143 results match your criteria Nerve Block Posterior Tibial


Anatomical study of the innervation of posterior knee joint capsule: implication for image-guided intervention.

Reg Anesth Pain Med 2019 Feb;44(2):234-238

Division of Anatomy, Department of Surgery, University of Toronto, Toronto, Canada.

Background And Objectives: Peripheral nerve block is an important component of the multimodal analgesia for total knee arthroplasty. Novel interventional techniques of ultrasound-guided nerve block supplying the posterior knee joint capsule require knowledge of the innervation of the posterior capsule. The objectives of this cadaveric study were to determine the course, frequency, and distribution of the articular branches innervating the posterior knee joint capsule and their relationships to anatomical landmarks. Read More

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http://dx.doi.org/10.1136/rapm-2018-000015DOI Listing
February 2019
1 Read

Opioid-Sparing Analgesia and Enhanced Recovery After Total Knee Arthroplasty Using Combined Triple Nerve Blocks With Local Infiltration Analgesia.

J Arthroplasty 2019 Feb 13;34(2):295-302. Epub 2018 Oct 13.

Department of Orthopaedics, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.

Background: Peripheral nerve block and local infiltration analgesia (LIA) have an increasing role as part of multimodal analgesia for enhanced recovery after total knee arthroplasty (TKA). We hypothesized that the combination of obturator nerve block (ONB) and tibial nerve block (TNB) would reduce pain and opioid consumption more than ONB or TNB alone when combined with continuous adductor canal block and LIA.

Methods: Ninety patients were recruited into the study and received spinal anesthesia, LIA, and continuous adductor canal block. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403183089
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http://dx.doi.org/10.1016/j.arth.2018.10.009DOI Listing
February 2019
12 Reads

Interspace between Popliteal Artery and posterior Capsule of the Knee (IPACK) Injectate Spread: A Cadaver Study.

J Ultrasound Med 2019 Mar 19;38(3):741-745. Epub 2018 Sep 19.

Departments of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Objectives: Local anesthetic injection into the interspace between the popliteal artery and the posterior capsule of the knee (IPACK) has the potential to provide motor-sparing analgesia to the posterior knee after total knee arthroplasty. The primary objective of this cadaveric study was to evaluate injectate spread to relevant anatomic structures with IPACK injection.

Methods: After receipt of Institutional Review Board Biospecimen Subcommittee approval, IPACK injection was performed on fresh-frozen cadavers. Read More

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http://dx.doi.org/10.1002/jum.14761DOI Listing
March 2019
3 Reads

The short-term effects of posterior tibial nerve stimulation on anorectal physiology in patients with faecal incontinence: a single centre experience.

Therap Adv Gastroenterol 2018 1;11:1756284818786111. Epub 2018 Jul 1.

University Hospital of South Manchester, Manchester, UK.

Background: Posterior tibial nerve stimulation (PTNS) is a novel treatment for patients with faecal incontinence (FI) and may be effective in selected patients; however, its mechanism of action is unknown. We sought to determine the effects of PTNS on anorectal physiological parameters.

Methods: Fifty patients with FI underwent 30 min of PTNS treatment, weekly for 12 weeks. Read More

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http://dx.doi.org/10.1177/1756284818786111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048664PMC
July 2018
14 Reads

The analgesic effect of a popliteal plexus blockade after total knee arthroplasty: A feasibility study.

Acta Anaesthesiol Scand 2018 May 24. Epub 2018 May 24.

Department of Anaesthesiology, Aarhus University Hospital, Aarhus, Denmark.

Introduction: An obturator nerve block (ONB) and a femoral triangle block (FTB) provide effective analgesia after total knee arthroplasty (TKA) without impeding the ambulation, although the ONB produces motor blockade of the hip adductor muscles. The popliteal plexus (PP) in the popliteal fossa is formed by contribution from the tibial nerve and the posterior obturator nerve, innervating intraarticular genicular structures and the posterior capsule of the knee. We hypothesised that a popliteal plexus block (PPB) as a supplement to an FTB would reduce pain after TKA without anaesthetising motor branches from the sciatic nerve in the popliteal fossa. Read More

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http://dx.doi.org/10.1111/aas.13145DOI Listing
May 2018
7 Reads

Editorial Commentary: Is Arthroscopic Bone Grafting Nearly Equivalent to Open Bone Grafting for Glenoid Bone Defects in Recurrent Anterior Shoulder Instability?

