623 results match your criteria Nerve Block Radial


Development of a lateral ultrasound-guided approach for the proximal radial, ulnar, median and musculocutaneous (RUMM) nerve block in cats.

Vet Anaesth Analg 2020 May 15. Epub 2020 May 15.

Department of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL, USA.

Objective: To describe a lateral ultrasound (US)-guided approach to the radial, ulnar, median and musculocutaneous (RUMM) nerves through a single proximal in-plane insertion in cats and to determine whether one or two injection points are required to successfully stain all the target nerves.

Study Design: Prospective study.

Animals: A total of eight client-owned healthy cats and 12 cat cadavers. Read More

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http://dx.doi.org/10.1016/j.vaa.2020.04.008DOI Listing

An Algorithm for the Prevention and Treatment of Pain Complications of the Radial Forearm Free Flap Donor Site.

J Reconstr Microsurg 2020 Jul 29. Epub 2020 Jul 29.

Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.

Background:  The radial forearm free flap (RFFF) is a staple of microsurgical reconstruction. Significant attention has been paid to donor-site morbidity, particularly vascular and aesthetic consequences. Relatively few authors have discussed peripheral nerve morbidity such as persistent hypoesthesia, hyperesthesia, or allodynia in the hand and wrist or neuroma formation in the wrist and forearm. Read More

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http://dx.doi.org/10.1055/s-0040-1714149DOI Listing

Radial motor nerve conduction studies in the upper arm.

Muscle Nerve 2020 Jun 18. Epub 2020 Jun 18.

Clinical Unit "Eleous" at Religious Community "All Saints Parish in Minsk Eparchy of Belarusian Orthodox Church,", Minsk, Belarus.

Introduction: The main goal of this study was to determine the contribution of the anterior forearm muscles to the compound muscle action potential (CMAP) recorded from the extensor digitorum (ED) after proximal stimulation.

Methods: Twenty-one healthy volunteers and 114 patients with compressive and traumatic radial neuropathies were examined. Stimulation was carried out at six different points: distal third of the upper arm; Erb's point; axilla; medial upper arm; antecubital fossa; and ulnar groove. Read More

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http://dx.doi.org/10.1002/mus.27006DOI Listing

Strategy for the treatment of lateral epicondylitis of the elbow using denervation surgery.

JSES Int 2020 Mar 16;4(1):21-24. Epub 2019 Dec 16.

Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Background: A number of treatments for lateral epicondylitis of the elbow have been described. We have developed a strategy for the treatment of this condition.

Methods: We diagnosed lateral epicondylitis of the elbow in 86 patients. Read More

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http://dx.doi.org/10.1016/j.jses.2019.10.102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075767PMC

Infraclavicular nerve block reduces postoperative pain after distal radial fracture fixation: a randomized controlled trial.

BMC Anesthesiol 2020 May 28;20(1):130. Epub 2020 May 28.

Laboratory and Clinical Research Institute for Pain, Department of Anaesthesiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Room 424, Block K, 102, Pokfulam Road, Hong Kong SAR, China.

Background: It is unclear whether regional anesthesia with infraclavicular nerve block or general anesthesia provides better postoperative analgesia after distal radial fracture fixation, especially when combined with regular postoperative analgesic medications. The aim of this study was to compare the postoperative analgesic effects of regional versus general anesthesia.

Methods: In this prospective, observer blinded, randomized controlled trial, 52 patients undergoing distal radial fracture fixation received either general anesthesia (n = 26) or regional anesthesia (infraclavicular nerve block, n = 26). Read More

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http://dx.doi.org/10.1186/s12871-020-01044-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254671PMC

Nerve Blocks: Part I. Upper Extremity.

Am Fam Physician 2020 Jun;101(11):654-664

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

Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic. Nerve blocks require a thorough understanding of relevant anatomy, aiding the physician in optimizing the anesthesia effect while minimizing complications. Read More

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Comparison of the Ketamine-Lidocaine and Fentanyl-Lidocaine in Postoperative Analgesia in Axillary Block in Upper Limb Fractures By Ultrasound Guidance.

Anesth Pain Med 2019 Dec 1;9(6):e92695. Epub 2019 Dec 1.

