56 results match your criteria Nerve Block Deep Peroneal


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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https://onlinelibrary.wiley.com/doi/abs/10.1002/ca.23323
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http://dx.doi.org/10.1002/ca.23323DOI Listing
April 2019
18 Reads

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 2018 Aug 9. Epub 2018 Aug 9.

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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http://dx.doi.org/10.1213/ANE.0000000000003693DOI Listing
August 2018
10 Reads

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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http://www.aeronline.org/text.asp?2017/11/2/372/206275
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http://dx.doi.org/10.4103/0259-1162.206275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490132PMC
July 2017
12 Reads

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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http://dx.doi.org/10.1007/s00256-017-2624-7DOI Listing
June 2017
27 Reads

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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http://dx.doi.org/10.1177/1098612X17690652DOI Listing
December 2017
40 Reads

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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http://dx.doi.org/10.1016/j.clinthera.2016.11.011DOI Listing
January 2017
17 Reads

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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http://dx.doi.org/10.1213/ANE.0000000000001581DOI Listing
January 2017
13 Reads

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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http://dx.doi.org/10.1002/mus.25403DOI Listing
May 2017
11 Reads

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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http://dx.doi.org/10.1002/brb3.370DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589815PMC
September 2015
9 Reads

[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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http://dx.doi.org/10.5692/clinicalneurol.cn-000706DOI Listing
April 2016
15 Reads

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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http://www.dnalab.cz/publikace/CMT/HNPP_Paprocka_Folia%20Neu
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http://www.hindawi.com/journals/cripe/2013/230541/
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http://dx.doi.org/10.1155/2013/230541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819892PMC
November 2013
11 Reads

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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http://dx.doi.org/10.1016/j.jams.2012.11.001DOI Listing
April 2013
6 Reads

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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http://link.springer.com/content/pdf/10.1007%2Fs00125-005-17
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http://link.springer.com/10.1007/s00125-012-2795-7
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http://dx.doi.org/10.1007/s00125-012-2795-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563945PMC
March 2013
3 Reads

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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http://dx.doi.org/10.1007/s00276-012-1025-9DOI Listing
April 2013
9 Reads

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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http://dx.doi.org/10.1097/AAP.0b013e3182611483DOI Listing
June 2013
15 Reads

[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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http://dx.doi.org/10.1007/s00064-012-0187-2DOI Listing
July 2012
9 Reads

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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March 2011
13 Reads

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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http://journals.sagepub.com/doi/10.3113/FAI.2010.0619
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http://dx.doi.org/10.3113/FAI.2010.0619DOI Listing
July 2010
10 Reads

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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June 2010
13 Reads

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
5 Reads

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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http://dx.doi.org/10.1213/ANE.0b013e3181ca134bDOI Listing
March 2010
17 Reads

Ultrasound-assisted and evoked motor response stimulation of the deep peroneal nerve.

Anesth Analg 2009 Dec;109(6):2022-4

Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 East Huron St., Feinberg Pavilion, Suite 5-704, Chicago, IL 60611, USA.

Background: We performed an observational volunteer study to document an ultrasound-guided evoked motor response blockade of the deep peroneal nerve.

Methods: Sixteen volunteers had deep peroneal nerve blocks in each foot. After visualization of the artery and the deep peroneal nerve with an ultrasound, the nerve was stimulated with a nerve stimulator. Read More

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http://dx.doi.org/10.1213/ANE.0b013e3181bc6ccdDOI Listing
December 2009
9 Reads

[Regional anaesthesia of the foot achieved from two cutaneous points of injection: an anatomical study].

Acta Chir Orthop Traumatol Cech 2009 Apr;76(2):104-9

Ortopedická klinika 1. LF UK a FN Motol, Praha.

PURPOSE OF THE STUDY Regional anaesthesia for the lower extremity distal to the ankle joint, knows as anaesthetic ankle block or foot block, involves a series of injections of local anaesthetic to block the peripheral nerves that supply innervation to the foot. Since the tibial nerve block is not always effective, the aim of this study was to design a modified technique of anaesthetic application. MATERIAL The study was carried out on 30 human cadavers provided by the Institute of Anatomy, 1st Faculty of Medicine, Charles University in Prague, and included data on a total of 60 lower extremities. Read More

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April 2009
10 Reads

The role of peripheral nerve surgery in the management of painful chronic wounds: indications and outcomes.