Arthroscopy 2018 02;34(2):360-362

Arthroscopic techniques are an emerging technology to deal with glenoid bone defects in patients with anterior shoulder instability, and improvements are being made to safely minimize the risk of injury to the anterior neurovascular structures including the axillary nerve. Arthroscopic glenoid reconstruction is a technically demanding procedure, but it does have promising short-term outcomes. I truly like the concept of anterior (and also posterior) bone grafting for defects of the glenoid, including the arthroscopic Latarjet. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.10.002DOI Listing
February 2018
3 Reads

The Spread of Ultrasound-Guided Injectate From the Adductor Canal to the Genicular Branch of the Posterior Obturator Nerve and the Popliteal Plexus: A Cadaveric Study.

Reg Anesth Pain Med 2017 Nov/Dec;42(6):725-730

From the *Elective Surgery Centre, Silkeborg Regional Hospital, Silkeborg, Denmark; †Division of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria; and ‡Department of Anesthesiology and Intensive Care Medicine, Zealand University Hospital, University of Copenhagen, Copenhagen; and §Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.

Background And Objectives: The popliteal nerve plexus contributes to afferent knee-pain conduction. It is mainly formed by genicular branches from the posterior obturator and the tibial nerves, innervating the intra-articular and posterior knee region. A subinguinal obturator nerve block alleviates pain after total knee arthroplasty. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000675DOI Listing
September 2018
49 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

Reduced foot pain after spasticity control with alcohol block in a patient with chronic hemiparetic stroke: a case report.

Authors:
Min Cheol Chang

J Phys Ther Sci 2017 Apr 20;29(4):767-770. Epub 2017 Apr 20.

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Republic of Korea.

[Purpose] This study report a case of a patient with hemiparetic stroke who showed significantly reduced foot pain when ankle spasticity was reduced using nerve and motor point blocks with 20% ethyl alcohol. [Subject and Methods] A 58-year-old woman with left hemiparesis following intracranial hemorrhage five years previously presented with pain in the left fifth metatarsal head for two years (numeric rating scale[NRS]: 8). Erythema and edema were observed on the lateral aspect of the head of the fifth metatarsal bone. Read More

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http://dx.doi.org/10.1589/jpts.29.767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5430290PMC
April 2017
6 Reads

Localization of nerve entry points as targets to block spasticity of the deep posterior compartment muscles of the leg.

Clin Anat 2017 Oct 22;30(7):855-860. Epub 2017 May 22.

Department of Anatomy, Zunyi Medical College, Zunyi, Guizhou, China.

To identify the optimal body surface puncture locations and the depths of nerve entry points (NEPs) in the deep posterior compartment muscles of the leg, 60 lower limbs of thirty adult cadavers were dissected in prone position. A curved line on the skin surface joining the lateral to the medial epicondyles of the femur was taken as a horizontal reference line (H). Another curved line joining the lateral epicondyle of the femur to the lateral malleolus was designated the longitudinal reference line (L). Read More

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http://dx.doi.org/10.1002/ca.22893DOI Listing
October 2017
17 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
23 Reads

3D ultrasound estimation of the effective volume for popliteal block at the level of division.

Rev Esp Anestesiol Reanim 2017 Mar 20;64(3):125-130. Epub 2016 Oct 20.

Departamento de Anestesiología, Hospital Clinic, Universitat de Barcelona, Barcelona, España.

Local anaesthetic injection between the tibial and commmon peroneal nerves within connective tissue sheath results in a predictable diffusion and allows for a reduction in the volume needed to achieve a consistent sciatic popliteal block. Using 3D ultrasound volumetric acquisition, we quantified the visible volume in contact with the nerve along a 5cm segment.

Methods: We included 20 consecutive patients scheduled for bunion surgery. Read More

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http://dx.doi.org/10.1016/j.redar.2016.08.004DOI Listing
March 2017
3 Reads

The effect of obesity on the anatomical relationship of the popliteal artery and tibial nerve in the proximal and distal popliteal fossa: relevance to popliteal sciatic nerve block and a traceback technique using the popliteal artery.