Department of Anesthesiology, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Regional anesthesia provides safe anesthesia for upper extremity surgery. Axillary plexus block approach for hand and forearm surgery is commonly used. The use of adjuvants in combination with local anesthetics for peripheral nerve blocks enhances the quality and duration of anesthesia and postoperative analgesia. Read More

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http://dx.doi.org/10.5812/aapm.92695DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118445PMC
December 2019

Saline vs. dextrose for local anesthetic dilution in brachial plexus block: A randomized study.

Pak J Pharm Sci 2020 Jan;33(1):79-83

Tracheal Diseases Research Center, Department of Anesthesiology and Critical Care, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Higher sodium ions in saline diluted local anesthetic may reduce the anesthetic action of the drug as injected around the nerves. However, the impact of local anesthetic dilution agents on the quality of peripheral nerve blockades has not yet been widely investigated. This study was aimed at evaluating the impact of lidocaine dilution with normal saline vs dextrose 5% on onset time of supraclavicular approach to brachial plexus block. Read More

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January 2020

The new micropatterned interdigitated electrode for selective assessment of the nociceptive system.

Eur J Pain 2020 May 27;24(5):956-966. Epub 2020 Feb 27.

Department of Human Neuroscience, Sapienza University, Rome, Italy.

Background: In this neurophysiological study, we aimed at verifying the nociceptive selectivity of the new, micropatterned electrode (150IDE), recently designed to generate an electric field limited to the intraepidermal free nerve endings.

Methods: Using the new 150IDE, we recorded evoked potentials after stimulation of the face and hand dorsum in 22 healthy participants and in patients with exemplary conditions selectively affecting the nociceptive system. We also measured the peripheral conduction velocity at the upper arm and verified the nociceptive selectivity of 150IDE assessing the effect of a selective block of nociceptive nerve fibres of radial nerve with local anaesthetic infiltration. Read More

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http://dx.doi.org/10.1002/ejp.1545DOI Listing

Percutaneous pinning for treating distal radial fractures in adults.

Cochrane Database Syst Rev 2020 02 7;2:CD006080. Epub 2020 Feb 7.

Cairo University, KasrAlAiny School of Medicine, Cairo, Egypt.

Background: Fracture of the distal radius is a common clinical problem. A key method of surgical fixation is percutaneous pinning, involving the insertion of wires through the skin to stabilise the fracture. This is an update of a Cochrane Review published in 2007. Read More

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http://dx.doi.org/10.1002/14651858.CD006080.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007181PMC
February 2020

[Distal hand block].

Oper Orthop Traumatol 2020 Feb 2;32(1):23-28. Epub 2020 Jan 2.

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.

Objective: Peripheral nerve blocks in hand surgery.

Indications: Short operations on the hand.

Contraindications: Long operations, polyneuropathy, local anesthesia allergy. Read More

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http://dx.doi.org/10.1007/s00064-019-00639-6DOI Listing
February 2020

Complex regional pain syndrome after transradial cerebral intervention.

BMJ Case Rep 2019 Dec 23;12(12). Epub 2019 Dec 23.

Department of Neurological Surgery, Radiology and Mechanical Engineering and Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington, USA.

Access site complications from transradial approaches for endovascular interventions are uncommon and many are preventable. Complications described in the literature include hematoma, radial artery occlusion, vasospasm, and even compartment syndrome. Mild post-procedure discomfort reported by patients is typically self-limited and managed symptomatically with oral analgesics. Read More

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http://dx.doi.org/10.1136/bcr-2019-015099DOI Listing
December 2019

Ultrasound-guided posterior antebrachial cutaneous nerve block utilising the 'fat-filled flat tunnel': Description of technique and cutaneous sensory block area.

Authors:
Philip J Corke

Anaesth Intensive Care 2019 Nov;47(6):532-540

Department of Anaesthesia and Pain Management, Concord Repatriation General Hospital, Sydney, Australia.

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http://dx.doi.org/10.1177/0310057X19888817DOI Listing
November 2019

Association of obesity with failure of ultrasound-guided axillary brachial plexus block: a two-centre, prospective, observational, cohort study.

Anaesthesia 2019 Dec 3. Epub 2019 Dec 3.

Department of Anesthesia, Peri-operative Medicine and Pain Management, Dalhousie University, Nova Scotia Health Authority and IWK Health Centre, Halifax, NS, Canada.