Plast Reconstr Surg 2008 Jul;122(1):193-7

Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, USA.

Background: Patients with chronic wounds caused by healing problems often present with chronic pain at the site. Proper wound care with or without appropriate reconstruction usually addresses both the wound and its associated pain. However, wounds occasionally remain painful despite successful reconstruction, particularly when they are complicated by an underlying condition. Read More

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http://dx.doi.org/10.1097/PRS.0b013e318177422cDOI Listing
July 2008
38 Reads

Ropivacaine and levobupivacaine for bilateral selective ankle block in patients undergoing hallux valgus repair.

Acta Anaesthesiol Scand 2008 Jul 12;52(6):841-4. Epub 2008 May 12.

Department of Anesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Sant'Andrea Hospital, University of Rome La Sapienza, Rome, Italy.

Background: A selective ankle block, blocking the tibial, deep and superficial peroneal nerves, can be used successfully for great toe surgery. No comparative information is available on selective ankle block using ropivacaine and levobupivacaine.

Methods: We compared the onset time and success rate of a selective ankle block using low volumes (12 ml) of ropivacaine 10 mg/ml and levobupivacaine 7. Read More

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http://dx.doi.org/10.1111/j.1399-6576.2008.01630.xDOI Listing
July 2008
3 Reads

The posterior approach to the sciatic nerve in the popliteal fossa: a comparison of single- versus double-injection technique.

Anesth Analg 2006 Dec;103(6):1571-3

Servei d'Anestèsia, Reanimació i Terapèutica del Dolor, Hospital Universitari de Girona Dr Josep Trueta, Carretera de França s/n. Girona, Spain.

We compared single-injection and double-injection of the sciatic nerve with nerve stimulation in the posterior popliteal approach using mepivacaine 1% in a prospective, randomized and single-blind study to evaluate effectiveness, delay of onset, and complications in patients undergoing foot and ankle surgery. In the single-injection group (Group S, n = 30), 25 mL of mepivacaine 1% was administered after eliciting foot inversion or plantar flexion. In the double-injection group (Group D, n = 30), 12. Read More

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http://dx.doi.org/10.1213/01.ane.0000242534.84131.c6DOI Listing
December 2006
28 Reads

Development and verification of saphenous, tibial and common peroneal nerve block techniques for analgesia below the thigh in the nonchondrodystrophoid dog.

Vet Anaesth Analg 2006 Jan;33(1):36-48

College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA, USA.

Objective: To document simple and reliable local, infiltrating nerve blocks for the saphenous, tibial and common peroneal nerves in the dog.

Study Design: Laboratory technique development; in vivo blind, controlled, prospective study.

Animals: Twenty canine cadavers and 18 clinically normal, client-owned dogs. Read More

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http://dx.doi.org/10.1111/j.1467-2995.2005.00234.xDOI Listing
January 2006
17 Reads

Revision arthroplasty with use of a total femur prosthesis.

J Bone Joint Surg Am 2005 Dec;87(12):2693-701

Endo-Klinik, Holstenstrasse 2, 22767 Hamburg, Germany.

Background: Surgeons performing revision arthroplasties of the hip and knee are confronted with a growing number of patients with extensive loss of bone stock. Implantation of a total femur prosthesis is a possible method of treatment of such patients. The purpose of this study was to assess the functional outcomes and the complications associated with total femur replacements used in revision arthroplasty. Read More

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http://dx.doi.org/10.2106/JBJS.D.02770DOI Listing
December 2005
4 Reads

Easily identifiable bony landmarks as an aid in targeted regional ankle blockade.

Clin Anat 2005 Oct;18(7):518-26

Department of Anatomy, Section of Clinical Anatomy, School of Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Regional anesthesia around the ankle joint is well suited to a large number of surgical procedures of the foot. Previous studies have alluded to the variable nerve distribution of the foot, which may result in incomplete blocks. The aim of the study was to determine the position of the nerves in relation to the ankle joint to easily identifiable bony and prominent soft tissue landmarks to aid more accurate targeting of these nerves. Read More

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http://dx.doi.org/10.1002/ca.20191DOI Listing
October 2005
39 Reads

Stimulation-induced changes in lower limb corticomotor excitability during treadmill walking in humans.

