A REVIEW OF TWO CASE REPORTS OF SAPHENOUS NERVE NEURALGIA IN HOSPITAL KUALA LUMPUR, MALAYSIA Saphenous nerve neuralgia is often underdiagnosed as medial-sided knee pain, resulting in a delay in treatment and increased risk of developing chronic neuropathic pain. The development of saphenous nerve neuralgia can be attributed to direct trauma to the medial side or entrapment of the nerve post-operative knee surgeries. Due to delay in diagnosis, the treatment options are limited, and outcomes vary. We presented two complicated cases of saphenous nerve neuralgia in our sports medicine clinic, Hospital Kuala Lumpur, Malaysia, and outlined the management options available for such cases from sports physician perspectives.

A SUCCESSFUL TREATMENT OF TARSAL TUNNEL SYNDROME USING HYDRO-DISSECTION TECHNIQUE: A CASE REPORT Tarsal tunnel syndrome (TTS) is an uncommon musculoskeletal ankle disorder caused by compression of the posterior tibial nerve at the tarsal tunnel level. Our objective is to describe the first case report of tarsal tunnel syndrome successfully treated with the hydro-dissection technique. This is a case of 41 years old lady who suffered from severe ankle sprain. She was prescribed an ankle brace to treat her ankle sprain. After 1-year post-injury, she complained of moderate to severe medial ankle pain, neuropathic, radiating to the big toe. Clinical assessments revealed tenderness at the tarsal tunnel area, accompanied by a positive Tinel sign, reproducing similar symptoms. Ultrasound examination confirmed an enlarged posterior tibial nerve at the level of the tarsal tunnel, with tenderness during sono-palpation and reproducing symptoms on sono-Tinel sign. She underwent hydro-dissection of the posterior tibial nerve with a marked reduction in pain and improvement in daily function.