the posterolateral corner is and why it matters" https://www.kneeguru.co.uk/KNEEnotes/ar ... it-matters

So you need to look for a surgeon that is skilled in assessing the posterolateral corner. @vickster has helpfully suggested HSS (Hospital for Special Surgery). Also if you scroll to the list of papers at the end of this link https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852053/ you will see that Dr Robert LaPrade is very knowledgeable about this part of the knee - and his contact details are here https://www.kneeguru.co.uk/KNEEnotes/kn ... -f-laprade and his website here https://drrobertlaprademd.com/
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