The objective of this study was to evaluate whether the failure rate of ultrasound-guided axillary brachial plexus block is similar in obese patients compared with non-obese patients when performed as the primary anaesthetic technique. We recruited 105 obese (body mass index ≥ 30 kg.m ) and 144 non-obese patients to this prospective, observational, cohort study conducted at two Canadian centres. Read More

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http://dx.doi.org/10.1111/anae.14939DOI Listing
December 2019

Ultrasonographic study of a modified axillary approach to block the major branches of the brachial plexus in dogs.

Vet Anaesth Analg 2020 Jan 17;47(1):82-87. Epub 2019 Aug 17.

Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil.

Objective: To provide ultrasonographic mapping of the axillary region of dogs to facilitate identification of the major branches of the brachial plexus in relation to the axillary artery.

Study Design: Prospective study.

Animals: A total of two dog cadavers and 50 client-owned, healthy dogs weighing >15 kg. Read More

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http://dx.doi.org/10.1016/j.vaa.2019.07.002DOI Listing
January 2020

Radial nerve palsies associated with paediatric supracondylar humeral fractures: a caution in the interpretation of neurophysiological studies.

J Pediatr Orthop B 2020 Mar;29(2):126-132

Department of Plastic, Reconstructive and Hand Surgery, Oxford University Hospitals NHS Foundation Trust, Headington, Oxford, UK.

Traumatic and iatrogenic neurological complications associated with paediatric supracondylar humeral fractures are well recognised. The severity of the nerve injury associated with supracondylar humeral fractures can be difficult to assess clinically and relies upon clinical progression or absence of recovery and neurophysiology. It is accepted that complete nerve palsy with neurophysiological complete block and absence of clinical recovery after three months requires surgical exploration and reconstruction. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000680DOI Listing
March 2020
2 Reads

Single-point versus double-point injection technique of ultrasound-guided supraclavicular block: A randomized controlled study.

J Anaesthesiol Clin Pharmacol 2019 Jul-Sep;35(3):373-378

Department of Anaesthesiology, Pramukhswami Medical College, Karamsad, Anand, Gujarat, India.

Background And Aims: This study aims to compare the single-point injection and double-point injection technique of ultrasound-guided supraclavicular block with regard to the success rate, time taken to perform the procedure, onset and duration of sensory and motor block, and complications.

Material And Methods: A total of 60 American Society of Anesthesiologists physical status I and II patients between 20 and 50 years of age, with body mass index ≤30 kg/m posted for forearm surgeries, with anticipated surgical duration more than 1 h were randomly divided into two groups: group S (single-point injection) and group D (double-point injection technique). After locating the brachial plexus with ultrasound, needle was inserted from lateral to medial direction to reach the plexus. Read More

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http://dx.doi.org/10.4103/joacp.JOACP_144_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748018PMC
September 2019
1 Read

Anatomic Landmarks to Locate the Median Nerve for Safe Wrist Block or Carpal Tunnel Steroid Injection.

Eplasty 2019 29;19:e19. Epub 2019 Jul 29.

Division of Plastic Surgery, University of Louisville, Louisville.

Carpal tunnel syndrome is the most common entrapment neuropathy involving the upper extremity. As such, various nonoperative techniques have been developed to aid in management of mild to moderate disease, including local steroid injection. However, definitive guidelines for needle/injection location have not been defined, especially in relation to diminishment of iatrogenic injury to the median nerve. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727415PMC
July 2019
6 Reads

[Effect of transcutaneous electrical acupoint stimulation on pulmonary function and oxidative stress response in lower extremity surgery patients using tourniquet].

Zhen Ci Yan Jiu 2019 Aug;44(8):594-8

Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China; Wencheng County People's Hospital, Wenzhou 325300, Zhejiang Province.

Objective: To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on pulmonary function, superoxide dismutase (SOD) activity, and malondialdehyde (MDA) content in patients using tourniquet after lower extremity surgery.

Methods: A total of 40 patients who underwent lower extremity surgery were equally randomized into control group and TEAS group by using a random number table. All patients underwent lumbar epidural anesthesia combined with block anesthesia. Read More

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http://dx.doi.org/10.13702/j.1000-0607.180709DOI Listing
August 2019
5 Reads

"Triceps Brachii Muscle Response to Neurostimulation of the Radial Nerve during Axillary Plexus Blockade: Clinical, Anatomical and Histological Correlation".