J Clin Anesth 2016 Nov 19;34:540-6. Epub 2016 Jul 19.

Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, OR 97239, USA.

Study Objective: To determine the effect of body mass index (BMI) on the relationship of the popliteal artery to the sciatic and tibial nerves in the popliteal fossa.

Design: Prospective, observational study.

Setting: University medical center. Read More

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http://dx.doi.org/10.1016/j.jclinane.2016.06.020DOI Listing
November 2016
3 Reads

Plantar pressure displacement after anesthetic motor block and tibial nerve neurotomy in spastic equinovarus foot.

J Rehabil Res Dev 2016 ;53(2):219-28

Institut Régional de Médecine Physique et de Réadaptation Nancy, Centre de Médecine Physique et de Réadaptation, Lay Saint Christophe, France;

The aim of this study was to analyze the displacements of center of pressure (COP) using an in-shoe recording system (F-Scan) before and after motor nerve block and neurotomy of the tibial nerve in spastic equinovarus foot. Thirty-nine patients (age 45 ± 15 yr) underwent a motor nerve block; 16 (age 38 ± 15.2 yr) had tibial neurotomy, combined with tendinous surgery (n = 9). Read More

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http://dx.doi.org/10.1682/JRRD.2014.11.0298DOI Listing
January 2018
17 Reads

[Postoperative analgesia effect of different background volumes of ropivacaine in continuous tibial nerve block in patients with calcaneal surgery].

Authors:
J Yi L Xu H H Lin

Beijing Da Xue Xue Bao Yi Xue Ban 2016 Apr;48(2):283-6

Department of Anesthesia, Beijing Jishuitan Hospital, Beijing 100035, China.

Objective: To observe the clinical effect of different background volumes of ropivacaine in continuous tibial nerve block of postoperative analgesia after calcaneal surgery.

Methods: This study was a prospective, randomized, controlled study. Sixty cases of calcaneal visual analogue scale (ASA) I or II undergoing elective surgery were selected and randomly assigned to two groups, thirty cases in each group. Read More

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April 2016
2 Reads

Treatment of tibia avulsion fracture of posterior cruciate ligament with high-strength suture fixation under arthroscopy.

Eur J Trauma Emerg Surg 2017 Feb 11;43(1):137-143. Epub 2015 Dec 11.

Biomechanics and Medical Information Institute, Beijing University of Technology, 100022, Beijing, People's Republic of China.

Aim: To evaluate the outcome of arthroscopy treatment using high-strength line in the treatment of tibial avulsion fracture of posterior cruciate ligament.

Methods: Both the avulsed bone block and the tibia bone bed were refreshed. The procedure was completed with the assistance of PCL director drill guide. Read More

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http://dx.doi.org/10.1007/s00068-015-0606-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306319PMC
February 2017
7 Reads

ED ultrasound-guided posterior tibial nerve blocks for calcaneal fracture analagesia.

Am J Emerg Med 2016 Jun 9;34(6):1183.e1-3. Epub 2015 Nov 9.

Emergency Department, Highland Hospital-Alameda Health System, Oakland, CA; University of California, San Francisco, School of Medicine, San Francisco, CA.

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http://dx.doi.org/10.1016/j.ajem.2015.11.002DOI Listing
June 2016
6 Reads

ULTRASOUND-GUIDED SCIATIC POLITEAL NERVE BLOCK: A COMPARISON OF SEPARATE TIBIAL AND COMMON PERONEAL NERVE INJECTIONS VERSUS INJECTING PROXIMAL TO THE BIFURCATION.

Middle East J Anaesthesiol 2015 Jun;23(2):171-6

Objective: Block of the sciatic nerve at the popliteal fossa can be performed using the ultrasound machine; it may be proximally or distally to the bifurcation of the sciatic nerve using lateral, medial, or posterior approaches. It is frequently used for surgeries below the knee specially the foot and ankle operations.

Purpose: This study compares one and two injections of the sciatic nerve in the popliteal fossa with ultrasound-guided block in foot or ankle surgeries. Read More

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http://www.meja.aub.edu.lb/downloads/23_2/171.pdf
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June 2015
7 Reads

Prevention of post-traumatic reinnervation with microtubule inhibitors.

