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Journals / Türk Nöroloji Dergisi / 2019 / Cilt: 25 - Sayı: 2

Blind Versus Ultrasound Guidance Injections: Lateral Femoral Cutaneous Nerve Blockage Revisited

Lateral Femoral Kutanöz Sinirinin Kör ve Ultrason Eşliğinde Yapılan Blokajının Değerlendirilmesi

Berke ARAS
Emre ADIGÜZEL
Fatih TOK
Pages
54–57
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

US-guided LCFN blocks can be performed with better success.

📌 3 Key Takeaways

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Objective & Hypothesis:Meralgia paresthetica is a nerve entrapment that may cause pain, numbness, hypersensivity, and paresthesias within the anterolateral region of the thigh, which isthe area of distribution of the lateral femoral cutaneous nerve (LCFN).
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Key Findings & Data:Blockade of the LFCN has been classically described using anatomic landmarks, but the anatomic variability of the nerve may be responsiblefor failure rates being as high as 60%.
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Conclusion & Impact:US-guided LCFN blocks can be performed with better success.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Meralgia paresthetica is a nerve entrapment that may cause pain, numbness, hypersensivity, and paresthesias within the anterolateral region of the thigh, which isthe area of distribution of the lateral femoral cutaneous nerve (LCFN). According to the literature, there is a large variability in the nerve course as the nerve piercesthe inguinal ligament. Blockade of the LFCN has been classically described using anatomic landmarks, but the anatomic variability of the nerve may be responsiblefor failure rates being as high as 60%. Ultrasound (US) guidance for peripheral nerve blocks has become popular among physicians because of its several advantageswhen compared with traditional nerve localization techniques. US-guided LCFN blocks can be performed with better success.

Özet

Meraljia parestetika, lateral femoral kutanöz sinirin (LFKN) dağılım alanı olan uyluk ön-dış bölümünde ağrı, hissizlik, hipersensivite ve parestezilere yol açan bir tuzak nöropatisidir. Literatüre göre, sinirin inguinal ligament geçtiği sinir trasesinde fazla miktarda varyasyon görülmektedir. LFKN blokajı klasik olarak anatomik noktalar kullanılarak uygulanır fakat anatomik variabilitenin olması enjeksiyonunun başarı yüzdesini %60 gibi yüksek bir oranda etkilemektedir. Ultrason (US) eşliğinde periferik sinir blokajı, geleneksel sinir lokalizasyon teknikleri ile mukayese edildiğinde birçok avantajı olması sebebiyle birçok klinisyen arasında popüler olmuştur. US eşliğinde yapılan LFKN blokları daha başarılı sonuçlar vermektedir.

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Cite This Article

ARAS, B., ADIGÜZEL, E., TOK, F. (2022). Blind Versus Ultrasound Guidance Injections: Lateral Femoral Cutaneous Nerve Blockage Revisited. Türk Nöroloji Dergisi, Cilt: 25 - Sayı: 2, 54–57. https://ajindex.com/articles/636733

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References (16)

  1. Cheatham SW, Kolber MJ, Salamh PA. Meralgia paresthetica: A review of the literature. Int J Sports Phys Ther 2013;8:883-893
  2. Van Slobbe AM, Bohnen AM, Bernsen RM, Koes BW, Bierma-Zeinstra SM. Incidence rates and determinants in meralgia paresthetica in general practice. J Neurol 2004;251:294-297
  3. Parisi TJ, Mandrekar J, Dyck PJ, Klein CJ. Meralgia paresthetica: relation to obesity, advanced age, and diabetes mellitus. Neurology 2011;77:1538- 1542
  4. Bodner G, Bernathova M, Galiano K, Putz D, Martinoli C, Felfernig M. US of the lateral femoral cutaneous nerve: normal findings in a cadaver and in volunteers. Reg Anesth Pain Med 2009;34:265-268
  5. Hospodar PP, Ashman ES, Traub JA. Anatomic study of the lateral femoral cutaneous nerve with respect to the ilioinguinal surgical dissection. J Orthop Trauma 1999;13:207-211
  6. Grothaus MC, Holt M, Mekhail AO, Ebraheim NA, Yeasting RA. Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res 2005;437:164-168
  7. Beltran LS, Bencardino J, Ghazikhanian V, Beltran J. Entrapment neuropathies, 3: Lower limb. Semin Musculoskelet Radiol 2010;14:501-511
  8. Ozçakar L, Carli AB, Tok F, et al. The utility of musculoskeletal ultrasound in rehabilitation settings. Am J Phys Med Rehabil 2013;92:805-817
  9. ShannonJ, Lang SA, Yip RW, Gerard M. Lateral femoral cutaneous nerve block revisited: a nerve stimulator technique. Reg Anesth 1195;20:100-104
  10. Cook JL, Cook J. The lateral femoral cutaneous nerve block. Dermatol Surg 2000;26:81-83
  11. Özçakar L, Kara M, Chang KV, et al. Nineteen reasons why physiatrists should do musculoskeletal ultrasound: EURO-MUSCULUS/USPRM recommendations. Am J Phys Med Rehabil 2015;94:e45-49
  12. Kara M, Özçakar L, De Muynck M, Tok F, Vanderstraeten G. Musculoskeletal ultrasound for peripheral nerve lesions. Eur J Phys Rehabil Med 2012;48:665-674
  13. Ozçakar L, Tok F, De Muynck M, Vanderstraeten G. Musculoskeletal ultrasonography in physical and rehabilitation medicine. J Rehabil Med 2012;44:310-318
  14. Ng I, Vaghadia H, Choi PT, Helmy N. Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg 2008;107:1070- 1074
  15. Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J. Ultrasound guided blockade of the lateral femoral cutaneous nerve: technical description and rewiev of 10 cases. Arch Phys med Rehabil 2007;88:1362-1324
  16. Sharrock NE. Inadvertent “3-in-1-block”following injection of the lateral cutaneous nerve of the thigh.