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Saphenous nerve entrapment

Active young individual presents with sharp pain and numbness along the anterior left ankle pronounced upon palpation and activity. Patient denies direct trauma; however, states was previously athletic. Diagnosis saphenous nerve entrapment. Perform tinnel by tapping on nerve gently with radiation along both directions of nerve, valleux radiates in one direction, nerve compression test generates symptoms, traction the nerve with manipulation of foot and ankle, check if it’s a vein engorgement crowding the nerve, ganglion cyst along the local tendons and joint, stress fracture formation to the ankle bone MRI is beneficial Nerve conduction velocity and electromyogram studies is also beneficial with neurology referral