Laryngoscope 2015 Oct 6;125(10):E333-7. Epub 2015 Jul 6.

Department of Otolaryngology-Head and Neck Surgery at the Washington University School of Medicine, St. Louis, MO, and the St. Louis V.A. Medical Center, St. Louis, Missouri, U.S.A.

Objectives/hypothesis: Functional recovery after a recurrent laryngeal nerve or facial nerve injury may be impaired due to aberrant reinnervation. Previous work in a rat peripheral nerve injury model found vincristine to be a potent inhibitor of reinnervation, and it has since been used to effectively block neural regeneration in other animal models. However, vincristine's narrow therapeutic index may limit its utility; therefore, another microtubule inhibitor, paclitaxel, which has a higher therapeutic index, was tested. Read More

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http://dx.doi.org/10.1002/lary.25258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578967PMC
October 2015
5 Reads

A Randomized Comparison Between Single- and Triple-Injection Subparaneural Popliteal Sciatic Nerve Block.

Reg Anesth Pain Med 2015 Jul-Aug;40(4):315-20

From the *Maharaj Nakorn Chiang Mai Hospital, Department of Anesthesia, Chiang Mai University, Chiang Mai, Thailand; †Department of Anesthesia, Hospital de Carabineros, Santiago, Chile; and ‡Montreal General Hospital, Department of Anesthesia, McGill University, Montreal, Quebec, Canada.

Background And Objectives: This prospective randomized trial compared ultrasound-guided single-injection (SI) and triple-injection (TI) subparaneural popliteal sciatic nerve block. We hypothesized that multiple injections are not required when local anesthetic (LA) is deposited under the paraneurium because the latter entraps LA molecules, ensuring circumferential spread around the nerve. Therefore, in addition to comparable success rates, we also expected similar total anesthesia-related times (sum of performance and onset times) and designed this study as an equivalency trial. Read More

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http://pdfs.journals.lww.com/rapm/2015/07000/A_Randomized_Co
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
Publisher Site
http://dx.doi.org/10.1097/AAP.0000000000000253DOI Listing
April 2016
11 Reads

Comparison of the operation of arthroscopic tibial inlay and traditional tibial inlay for posterior cruciate ligament reconstruction.

Int J Clin Exp Med 2014 15;7(10):3193-201. Epub 2014 Oct 15.

Department of Orthopedics, The Fourth Affiliated Hospital of Harbin Medical University Harbin 150001, China.

Objective: To perform dual-bundle reconstruction of posterior cruciate ligament using full arthroscopic tibial inlay technology with self-designed tibia tunnel drilling system and to compare the effect of arthroscopic tibial inlay versus traditional technique for posterior cruciate ligament reconstruction.

Material And Methods: 32 patients were randomly divided into experiment group (improved tibial inlay, n = 17) and control group (traditional tibial inlay, n = 15). Self-designed tibia tunnel drill system was used to produce intraoperative deep-limited bone tunnel. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238543PMC
November 2014
2 Reads

Study on variant anatomy of sciatic nerve.

J Clin Diagn Res 2014 Aug 20;8(8):AC07-9. Epub 2014 Aug 20.

Post Graduate Student, J.J.M.Medical College , Davangere, India .

Introduction: Sciatic Nerve (SN) is the nerve of the posterior compartment of thigh formed in the pelvis from the ventral rami of the L4 to S3 spinal nerves. It leaves the pelvis via the greater sciatic foramen below piriformis and divides into Common Peroneal Nerve (CPN) and Tibial Nerve (TN) at the level of the upper angle of the popliteal fossa. Higher division of the sciatic nerve is the most common variation where the TN and CPN may leave the pelvis through different routes. Read More

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http://dx.doi.org/10.7860/JCDR/2014/9116.4725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190700PMC
August 2014
5 Reads
4 Citations

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
10 Reads

Proximally based sural adipose-cutaneous/scar flap in elimination of ulcerous scar soft-tissue defect over the achilles tendon and posterior heel region: a new approach.

J Burn Care Res 2014 May-Jun;35(3):e143-50

From the Department of Reconstructive and Plastic Surgery, A.V. Vishnevsky Institute of Surgery of the Russian Academy of Medical Sciences, Moscow, Russia.