Clin Anat 2020 May 22;33(4):578-584. Epub 2019 Aug 22.

CEU San Pablo University School of Medicine, Madrid, Spain.

Axillary plexus blockade is a common technique in clinical practice with a well-known pattern of structures around the brachial artery. Historically, the only proper response to radial nerve stimulation was considered to be extension of the hand and wrist. Twenty-five axillary blockades were assessed by ultrasound and neurostimulation; the principal objective was to correlate the needle position over the radial nerve with the anatomical and histological structure of that nerve. Read More

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http://dx.doi.org/10.1002/ca.23448DOI Listing
May 2020
4 Reads

Addition of 100 mg of Tramadol to 40 mL of 0.5% Ropivacaine for Interscalene Brachial Plexus Block Improves Postoperative Analgesia in Patients Undergoing Shoulder Surgeries as Compared to Ropivacaine Alone-A Randomized Controlled Study.

Medicina (Kaunas) 2019 Jul 23;55(7). Epub 2019 Jul 23.

First Department of Anesthesiology, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.

Brachial plexus block is commonly used in shoulder surgery, as it provides satisfactory surgical conditions and adequate postoperative pain control. However, there are contradictory reports regarding the addition of tramadol to the injected regional anesthetic solution. We performed a prospective randomized study to evaluate the effectiveness of tramadol as an adjuvant to ropivacaine during interscalene brachial plexus block and assess its impact on the opioid consumption and the early postoperative pain in patients that underwent shoulder surgery. Read More

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http://dx.doi.org/10.3390/medicina55070399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681507PMC
July 2019
4 Reads
0.508 Impact Factor

Regional or General Anesthesia in the Surgical Treatment of Distal Radial Fractures: A Randomized Clinical Trial.

J Bone Joint Surg Am 2019 Jul;101(13):1168-1176

Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.

Background: Most patients undergoing surgery for the treatment of a distal radial fracture are treated in a day-surgery setting and are given either general anesthesia (GA) or regional anesthesia (RA). The main purpose of this study was to investigate the impact of the anesthesia method on patients' postoperative opioid consumption during the first 3 days following surgery.

Methods: This was a single-center randomized clinical trial. Read More

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http://dx.doi.org/10.2106/JBJS.18.00984DOI Listing
July 2019
1 Read

Multiple rare causes of post-traumatic elbow stiffness in an adolescent patient: A case report and review of literature.

World J Clin Cases 2019 May;7(10):1191-1199

Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.

Background: Joint stiffness after elbow surgery is not a rare complication, and is always accompanied by deformity. The causes of joint stiffness are multiple in different patients, and divided into intrinsic and extrinsic causes. Herein, we report an unusual case of posttraumatic elbow stiffness due to multiple and rare causes. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i10.1191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547331PMC
May 2019
18 Reads

MANAGEMENT OF BRACHIAL PLEXUS MISSILE INJURIES.

Acta Clin Croat 2018 Sep;57(3):487-496

1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences.

- Missile injuries are among the most devastating injuries in general traumatology. Traumatic brachial plexus injuries are the most difficult injuries in peripheral nerve surgery, and most complicated to be surgically treated. Nevertheless, missile wounding is the second most common mechanism of brachial plexus injury. Read More

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http://dx.doi.org/10.20471/acc.2018.57.03.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536276PMC
September 2018
25 Reads

In-plane and out-of-plane needle insertion comparison for a novel lateral block of the radial, ulnar, median and musculocutaneous nerves in cats.

Vet Anaesth Analg 2019 Jul 9;46(4):523-528. Epub 2019 Mar 9.

The University Veterinary Teaching Hospital, The School of Veterinary Science, The University of Sydney, Camperdown, New South Wales, Australia. Electronic address:

Objective: To compare two needle insertion techniques in a novel lateral approach to the radial, ulnar, median and musculocutaneous (RUMM) nerve block in cat cadavers.

Study Design: Prospective, cadaveric experimental study.

Animals: A group of 18 feline cadavers. Read More

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http://dx.doi.org/10.1016/j.vaa.2019.02.006DOI Listing
July 2019
11 Reads

Pigmented border as a new surface landmark for digital nerve blocks: a cross sectional anatomical study.

