Articular branches of the saphenous nerve supply the medial knee capsule, the deep medial collateral ligament, and the medial synovium. These branches diverge from the saphenous nerve in the adductor canal before it becomes subcutaneous, contributing to medial knee pain sensation.
The saphenous articular branches are targeted in medial knee denervation for isolated medial compartment osteoarthritis pain. Saphenous nerve block in the adductor canal anaesthetises these articular branches as well as the infrapatellar branch, providing effective knee analgesia without quadriceps weakness. Post-meniscectomy medial knee pain may involve sensitisation of these articular branches.
Sensitisation of saphenous articular branches following medial compartment injury or surgery, producing medial knee pain that responds to adductor canal saphenous nerve block.
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