62 results match your criteria Nerve Block Deep Peroneal


ELECTROPHYSIOLOGICAL STUDY OF THE TIBIAL NERVE ACROSS THE TARSAL TUNNEL IN DISTAL SYMMETRIC DIABETIC POLYNEUROPATHY.

Am J Phys Med Rehabil 2021 Apr 14. Epub 2021 Apr 14.

EMG Service, Local Health Unit Toscana Sud Est, Siena, Italy Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.

Objective: To demonstrate abnormalities of motor conduction of the tibial nerve across the tarsal tunnel (TT) in type 2 diabetes.

Design: 124 consecutive patients (mean age 66.6 years, 62. Read More

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Nerve Blocks: Part II. Lower Extremity.

Am Fam Physician 2020 06;101(11):669-679

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Family physicians use anesthesia to provide diagnostic and procedural analgesia for conditions such as neuropathies, fracture reduction, foreign body removals, and complex wound management. Local infiltration of anesthetics is commonly used in this setting because of the ease of use, safety, and effectiveness of the procedure. Nerve blocks are a specific regional anesthesia technique that blocks nerve function distal to the injection site. Read More

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Ultrasound-guided diagnostic deep peroneal nerve blocks prior to potential neurectomy: a retrospective review.

Skeletal Radiol 2020 Aug 15;49(8):1313-1321. Epub 2020 Apr 15.

Department of Radiology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI, 53226, USA.

Objective: To describe our technical and preliminary clinical experience with ultrasound-guided diagnostic deep peroneal nerve (DPN) blocks for patients considering deep peroneal neurectomy.

Materials And Methods: Retrospective analysis of ultrasound-guided diagnostic DPN blocks performed in the anterior lower leg in patients pursuing deep peroneal neurectomy for foot pain not directly attributable to the DPN. Patient age, sex, foot laterality, diagnosis, nerve block complications, location of the DPN with respect to vascular landmarks in the lower leg, pain relief from nerve block, and pain relief from neurectomy (if performed) were recorded. Read More

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Ultrasound-guided sciatic nerve block at the midthigh level in a porcine model: A descriptive study.

Vet Med Sci 2020 08 12;6(3):543-549. Epub 2020 Apr 12.

Department of Anesthesiology and Pain medicine, Korea University College of Medicine, Seoul, South Korea.

Background And Objective: There are a growing number of porcine models being used for orthopaedic experiments for human beings. Therefore, pain management of those research pigs using ultrasound (US)-guided nerve block can be usefully performed. The aim of this study is to determine optimal US approaches for accessing and localizing the sciatic nerve at the midthigh level, a relevant block site for hindlimb surgery in female Yorkshire pigs. Read More

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Ultrasound-accelerated catheter-directed thrombolysis versus anticoagulation for the prevention of post-thrombotic syndrome (CAVA): a single-blind, multicentre, randomised trial.

Lancet Haematol 2020 Jan 27;7(1):e40-e49. Epub 2019 Nov 27.

Department of Vascular Surgery, Maastricht University Medical Centre, Maastricht, Netherlands; Department of Vascular Surgery, Aachen University Medical Centre, Aachen, Germany.

Background: Early thrombus removal might prevent post-thrombotic syndrome by preserving venous function and restoring flow. Previous trials comparing additional catheter-directed thrombolysis to standard treatment showed conflicting outcomes. We aimed to assess the benefit of additional ultrasound-accelerated catheter-directed thrombolysis for the prevention of post-thrombotic syndrome compared with standard therapy in patients with iliofemoral deep-vein thrombosis. Read More

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January 2020

An Anatomic and Clinical Study of the Innervation of the Dorsal Midfoot Capsule.

Foot Ankle Int 2019 Oct 23;40(10):1209-1213. Epub 2019 Jul 23.

Department of Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.

Background: Dorsal pain from osteoarthritic midfoot joints is thought to be relayed by branches of the medial and lateral plantar, sural, saphenous, and deep peroneal nerves (DPN). However, there is no consensus on the actual number or pathways of the nervous branches for midfoot joint capsular innervation. This study examined the DPN's terminal branches at the midfoot joint capsules through anatomic dissection and confirmation of their significance in a clinical case series of patients with midfoot pain relief after DPN block. Read More

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October 2019

Continuous Popliteal-Sciatic Blocks for Postoperative Analgesia: Traditional Proximal Catheter Insertion Superficial to the Paraneural Sheath Versus a New Distal Insertion Site Deep to the Paraneural Sheath.

Anesth Analg 2019 06;128(6):e104-e108

From the Department of Anesthesiology, University of California, San Diego, California.