J Hand Surg Eur Vol 2019 Nov 1;44(9):932-936. Epub 2019 May 1.

Department of Anatomy, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

The purpose of this study was to identify surface anatomy of digital nerves in relation to the pigmented border of digits. Three-hundred and sixty digital nerves in 36 preserved adult cadaveric hands were dissected under magnification. The digital nerves were constantly located anterior to the pigmented border. Read More

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http://dx.doi.org/10.1177/1753193419845291DOI Listing
November 2019
10 Reads

A Comparative Clinical Study of Ultrasonography-Guided Perivascular and Perineural Axillary Brachial Plexus Block for Upper Limb Surgeries.

Anesth Essays Res 2019 Jan-Mar;13(1):163-168

Department of Community Medicine, Shri B. M. Patil Medical College and Hospital, Vijayapura, Karnataka, India.

Background: Axillary brachial plexus block (ABPB) is safest among other methods of brachial plexus block because of its ease and reliability. The two approaches of ultrasonography-guided ABPB are perivascular (PV) and perineural (PN).

Aims: This study was conducted to compare primary outcomes such as performance time, onset of the block, number of needle passes, block success rate, duration of sensory and motor block, and complications between ultrasound-guided PV and PN ABPB in patients posted for upper limb surgeries. Read More

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http://dx.doi.org/10.4103/aer.AER_184_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444945PMC
April 2019
10 Reads

Proximal RUMM block in dogs: preliminary results of cadaveric and clinical studies.

Vet Anaesth Analg 2019 May 25;46(3):384-394. Epub 2019 Jan 25.

Department of Veterinary Sciences, University of Pisa, Pisa, Italy. Electronic address:

Objective: To design and assess the perioperative analgesic efficacy of an ultrasound (US)-guided radial (R), ulnar (U), median (M) and musculocutaneous (Mc) nerve blocks, performed together in the axillary space by a single, in-plane approach.

Study Design: Anatomical research and prospective clinical study.

Animals: A group of three dog cadavers and 15 client-owned dogs undergoing orthopaedic thoracic limb surgery. Read More

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http://dx.doi.org/10.1016/j.vaa.2018.11.009DOI Listing
May 2019
10 Reads

Ultrasound-guided Mid-humeral Radial Nerve Block Provides Sufficient Surgical Anesthesia at Hand Dorsum: A Novel Method and Report of Three Cases.

Cureus 2019 Jan 24;11(1):e3949. Epub 2019 Jan 24.

Anesthesiology, Kutahya Health Sciences University, Kutahya, TUR.

A peripheral nerve block is a sufficient anesthesia method for hand surgeries, as it protects the patient from the complications of general anesthesia and provides postoperative analgesia. We report the first use of an ultrasound-guided mid-humeral radial nerve block in three cases of ganglion cyst excision from hand dorsum. The block provided efficient surgical anesthesia and postoperative analgesia for the excision of ganglion cysts at the hand dorsum. Read More

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http://dx.doi.org/10.7759/cureus.3949DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433443PMC
January 2019
32 Reads

Effectiveness of Superficial Radial Nerve Block on Pain, Function and Quality of Life in Patients With Hand Osteoarthritis: A Prospective, Randomized and Controlled Single-Blind Study.

Arch Rheumatol 2018 Dec 23;33(4):464-472. Epub 2018 Mar 23.

Department of Physical Medicine and Rehabilitation, Uludağ University Faculty of Medicine, Bursa, Turkey.

Objectives: This study aims to investigate the effects of ultrasound-guided superficial branch of the radial nerve block on pain, function and quality of life in patients with hand osteoarthritis.

Patients And Methods: In this prospective, randomized and controlled single-blind study, 50 female patients (mean age 59.0±5. Read More

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http://dx.doi.org/10.5606/ArchRheumatol.2018.6754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409166PMC
December 2018
16 Reads

Highlighting nerves and blood vessels for ultrasound-guided axillary nerve block procedures using neural networks.

J Med Imaging (Bellingham) 2018 Oct 10;5(4):044004. Epub 2018 Nov 10.

SINTEF Medical Technology, Trondheim, Norway.