J Physiol 2005 Sep 23;567(Pt 2):701-11. Epub 2005 Jun 23.

Sensory Motor Performance Program, Rehabilitation Institute of Chicago, IL 60611, USA.

Magnetic stimulation of human primary motor cortex (M1) paired with electrical stimulation of a peripheral motor nerve has been used to produce a lasting modulation of corticomotor (CM) excitability. This 'paired associative stimulation' (PAS) protocol has been used to induce bidirectional changes in excitability in upper limb CM pathways. The present study tested the hypothesis that temporally dependent PAS applied to the common peroneal nerve during the swing phase of walking would induce bidirectional changes in CM excitability consistent with the Hebbian principle of activity-dependent plasticity. Read More

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http://dx.doi.org/10.1113/jphysiol.2005.090654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1474197PMC
September 2005
1 Read

[Forefoot surgery under regional anesthesia].

Authors:
J Pilný J Kubes

Acta Chir Orthop Traumatol Cech 2005 ;72(2):122-4

Ortopedické oddelení Krajské nemocnice, Pardubice.

Purpose Of The Study: The aim of this study is to present the method of lower limb peripheral nerve block for forefoot surgery and, in comparison with other methods, to evaluate the results in terms of postoperative analgesia and postoperative complications.

Material: Our group included 164 patients, 13 men and 151 women in the age range from 16 to 79 years, who underwent surgery for forefoot deformities during the years 1998-99. Of these, 77 (46 %) were operated on under general anesthesia, 54 (33 %) under infiltration anesthesia and 33 (21 %) under peripheral nerve block. Read More

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October 2005
3 Reads

Painful foot neuromas after toe-to-thumb transfer.

J Hand Surg Am 2005 Jan;30(1):105-10

Department of Surgery and Orthopedic Surgery, University of Arizona, Tucson, AZ, USA.

Reconstruction of the thumb by transfer of a toe has evolved technically to the point that this complex procedure can result in a mobile, sensate, and aesthetically pleasing digit that contributes to an almost-normally functioning hand. Donor site deformity is well recognized, primarily as it relates to the appearance of the foot after transfer of the hallux to the thumb position and stiffness of the remaining portions of the big toe. The present report describes donor site disability related to painful neuromas of the superficial and deep peroneal nerves and the common plantar digital nerve to the first webspace. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S036350230400748
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http://dx.doi.org/10.1016/j.jhsa.2004.09.006DOI Listing
January 2005
6 Reads

Acute onset of deep peroneal neuropathy during a golf game resulting from a ganglion cyst.

J Clin Neuromuscul Dis 2004 Dec;6(2):49-53

From the Departments of *Neurology, daggerNeurosurgery, double daggerOrthopedic Surgery, and section signRadiology, Mayo Clinic, Jacksonville, FL.

We report a case of sudden onset of deep peroneal neuropathy resulting from a ganglion cyst. Electrophysiology demonstrated a severe deep peroneal neuropathy with axonal loss and probably proximal conduction block. Magnetic resonance imaging demonstrated a mass arising from the proximal tibiofibular joint extending along the peroneal nerve. Read More

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December 2004
6 Reads

Regional anesthesia for office procedures: Part II. Extremity and inguinal area surgeries.

Authors:
Gohar A Salam

Am Fam Physician 2004 Feb;69(4):896-900

North Shore University Hospital at Manhasset, Manhasset, New York, USA.

The hand can be anesthetized effectively with blocks of the median, ulnar, or radial nerve. Each digit is supplied by four digital nerves, which can be blocked with injections on each side of the digit. Anterior or posterior ankle blocks can be used for regional anesthesia for the foot. Read More

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February 2004
5 Reads

Lateral approach to the sciatic nerve block in the popliteal fossa: correlation between evoked motor response and sensory block.

Reg Anesth Pain Med 2003 Sep-Oct;28(5):450-5

Department of Anesthesiology, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain.

Background And Objectives: The purpose of this study was to identify which of two motor responses of the foot (plantar flexion versus dorsiflexion) best predicts complete sensory blockade of the sciatic nerve when is used for lateral popliteal sciatic nerve block.