Scar ulcers that spread over the Achilles tendon and posterior heel disturb patients by causing pain, impeding hygiene, and creating difficulty in finding appropriate shoe wear. As this region undergoes pressure, effective reconstruction is based on the flap use. The most popular flaps currently used are distally based sural fasciocutaneous flap, calcaneal artery skin flap, and free flaps. Read More

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http://dx.doi.org/10.1097/BCR.0b013e3182a2a74fDOI Listing
January 2015
3 Reads

A randomized comparison between bifurcation and prebifurcation subparaneural popliteal sciatic nerve blocks.

Anesth Analg 2013 May 14;116(5):1170-5. Epub 2013 Mar 14.

Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Quebec, Canada.

Background: In this prospective, randomized, observer-blinded trial, we compared ultrasound-guided subparaneural popliteal sciatic nerve blocks performed either at or proximal to the neural bifurcation (B). We hypothesized that the total anesthesia-related time (sum of performance and onset times) would be decreased with the prebifurcation (PB) technique.

Methods: Ultrasound-guided posterior popliteal sciatic nerve block was performed in 68 patients. Read More

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http://dx.doi.org/10.1213/ANE.0b013e31828a73beDOI Listing
May 2013
8 Reads

Higher division of the tibial nerve in the leg: gross anatomical study with clinical implications.

Clin Ter 2013 ;164(1):1-3

Department of Anatomy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Background And Objectives: Tibial nerve is a branch of the sciatic nerve and it is the main nerve innervating the muscles of the back of the leg. The tibial nerve divides into medial and lateral plantar nerves. The level of division may be important for surgical purpose. Read More

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http://dx.doi.org/10.7417/CT.2013.1501DOI Listing
October 2014
4 Reads

Short-term benefits of ultrasound-guided corticosteroid injection in plantar fasciitis.

Clin J Sport Med 2013 Jan;23(1):83-4

The Northern New Mexico Orthopaedic Center Santa Fe, NM, USA.

Objective: To determine the effectiveness of ultrasound (US)-guided corticosteroid injection in the treatment of plantar fasciitis.

Design: Randomized, placebo-controlled, double-blind trial with 12-week followup. Sample size was calculated with 80% power to show, after 4 weeks, a minimum clinically important difference of 13 points on the pain domain of the Foot Health Status Questionnaire (FHSQ) at P # 0. Read More

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http://dx.doi.org/10.1097/JSM.0b013e31827e9ec9DOI Listing
January 2013
2 Reads

[Comparison of 3 combinations of 0.5% levobupivacaine and 1% mepivacaine in popliteal sciatic block in hallux valgus outpatient surgery].

Rev Esp Anestesiol Reanim 2012 Dec 3;59(10):549-55. Epub 2012 Oct 3.

Departamento de Anestesiología, Universidad de Barcelona, Barcelona, España.

Background: To compare 3 combinations of 0.5% levobupivacaine (L) and 1% mepivacaine (M) for popliteal block for hallux valgus surgery.

Methods: Prospective, double blind study of 120 patients undergoing unilateral hallux valgus outpatient surgery with posterior popliteal block with ultrasound-guided single injection. Read More

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http://dx.doi.org/10.1016/j.redar.2012.07.012DOI Listing
December 2012
5 Reads

Posterior tibial nerve sensory blockade duration prolonged by adding dexmedetomidine to ropivacaine.

Anesth Analg 2012 Oct 23;115(4):958-62. Epub 2012 Jul 23.

Department of Anesthesiology, Centre Hospitalier de l'Université Laval, Québec, Qc, Canada.

Background: Dexmedetomidine, an α(2)-receptor agonist, prolongs analgesia when used in neuraxial and IV blocks. We evaluated the effect of dexmedetomidine added to ropivacaine for tibial nerve block on the duration of the sensory blockade.

Methods: For this prospective, randomized, controlled, double-blind, crossover trial, 14 healthy volunteers were allocated to 2 groups. Read More

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https://insights.ovid.com/crossref?an=00000539-201210000-000
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http://dx.doi.org/10.1213/ANE.0b013e318265bab7DOI Listing
October 2012
3 Reads

Ultrasound guided corticosteroid injection for plantar fasciitis: randomised controlled trial.