Ultrasound images acquired during axillary nerve block procedures can be difficult to interpret. Highlighting the important structures, such as nerves and blood vessels, may be useful for the training of inexperienced users. A deep convolutional neural network is used to identify the musculocutaneous, median, ulnar, and radial nerves, as well as the blood vessels in ultrasound images. Read More

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http://dx.doi.org/10.1117/1.JMI.5.4.044004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6228309PMC
October 2018
16 Reads

[C5-6 nerve root block technique for postoperative analgesia of shoulder arthroscope: a randomized controlled trial].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Feb;51(1):177-181

Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China.

Objective: To compare the effects of ultrasound-guided interscalene brachial plexus block and C5-6 nerve root block for analgesia after shoulder arthroscopy.

Methods: In the study, 40 patients of ASA I-II were selected for elective general anesthesia to repair the shoulder ligament rupture in Peking University Third Hospital, who were randomly divided into two groups, respectively for the intermuscular brachial plexus block group (group I) and C5-6 nerve root block group (group C), n=20. The forty patients underwent ultrasound-guided brachial plexus block or C5-6 nerve root block before general anesthesia. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2019.01.030DOI Listing
February 2019
6 Reads

Injection-related iatrogenic peripheral nerve injuries: Surgical experience of 354 operated cases.

Neurol India 2019 Jan-Feb;67(Supplement):S82-S91

Department of Neurosurgery, PD Hinduja Hospital, Mumbai, Maharashtra, India.

Objective: A retrospective analysis of surgically treated 354 cases of injection-related iatrogenic peripheral nerve injuries was performed. The purpose of this clinical study was to present our experience in the management of various types of injection-related peripheral nerve injuries and discuss various issues that are associated with this subset of peripheral nerve injuries.

Methods: Over a 17-year period, 354 cases of injection-related iatrogenic peripheral nerve injuries were managed surgically at the Department of Neurosurgery at P. Read More

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http://dx.doi.org/10.4103/0028-3886.250703DOI Listing
December 2019
9 Reads

Post-contrast T1-weighted spine 3T MRI in children using a golden-angle radial acquisition.

Neuroradiology 2019 Mar 21;61(3):341-349. Epub 2019 Jan 21.

Center for Advanced Imaging Innovation and Research, Department of Radiology, New York University, New York, NY, USA.

Purpose: MRI methods that have reduced sensitivity to motion are attractive in pediatric applications. In spine imaging, physiologic motion such as respiration and cerebrospinal fluid pulsation can hamper diagnostic image quality. We compare a 3D T1-weighted non-Cartesian radial acquisition with a conventional Cartesian 2D turbo-spin-echo (TSE) acquisition in axial post-contrast spine imaging at 3T. Read More

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http://link.springer.com/10.1007/s00234-019-02165-5
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http://dx.doi.org/10.1007/s00234-019-02165-5DOI Listing
March 2019
26 Reads

Novel Axillary Block Management for Tendon Transfer Surgery: A Case Report.

A A Pract 2019 Jun;12(11):426-429

Departement of Orthopedic Surgery, Orthopedic Surgery, Rodez General Hospital, Rodez, France.

The outcome of upper limb tendon transfer surgery is improved when the patient is able to voluntarily contract specific muscles during the surgical procedure. Tumescent local anesthesia is suitable, but we describe an alternative option that involves the novel management of an axillary block. A 47-year-old man, injured in a motor vehicle crash, exhibited a thumb extensor deficit because of severe muscular trauma to the forearm. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000954DOI Listing
June 2019
37 Reads

Ultrasound-Guided First Dorsal Compartment Release for Refractory de Quervain Tenosynovitis: A Case Report.

PM R 2019 06 7;11(6):665-668. Epub 2019 Mar 7.

Non-surgical Sports Medicine Division, Andrews Sports Medicine and Orthopedic Center, Andrews Sports Medicine Institute, Birmingham, AL.

De Quervain tenosynovitis is an overuse syndrome associated with inflammation of the tendons in the first dorsal compartment of the wrist. Management includes activity modification, splinting, and corticosteroid injections. In refractory cases, surgical release may be performed, which may be complicated by incomplete release, tendon subluxation, or radial nerve injury. Read More

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http://dx.doi.org/10.1002/pmrj.12063DOI Listing
June 2019
9 Reads

Compressive radial neuropathy by a synovial cyst during pregnancy: A clinical case report.