We tested the hypothesis that during a continuous popliteal-sciatic nerve block, postoperative analgesia is improved with the catheter insertion point "deep" to the paraneural sheath immediately distal to the bifurcation between the tibial and common peroneal branches, compared with the traditional approach "superficial" to the paraneural sheath proximal to the bifurcation. The needle tip location was determined to be accurately located with a fluid bolus visualized with ultrasound; however, catheters were subsequently inserted without a similar fluid injection and visualization protocol (visualized air injection was permitted and usually implemented, but not required per protocol). The average pain (0-10 scale) the morning after surgery for subjects with a catheter inserted at the proximal subparaneural location (n = 31) was a median (interquartile) of 1. Read More

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Identifying the emergence of the superficial peroneal nerve through deep fascia on ultrasound and by dissection: Implications for regional anesthesia in foot and ankle surgery.

Clin Anat 2019 Apr 7;32(3):390-395. Epub 2019 Jan 7.

School of Medicine, University of St Andrews, St Andrews, United Kingdom.

Regional anesthesia relies on a sound understanding of anatomy and the utility of ultrasound in identifying relevant structures. We assessed the ability to identify the point at which the superficial peroneal nerve (SPN) emerges through the deep fascia by ultrasound on 26 volunteers (mean age 27.85 years ± 13. Read More

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The Effect of Preemptive Ankle Block using Ropivacaine and Dexamethasone on Postoperative Analgesia in Foot Surgery.

Anesth Essays Res 2017 Apr-Jun;11(2):372-375

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: Peripheral nerve blocks have become an increasingly popular form of anesthesia. Preemptive analgesia reduces central sensitization, postoperative pain, and analgesic consumption. Different additive has been used to prolong regional blockade and improve postoperative analgesia. Read More

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Ultrasound-guided therapeutic injections for neural pathology about the foot and ankle: a 4 year retrospective review.

Skeletal Radiol 2017 Jun 16;46(6):795-803. Epub 2017 Mar 16.

Center for Musculoskeletal Care, New York University Langone Medical Center, New York, NY, USA.

Objective: To describe a 4-year clinical experience with ultrasound-guided therapeutic perineural injections of peripheral nerves about the foot and ankle.

Materials And Methods: Retrospective analysis of foot and ankle perineural injections performed between January 2012 and August 2016. Demographics, clinical indications, presence of structural pathology, immediate and interval pain relief, as well as complications were recorded. Read More

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Defining local nerve blocks for feline distal pelvic limb surgery: a cadaveric study.

J Feline Med Surg 2017 Dec 10;19(12):1215-1223. Epub 2017 Feb 10.

5 Department of Molecular Biomedical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.

Objectives Anatomical and methodological detail is lacking regarding local anesthetic peripheral nerve block techniques for distal pelvic limb surgery in cats. The aim of this study was to develop, describe and test nerve block methods based on cadaveric dissections and dye injections. Methods Ten pairs of feline pelvic limbs (n = 20) were dissected and the tibial nerve (T n. Read More

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December 2017

Dexmedetomidine Added to Local Anesthetic Mixture of Lidocaine and Ropivacaine Enhances Onset and Prolongs Duration of a Popliteal Approach to Sciatic Nerve Blockade.

Clin Ther 2017 Jan 10;39(1):89-97.e1. Epub 2016 Dec 10.

Department of Anaesthesiology, First Affiliated Hospital, Wenzhou Medical University, Zhejiang, China. Electronic address:

Purpose: A literature review of multiple clinical studies on mixing additives to improve pharmacologic limitation of local anesthetics during peripheral nerve blockade revealed inconsistency in success rates and various adverse effects. Animal research on dexmedetomidine as an adjuvant on the other hand has promising results, with evidence of minimum unwanted results. This randomized, double-blinded, contrastable observational study examined the efficacy of adding dexmedetomidine to a mixture of lidocaine plus ropivacaine during popliteal sciatic nerve blockade (PSNB). Read More

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January 2017

Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities.

Authors:
Brian M Ilfeld

Anesth Analg 2017 01;124(1):308-335

From the Department of Anesthesiology, University of California San Diego, San Diego, California.

A continuous peripheral nerve block (CPNB) consists of a percutaneously inserted catheter with its tip adjacent to a target nerve/plexus through which local anesthetic may be administered, providing a prolonged block that may be titrated to the desired effect. In the decades after its first report in 1946, a plethora of data relating to CPNB was published, much of which was examined in a 2011 Anesthesia & Analgesia article. The current update is an evidence-based review of the CPNB literature published in the interim. Read More

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January 2017

Electrophysiologic features of fibular neuropathy in childhood and adolescence.