BMJ 2012 May 22;344:e3260. Epub 2012 May 22.

Department of Podiatry, Faculty of Health Sciences, La Trobe University, Vic 3086, Australia.

Objective: To investigate the effectiveness of ultrasound guided corticosteroid injection in the treatment of plantar fasciitis.

Design: Randomised, investigator and participant blinded, placebo controlled trial.

Setting: University clinic in Melbourne, Australia. Read More

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http://www.bmj.com/cgi/doi/10.1136/bmj.e3260
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http://dx.doi.org/10.1136/bmj.e3260DOI Listing
May 2012
6 Reads

[Comparison of the post-surgical analgesic effectiveness of tibial (at internal malleolus level) and common peroneal nerve block with infiltration of the surgical wound in Outpatient Surgery of the hallux valgus].

Rev Esp Anestesiol Reanim 2012 Apr 1;59(4):197-203. Epub 2012 May 1.

Servicio de Anestesiología y Reanimación, Hospital de Mataró, Mataró, Barcelona, España.

Introduction: To compare the post-operative analgesic effectiveness of blocking the posterior tibial and the common peroneal nerves against that of wound infiltration using local anaesthesia, in ambulatory surgery of hallux valgus.

Material And Methods: A randomised clinical study was conducted on ambulatory patients subjected to Hallux valgus surgery, assigned into two groups: BNP: peripheral nerve blockage: posterior tibial and the common peroneal with 80mg of lidocaine, 100mg of mepivacaine and 25mg of levobupivacaine. INF: surgical wound infiltration with 50mg of levobupivacaine. Read More

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http://dx.doi.org/10.1016/j.redar.2012.02.008DOI Listing
April 2012
4 Reads

Neuropathic complications after 157 procedures of continuous popliteal nerve block for hallux valgus surgery. A retrospective study.

Orthop Traumatol Surg Res 2012 May 28;98(3):327-33. Epub 2012 Mar 28.

Neurology department, Desgenettes military teaching hospital, 69275 Lyon, France.

Background: Continuous peripheral nerve block (CPNB), in particular at the popliteal fossa, is widely used in orthopedic surgery, allowing good postoperative analgesia. Possible neuropathic complications, however, remain poorly known.

Objective: To review the characteristics of peripheral neuropathy (PN) after sciatic CPNB at the popliteal fossa, estimating prevalence, severity, evolution and possible risk factors, especially those relating to the procedure. Read More

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http://dx.doi.org/10.1016/j.otsr.2011.11.004DOI Listing
May 2012
10 Reads

A randomized comparison between subepineural and conventional ultrasound-guided popliteal sciatic nerve block.

Reg Anesth Pain Med 2011 Nov-Dec;36(6):548-52

Department of Anesthesia, Montreal General Hospital, and McGill University, Montreal, Quebec, Canada.

Background: This prospective, randomized, observer-blinded trial compared a subepineural sciatic injection at the neural bifurcation (SUB group) and separate postbifurcation injections around the tibial and peroneal nerves.

Methods: Ultrasound-guided posterior popliteal sciatic nerve block was carried out in 50 patients. In the group that had separate postbifurcation injections around the tibial and peroneal nerves, the volume of local anesthetic (LA) (30 mL of lidocaine 1%-bupivacaine 0. Read More

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http://dx.doi.org/10.1097/AAP.0b013e318235f566DOI Listing
August 2012
3 Reads

Ultrasound gel-nerve contact: an experimental animal histologic study.

Anesth Analg 2011 Sep 16;113(3):657-9. Epub 2011 Jun 16.

Department of Anesthesia, College of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Background: Ultrasound (US) regional nerve block requires the use of gel applied over the skin. With subsequent needle insertion, some of the gel may adhere either on the shaft or within the needle lumen and may be carried to the perineural structures or intraneurally. We performed this experimental animal study to investigate the effects of US gel contact on the nerve histologic structure. Read More

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http://dx.doi.org/10.1213/ANE.0b013e3182240191DOI Listing
September 2011
7 Reads
3 Citations
3.472 Impact Factor

Low-volume ultrasound-guided nerve block provides inferior postoperative analgesia compared to a higher-volume landmark technique.

Reg Anesth Pain Med 2011 Jul-Aug;36(4):393-8

Anesthesia Institute, PO Box 109199, Newmarket, Auckland, New Zealand.