Methods: Thirty American Society of Anesthesiologist physical status I or II patients scheduled for foot and ankle surgery under lateral popliteal sciatic nerve block were enrolled in the study. During each block, the needle was placed to evoke one of the following motor responses of the foot: plantar flexion or dorsiflexion. Read More

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http://pdfs.journals.lww.com/rapm/2003/09000/Lateral_Approac
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March 2004
21 Reads

Sciatic nerve blockade in the supine position: a novel approach.

Can J Anaesth 2003 Jan;50(1):52-6

Department of Anesthesiology, Erasmus Hospital, Free University of Brussels, Belgium.

Purpose: Sciatic nerve block is useful for surgery below the knee both intra- and postoperatively. Several techniques to insert a catheter at the knee level or higher have been described but need mobilization (lateral decubitus) of the patient. We describe novel landmarks, using a high lateral approach, to block the sciatic nerve without moving the patient. Read More

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http://dx.doi.org/10.1007/BF03020187DOI Listing
January 2003
5 Reads

Innervation of the sinus tarsi and implications for treating anterolateral ankle pain.

Ann Plast Surg 2001 Nov;47(5):500-4

Department of Surgery, University of Vienna, Medical School, Austria.

Anterolateral ankle pain can persist despite the best care of sprains or fractures. It is possible that this pain is related to stretch or traction injuries to the nerves that innervate the subtalar joint. If this were true, identification of these nerve branches by local anesthetic block would provide an indication that surgical interruption of the function of these nerves may provide pain relief. Read More

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November 2001
2 Reads

Near-infrared spectroscopy versus compartment pressure for the diagnosis of lower extremity compartmental syndrome using electromyography-determined measurements of neuromuscular function.

J Trauma 2001 Jul;51(1):1-8, discussion 8-9

Department of Surgery, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington 98104, USA.

Background: Compartmental syndrome (CS) is difficult to diagnose in intensive care unit patients. Compartment perfusion pressure (CPP) is an invasive, indirect measure of ischemia. Near-infrared spectroscopy is noninvasive, and directly measures ischemia by transmitting light through tissues at wavelengths that react with hemoglobin to provide percent tissue oxygen saturation (Sto(2)). Read More

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July 2001
3 Reads

Treatment of superficial and deep peroneal neuromas by resection and translocation of the nerves into the anterolateral compartment.

Foot Ankle Int 1998 May;19(5):300-3

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

An approach to the treatment of dorsal foot pain of neuroma origin is described based upon principals demonstrated to be effective in the treatment of upper extremity dorsoradial neuromas: translocation of the appropriate nerves into a muscle environment away from the joint. In the lower extremity, this requires identification of the appropriate nerves by anesthetic block, resection of the dorsal foot neuroma(s), and translocation of the nerves into the muscles of the anterolateral compartment. This approach yielded excellent results in 9 of the 11 patients with a mean follow-up of 29 months. Read More

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http://dx.doi.org/10.1177/107110079801900506DOI Listing
May 1998
5 Reads

Post-traumatic stimulus suppressible myoclonus of peripheral origin.

J Neurol Neurosurg Psychiatry 1998 May;64(5):673-5

Clinique et Policlinique de Neurologie, H U G, Geneva, Switzerland.

A patient is described who presented with myoclonus of the first dorsal interosseus muscle of the right foot. This myoclonus occurred 18 months after trauma of the cutaneous branch of the deep peroneal nerve on the dorsal aspect of the foot. Tactile stimulation in the dermatome of this nerve, or an anaesthetic block of the deep peroneal nerve stopped the myoclonus. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2170074PMC
May 1998
7 Reads

[Pain caused by ephaptic transmission occurring in the recovery phase of diabetic vascular mononeuropathy was effectively suppressed with L-threo-3,4-dihydroxyphenyl-serine].

Rinsho Shinkeigaku 1998 Jan;38(1):8-12

Department of Neurology, Yokohama Rousai Hospital.

A 59-year-old man with an 8-years history of diabetes mellitus had an acute onset of sharp pain in the anterior part of right lower leg. One month later, the pain changed to deep dull nature in the deeper site of the peroneal region. The pain increased, when he stood up, walked, and stayed in the cold room and decreased by rest. Read More

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January 1998
4 Reads

Correlation between evoked motor response of the sciatic nerve and sensory blockade.

