Neuromatous Knee Pain: Evaluation and Management

  • Maurice Y. Nahabedian


The concept of selective denervation around the knee joint has received increasing attention and recognition as a legitimate treatment modality forintractable knee pain due to neuromata. Our ability to surgically manage these patients has been enhanced as our understanding of the innervation of the human knee joint has improved. Much of this is due to the pioneering work of one of my long-standing mentors, A. Lee Dellon, MD. His anatomic studies detailing the neural pathways have facilitated our understanding of the sensory mechanisms responsible for pain around the knee joint.


Total Knee Arthroplasty Knee Pain Nerve Block Visual Analog Score Cutaneous Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1.  1.
    Dellon AL. Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve. J Hand Surg. 1985;10A:527-533.Google Scholar
  2.  2.
    Dellon AL. Partial joint denervation II: knee and ankle. Plast Reconstr Surg. 2009;123:208-217.PubMedCrossRefGoogle Scholar
  3.  3.
    Dellon AL, MacKinnon SE, Daneshvar A. Terminal branch of the anterior interosseous nerve as a source of wrist pain. J Hand Surg. 1984;9B:316-322.Google Scholar
  4.  4.
    Dellon AL, Mont MA, Krackow KA, et al. Partial denervation for persistent neuroma pain after total knee arthroplasty. Clin Orthop Relat Res. 1995;316:145-150.PubMedGoogle Scholar
  5.  5.
    Dellon AL, Mont MA, Mullick T, et al. Partial denervation for neuromatous knee pain around the knee. Clin Orthop Relat Res. 1996;329:216-222.PubMedCrossRefGoogle Scholar
  6.  6.
    Dellon AL, Mont MA, Hungerford DS. Partial denervation for the treatment of persistent neuroma pain after total knee arthroplasty. In: Insall JN, Scott WN, eds. Surgery of the Knee. Philadelphia: Saunders; 2000:1772-1786.Google Scholar
  7.  7.
    Horner G, Dellon AL. Innervation of the human knee joint and implications for surgery. Clin Orthop Relat Res. 1994;301:221-226.PubMedGoogle Scholar
  8.  8.
    Kasim N, Fulkerson JP. Resection of clinically localized segments of painful retinaculum in the treatment of selected patients with anterior knee pain. Am J Sports Med. 2000;28:811-814.PubMedGoogle Scholar
  9.  9.
    Nahabedian MY, Johnson CA. Operative management of neuromatous knee pain: patient selection and outcome. Ann Plast Surg. 2001;46:15-22.PubMedCrossRefGoogle Scholar
  10. 10.
    Nahabedian MY, Mont MA, Hungerford DS. Selective denervation of the knee: experience, case reports and technical notes. Am J Knee Surg. 1998;11:175-180.PubMedGoogle Scholar
  11. 11.
    Wilhelm A. Zur innervation der gelenke der oberen extremitat. Z Anat Entwicklungs Geschechte. 1958;120:331-371.CrossRefGoogle Scholar
  12. 12.
    Wilhelm A. Die Gelenkdenervation und ihre anatomischen Grundlagen. Ein neues Behandlungsprinzip in der Habd­chirurgie. Hefte Unfallheilkd. 1966;86:1-109.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Department of Plastic SurgeryGeorgetown UniversityWashingtonUSA

Personalised recommendations