Background And Objectives: Ultrasound guidance reduces the required local anesthetic volume for successful peripheral nerve blockade, but it is unclear whether this impacts postoperative analgesia. This prospective, randomized, observer-blinded study tested the hypothesis that a low-volume ultrasound-guided ankle block would provide similar analgesia after foot surgery compared with a conventional-volume surface landmark technique.

Methods: A total of 72 patients presenting for elective foot surgery under general anesthesia were randomized to receive a low-volume ultrasound-guided ankle block (n = 37; ropivacaine 0. Read More

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http://dx.doi.org/10.1097/AAP.0b013e31821e2fb7DOI Listing
July 2012
10 Reads

Musculoskeletal pain as a novel complication after posterior tibial nerve block in stroke and traumatic brain injury patients.

PM R 2011 May;3(5):492-4

Department of Physical Medicine and Rehabilitation, 825 Northern Blvd, 1st Floor, North Shore-Long Island Jewish Health System, Great Neck, NY 11021, USA.

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https://linkinghub.elsevier.com/retrieve/pii/S19341482100126
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http://dx.doi.org/10.1016/j.pmrj.2010.10.022DOI Listing
May 2011
4 Reads

Is circumferential injection advantageous for ultrasound-guided popliteal sciatic nerve block?: A proof-of-concept study.

Reg Anesth Pain Med 2011 May-Jun;36(3):266-70

Department of Anesthesia and Pain Management, University of Toronto, Toronto, Ontario, Canada.

Background: Ultrasound (US) guidance, in some instances, can increase the success rate and reduce the onset and procedure times for peripheral nerve blockade compared with traditional nerve localization techniques. The presumptive mechanism for these benefits is the ability to accurately inject local anesthetic circumferentially around the target nerve. We aimed to determine whether ensuring circumferential spread of local anesthetic is advantageous for US-guided popliteal sciatic nerve block. Read More

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http://dx.doi.org/10.1097/AAP.0b013e318217a6a1DOI Listing
March 2012
13 Reads

Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: for effective motor point block.

Clin Anat 2011 Jan 29;24(1):91-6. Epub 2010 Oct 29.

Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea.

The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty-six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The reference line between the most proximal-medial articular margin of the tibia (MPM) at the level of the knee joint and the most distal point of the malleolus of the tibia (MDM) on the surface were identified. Read More

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http://doi.wiley.com/10.1002/ca.21062
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http://dx.doi.org/10.1002/ca.21062DOI Listing
January 2011
63 Reads

Sciatic nerve division: a cadaver study in the Indian population and review of the literature.

Singapore Med J 2010 Sep;51(9):721-3

Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, 82 EPIP Area, Whitefield, Bangalore, Karnataka 560066, India.

Introduction: The sciatic nerve is the largest nerve, with a long course in the inferior extremity. Its division into the tibial and common peroneal nerves can occur at any level from the sacral plexus to the inferior part of the popliteal space. These anatomical variations may contribute to clinical conditions such as piriformis syndrome, sciatica and coccygodynia. Read More

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September 2010
4 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
7 Reads

Case report: pudendal nerve injury after a sciatic nerve block by the posterior approach.

Anesth Analg 2010 Aug 28;111(2):573-5. Epub 2010 Jun 28.

University Hospital Nancy, Service d'Anesthésie Réanimation Chirurgicale, Hôpital Central, Nancy, France.

We report a pudendal nerve injury that developed after a posterior approach to the sciatic nerve. A classical Labat's posterior sciatic nerve block on the right side was performed using an insulated needle and a nerve stimulator set at an initial current of 2 mA, 2 Hz frequency, and 0.1 ms duration. Read More

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https://insights.ovid.com/crossref?an=00000539-201008000-000
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http://dx.doi.org/10.1213/ANE.0b013e3181e36994DOI Listing
August 2010
7 Reads

[Ultrasound-guided single dose injection of 0.5% levobupivacaine or 0.5% ropivacaine for a popliteal fossa nerve block in unilateral hallux valgus surgery].

Rev Esp Anestesiol Reanim 2010 May;57(5):288-92

Unidad de Cirugía Mayor Ambulatoria, Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínic de Barcelona, Universitat de Barcelona.