Muscle Nerve 2017 05 24;55(5):693-697. Epub 2017 Jan 24.

Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Introduction: We studied patterns of nerve injury in pediatric common fibular (peroneal) neuropathy (CFN).

Methods: A retrospective analysis was performed on data from 53 children with CFN at a pediatric electromyography laboratory.

Results: Conduction block at the fibular head was present in 35% of patients. Read More

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Treatment of nocturnal leg cramps by blockade of the medial branch of the deep peroneal nerve after lumbar spine surgery.

Brain Behav 2015 Sep 7;5(9):e00370. Epub 2015 Aug 7.

Department of Orthopaedic Surgery, School of Medicine, Kitasato University Sagamihara, Japan.

Introduction: Patients with lumbar spine disease sometimes complain of nocturnal leg cramps. We sought to investigate the effectiveness of blocking the medial branch of the deep peroneal nerve as treatment for nocturnal leg cramps after spinal surgery for lumbar spine disease.

Methods: We evaluated 66 postoperative patients in this prospective comparative study of a group of patients with a nerve block (n = 41) and a control group without (n = 25). Read More

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September 2015

[Radiation-induced lumbosacral plexopathy with severe burning pain after 17 years of radiation therapy for cervical cancer: a case report].

Rinsho Shinkeigaku 2015 7;55(9):654-6. Epub 2015 Jul 7.

Department of Neurology, The Jikei University School of Medicine.

A 73-year-old woman was admitted with severe burning pain, hyperesthesia, and weakness in the right lower extremity. The patient had undergone radio- and chemotherapy after surgery for cervical cancer 17 years earlier. We diagnosed radiation-induced lumbosacral plexopathy because of conduction block in the deep peroneal nerve and myokymic discharge in the tibialis anterior muscle. Read More

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Hereditary neuropathy with liability to pressure palsy: a recurrent and bilateral foot drop case report.

Case Rep Pediatr 2013 23;2013:230541. Epub 2013 Oct 23.

Department of Pediatrics, Centro Hospitalar do Alto Ave, Hospital de Guimarães, 4835-044 Guimarães, Portugal ; Department of Pediatrics, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.

Hereditary neuropathy with liability to pressure palsy is characterized by acute, painless, recurrent mononeuropathies secondary to minor trauma or compression. A 16-year-old boy had the first episode of right foot drop after minor motorcycle accident. Electromyography revealed conduction block and slowing velocity conduction of the right deep peroneal nerve at the fibular head. Read More

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November 2013

Mechanism of the inhibitory effect of electroacupuncture on experimental arrhythmias.

J Acupunct Meridian Stud 2013 Apr 28;6(2):69-81. Epub 2012 Nov 28.

School of Medicine, University of California, Irvine, CA 92697, USA.

Clinical observations reported that acupuncture can alleviate several kinds of arrhythmias. To explore its efficacy and mechanism, we have studied the electroacupuncture (EA) inhibition on experimental arrhythmias in rabbits since 1980s and analyzed its mechanism. These studies were mostly conducted in the Department of Physiology, Shanghai Medical University; recently the mechanism of acupuncture's effect on arrhythmias was analyzed in the School of Medicine, University of California, Irvine, which involves the following: (1)the inhibitory effect of EA on ventricular extrasystoles can be induced by hypothalamic defense area stimulation: a low-current and low-frequency stimulation of the median nerve underneath acupoints P 5 or deep peroneal nerve underneath S 36 can activate arcuate nucleus-ventral periaqueductal gray -nuclei raphe pathway and release endorphin, enkephaline, gamma-aminobutyric acid (GABA), 5-hydroxytryptamine (5-HT), etc. Read More

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Frequency-modulated electromagnetic neural stimulation (FREMS) as a treatment for symptomatic diabetic neuropathy: results from a double-blind, randomised, multicentre, long-term, placebo-controlled clinical trial.

Diabetologia 2013 Mar 13;56(3):467-75. Epub 2012 Dec 13.

Diabetes & Endocrinology Unit, Department of Internal Medicine, San Raffaele Hospital and San Raffaele Vita Salute University, Via Olgettina 60, 20132 Milan, Italy.

Aims/hypothesis: The aim was to evaluate the efficacy and safety of transcutaneous frequency-modulated electromagnetic neural stimulation (frequency rhythmic electrical modulation system, FREMS) as a treatment for symptomatic peripheral neuropathy in patients with diabetes mellitus.

Methods: This was a double-blind, randomised, multicentre, parallel-group study of three series, each of ten treatment sessions of FREMS or placebo administered within 3 weeks, 3 months apart, with an overall follow-up of about 51 weeks. The primary endpoint was the change in nerve conduction velocity (NCV) of deep peroneal, tibial and sural nerves. Read More

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The significance of tibial and common peroneal nerves in nerve blocks.