Anesthesiology 1997 Sep;87(3):547-52

Department of Anesthesiology, Northwestern University Medical School and Northwestern Memorial Hospital, Chicago, Illinois, USA.

Background: Incomplete sensory blockade of the foot after sciatic nerve block in the popliteal fossa may be related to the motor response that was elicited when the block was performed. We investigated the appropriate motor response when a nerve stimulator is used in sciatic nerve block at the popliteal fossa.

Methods: Six volunteers classified as American Society of Anesthesiologists' physical status I underwent 24 sciatic nerve blocks. Read More

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September 1997
6 Reads

[Deep peroneal nerve palsy associated with hypothyroidism].

No To Shinkei 1993 Jun;45(6):563-6

Department of Neurology, Tokyo Medical and Dental University, Japan.

Carpal tunnel syndrome is well known to be associated with hypothyroidism, but other mononeuropathies have been rarely reported. We report a 65-year-old male who showed right deep peroneal nerve palsy caused by hypothyroidism. The patient was admitted to our hospital because of general fatigue and right drop foot. Read More

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June 1993
4 Reads

Reversible nerve conduction block in patients with polyneuropathy after ultrasound thermotherapy at therapeutic dosage.

Authors:
C Z Hong

Arch Phys Med Rehabil 1991 Feb;72(2):132-7

Department of PM&R, University of California Irvine Medical Center, Orange 92613-4091.

This study investigated the effect of ultrasound on nerve conduction in patients with polyneuropathy. Eight able-bodied controls (Group C) and 16 patients with clinical and physiologic evidence of polyneuropathy were tested. Eight patients (Group NP) had no aching pain symptoms; eight patients (Group P) had severe aching pain, burning sensation, unpleasant tingling, and/or hyperesthesia in the lower extremities. Read More

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February 1991
2 Reads

Tonic vibration reflexes elicited during fatigue from maximal voluntary contractions in man.

J Physiol 1990 Apr;423:1-14

Department of Clinical Neurophysiology, University Hospital, Uppsala, Sweden.

1. In the present study on human foot dorsiflexor muscles we have examined the effects of high-frequency (150 Hz) muscle vibration on weak or moderate voluntary contractions (maintained by constant effort) and on maximal voluntary contractions (MCVs) of (i) non-fatigued muscles, (ii) muscles fatigued by sustained MVCs and (iii) muscles deprived of gamma-fibre innervation by partial anaesthetic nerve block. The motor outcome of the voluntary dorsiflexion efforts was assessed by measuring the firing rates of single motor units in the anterior tibial (TA) muscle, the mean voltage EMG activity from the pretibial muscles and foot dorsiflexion force. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1189742PMC
April 1990
2 Reads

The ankle block: anatomical review and anesthetic technique.

AANA J 1990 Apr;58(2):105-11

The ankle block is a safe and effective means of providing sensory anesthesia to the foot. The nerve supply to the foot at the level of the ankle is relatively superficial and consists of five nerve branches. The posterior tibial, which supplies the plantar aspect of the foot; the saphenous, supplying the medial portion of the foot; the deep peroneal, supplying an area between the great and second toes; the superficial peroneal, two branches supplying the majority of the dorsum of the foot; and the sural nerve, which supplies the lateral aspect of the foot. Read More

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April 1990
1 Read

[Truncal anesthesia of the foot at the level of the ankle: an additional reference mark for the approach to the posterior tibial nerve].

Ann Fr Anesth Reanim 1989 ;8(4):371-5

Département d'Anesthésie-Réanimation, Centre Hospitalier, Vendôme.

Nerve trunk blocks at the ankle could be a most interesting technique of regional anaesthesia. Unfortunately the posterior tibial nerve is difficult to locate with the usual recommended anatomical landmarks (the tibialis posterior artery). The use of the flexor hallucis longus tendon as an additional landmark has been tested in 71 patients scheduled for surgery on the foot (emergency trauma surgery, amputations, ingrowing toe-nails, removal of bedsores, verrucas). Read More

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December 1989
2 Reads