Objective: To compare the perioperative analgesic efficacy of 0.5% levobupivacaine and 0.5% ropivacaine injected in a single dose to block the tibial and peroneal nerves for surgery using a posterior (popliteal fossa) approach. Read More

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May 2010
2 Reads

[Midfemoral nerve block for foot surgery: is there an anatomical-clinical correlation between motor response and latency?].

Rev Esp Anestesiol Reanim 2010 May;57(5):275-80

Unidad de Cirugía de Alta Precoz, Hospital San Juan de Dios, Granada.

Background And Objective: The latency times of midfemoral sciatic nerve blocks vary greatly. This study investigated the correlation between the type of motor response to nerve stimulation on the one hand and latency and block efficacy on the other.

Patients And Methods: We enrolled 215 consecutive patients (184 women) undergoing orthopedic foot surgery. Read More

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May 2010
3 Reads

Comparison of phenol and alcohol neurolysis of tibial nerve motor branches to the gastrocnemius muscle for treatment of spastic foot after stroke: a randomized controlled pilot study.

Eur J Phys Rehabil Med 2010 Mar;46(1):5-10

Department of Physical Medicine and Rehabilitation, Selcuk University Meram School of Medicine, Selcuk, Turkey.

Aim: The aim of this paper was to determine whether the injection of alcohol or phenol into the tibialis posterior nerve relive the symptoms and signs of ankle plantar flexor spasticity.

Methods: Twenty patients with hemiplegic stroke were included. Patients were randomly assigned to receive a single treatment of alcohol or phenol injection to the motor branches of tibial nerve. Read More

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March 2010
22 Reads

[Parasacral sciatic nerve block: new approach].

Ann Fr Anesth Reanim 2010 Jan 15;29(1):8-12. Epub 2010 Jan 15.

Service d'anesthésie-réanimation, hôpital Habib Bourguiba, 06, rue Hédi Chaker, Sfax 3000, Tunisie.

Introduction: The usual technique of parasacral sciatic nerve block seems an approach easily achieved, however, the ischial tuberosity is difficult to palpate. [1] The purpose of the study was to propose new skin landmarks improved by an anatomical and clinical study.

Patients And Methods: Three cadaver dissections made previously have shown that our skin landmarks appeared correct. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S075076580900628
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http://dx.doi.org/10.1016/j.annfar.2009.09.015DOI Listing
January 2010
6 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
16 Reads

Intracorporeal pneumatic shock application for the treatment of chronic plantar fasciitis: a randomized, double blind prospective clinical trial.

Arch Orthop Trauma Surg 2010 Apr 11;130(4):541-6. Epub 2009 Aug 11.

Department of Orthopaedics and Traumatology, Medical Faculty, Mustafa Kemal University, Antakya, Hatay, Turkey.

Objective: Plantar fasciitis (PF) is a common clinical condition that usually resolves with non-operative treatments. Extracorporeal shock wave therapy (ESWT) has been used in the treatment of chronic PF not responding to other conservative measures; however, ESWT devices are expensive and available for daily practice in only few centers (In developing countries). A pneumatic lithotripter is a cheap and readily available device which uses pneumatic shock application for the intracorporeal lithotripsy. Read More

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http://dx.doi.org/10.1007/s00402-009-0947-0DOI Listing
April 2010
3 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

Ultrasound-guided anterior approach to sciatic nerve block: a comparison with the posterior approach.

Anesth Analg 2009 Feb;108(2):660-5

Department of Anesthesiology, Shimane University School of Medicine, 89-1, Enya-cho, Izumo City, 693-8501, Japan.

Background: Although the anterior approach to the sciatic nerve block has rarely been performed due to lack of reliable surface anatomical landmarks and technical difficulty, ultrasound guidance may make performance of this approach easier. In this study, we evaluated the clinical use of the ultrasound-guided anterior approach to sciatic nerve block and compared this approach with the posterior approach in adults.

Methods: One hundred patients undergoing minor knee surgery were randomly divided into two groups to receive anterior and posterior (subgluteal) approaches to sciatic nerve block, using 1. Read More

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http://dx.doi.org/10.1213/ane.0b013e31818fc252DOI Listing
February 2009
3 Reads