Surg Radiol Anat 2013 Apr 27;35(3):211-5. Epub 2012 Sep 27.

Department of Anatomy, College of Medicine, The Konyang University of Korea, Daejeon, Korea.

Purpose: The aim of this study was to elucidate the anatomical location of tibial nerve (TN) and common peroneal nerve (CPN) in the popliteal crease for specific nerve block.

Methods: Fifty fresh specimens from 27 adult Korean cadavers (16 males and 11 females, age 35-87 years) were investigated. Five of the 27 cadavers were used to determine the depths of nerves in cross-section. Read More

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Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve.

Reg Anesth Pain Med 2012 Sep-Oct;37(5):554-7

Department of Anesthesiology, Hospital Clínic, Barcelona, Spain.

Background: Ankle blocks typically include the block of 5 nerves, the 4 branches that trace their origin back to the sciatic nerve plus the saphenous nerve (SaN). The sensory area of the SaN in the foot is variable. Based on our clinical experience, we decided to study the sensory distribution of the SaN in the foot and determine whether the block of this nerve is necessary as a component of an ultrasound-guided ankle block for bunion surgery. Read More

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[Proximal tibial replacement and alloplastic reconstruction of the extensor mechanism after bone tumor resection].

Oper Orthop Traumatol 2012 Jul;24(3):247-62

Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Deutschland.

Objective: The goal of the operation is limb-sparing resection of tumors arising from the proximal tibia with adequate surgical margins and local tumor control. Implantation of a constrained tumor prosthesis with an alloplastic reconstruction of the extensor mechanism to restore painless joint function and loading capacity of the extremity.

Indications: Primary bone and soft tissue sarcomas. Read More

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Anatomic variations of superficial peroneal nerve: clinical implications of a cadaver study.

Ital J Anat Embryol 2010 ;115(3):223-8

Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India

Superficial peroneal nerve and its branches are frequently at risk for iatrogenic damage. Although different studies on anatomical variations of superficial peroneal nerve are available in the medical literature, such reports are rare from India. Hence the present study was undertaken on Indian population. Read More

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Ankle block implemented through two skin punctures.

Foot Ankle Int 2010 Jul;31(7):619-23

Motol University Hospital, 1st Orthopaedic Clinic, V Uvalu 84, Prague 5, 15006, Czech Republic.

Background: Recently, peripheral nerve blocks have increasingly been used in orthopedic surgery. The foot block is an alternative for anesthesia in cases of forefoot and midfoot operations. We propose a modification of the block technique due to potential difficulties concerning the tibial nerve. Read More

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Focal skeletal muscle uptake of 99mTechnetium-hydroxymethylene diphosphonate following peroneal nerve blocks in horses.

Vet Radiol Ultrasound 2010 May-Jun;51(3):338-43

Department of Large Animal Clinical Sciences, Texas A&M University, College Station, TX 77843-4475, USA.

We have observed focal skeletal muscle uptake of 99mTechnetium-hydroxymethylene diphosphonate (Tc-HDP), which could mimic a tibial lesion, in horses following peroneal nerve blocks. To characterize this observation further, 45 bone phase scintigrams were performed in 12 horses undergoing peroneal nerve blocks. Scans were performed before, and 1, 3, 7, and 14 days postblock. Read More

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Ultrasound does not improve the success rate of a deep peroneal nerve block at the ankle.

Reg Anesth Pain Med 2010 Mar-Apr;35(2):217-21

Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA 22908-0710, USA.

Background: The deep peroneal nerve is 1 of 5 nerves anesthetized when performing an ankle block. Multiple techniques of blocking the deep peroneal nerve have been described, but little evidence exists to delineate the efficacy of any one technique. We hypothesized that ultrasound would increase both the success rate and the quality of a deep peroneal nerve block at the ankle. Read More

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February 2011

Sensory testing of distal sural and posterior tibial nerves provides early prediction of surgical anesthesia after single-injection infragluteal-parabiceps sciatic nerve block.

Anesth Analg 2010 Mar 10;110(3):951-7. Epub 2009 Dec 10.

Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Background: Surgical anesthesia for reconstructive ankle surgery requires sensory and motor block of all the terminal nerve distributions of the sciatic nerve. In this prospective observational study, we investigated the value of sensory and motor testing of the foot, after local anesthetic injection, for predicting complete sciatic nerve blockade and the duration of testing required for identifying incomplete anesthesia.

Methods: Sciatic nerve blocks (n = 180) using the infragluteal-parabiceps approach were performed in patients undergoing reconstructive ankle surgery. Read More

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