Medicine (Baltimore) 2018 Dec;97(49):e13455

Department of Physical Medicine and Rehabilitation, Tung's Taichung Metroharbor Hospital, Taichung, Taiwan.

Rationale: Compressive radial neuropathy by a synovial cyst in the radial tunnel during pregnancy is a rare occurrence. The management of radial nerve compression caused by a synovial cyst in a pregnant patient is a surgical dilemma owing to the fetal and maternal risks of treatment.

Patient Concerns And Diagnosis: A 37-year-old pregnant woman presented with progressive forearm pain at the gestational age of 12 weeks. Read More

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http://dx.doi.org/10.1097/MD.0000000000013455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310501PMC
December 2018
25 Reads

Isolated spontaneous posterior interosseous nerve palsy: a review of aetiology and management.

Authors:
Iain McGraw

J Hand Surg Eur Vol 2019 Mar 3;44(3):310-316. Epub 2018 Dec 3.

Consultant Hand and Orthopaedic Trauma Surgeon, The Royal Alexandra Hospital, NHS Greater Glasgow and Clyde, Paisley, Scotland, UK.

Isolated posterior interosseous nerve palsy is an uncommon condition and its management is controversial. Existing literature is sparse and a treatment algorithm based on existing best evidence is absent. A comprehensive review was undertaken to elucidate the causes of spontaneous posterior interosseous nerve palsy and suggest a management strategy based on the current evidence. Read More

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http://dx.doi.org/10.1177/1753193418813788DOI Listing

Patterns of Distribution of the Nerves Around the Axillary Artery Evaluated by Ultrasound and Assessed by Nerve Stimulation During Axillary Block.

Clin Anat 2019 Jan 20;32(1):2-8. Epub 2018 Oct 20.

Department of Anesthesiology, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.

Our objective was to define the positions of the nerves around the brachial artery and, secondarily, to assess the risk of intraneural injection during dual guided axillary block. Sixty ultrasound-guided axillary blocks were performed. The locations of the musculocutaneous, median, ulnar, and radial nerves relative to the brachial artery were determined. Read More

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http://dx.doi.org/10.1002/ca.23225DOI Listing
January 2019
11 Reads

The ultrasound-guided selective nerve block in the upper arm: an approach of retaining the motor function in elbow.

BMC Anesthesiol 2018 10 19;18(1):143. Epub 2018 Oct 19.

Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical College, 2 Fuxue Road, Wenzhou City, Zhejiang Province, 325000, China.

Background: Proximal brachial plexus blocks can lead to an extended period of motor paralysis and delay the return of motor function. This could influence patient satisfaction, and extend hospitalizations. The aim of the study is to compare a selective distal nerve block of the arm to a proximal axillary block, both ultrasound-guided, in terms of their motor block intensity of the elbow. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0584-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195720PMC
October 2018
13 Reads

[Ultrasound-guided selective nerve blocks for trigger finger surgeries to maintain flexion/extension of fingers - Case series].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):104-108. Epub 2018 Oct 6.

Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina (EPM), Grupo de Anestesia Regional da Disciplina de Anestesiologia, Dor e Medicina Intensiva, São Paulo, SP, Brasil.

Background: A patient's ability to move his/her fingers during hand surgery may be helpful to surgeons because it allows the effectiveness of the intervention evaluation and prediction of hand function in the postoperative period. The purpose of this case series is to demonstrate the efficacy of an ultrasound-guided peripheral nerve block technique to maintain the hand flexor and extensor muscles motor function and discuss the benefits of the technique for trigger finger surgery.

Case Report: Ten patients scheduled to undergo trigger finger surgery were selected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173049
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http://dx.doi.org/10.1016/j.bjan.2018.06.011DOI Listing
August 2019
17 Reads

Ulnar Subluxation of the Extensor Pollicis Longus Tendon as a Cause of Congenital Clasped Thumb: A Case Report.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):408-411

* Department of Orthopaedic Surgery, Tsuchiura Kyodo Hospital, Tsuchiura, Japan.

A 15-year-old male patient presented with difficulty extending his right thumb due to subluxation of the extensor pollicis longus (EPL) tendon. Physical examination showed that active motion of the thumb's metacarpophalangeal (MP) joint was 76° in flexion and -58° in extension. During active extension, the EPL tendon shifted onto the ulnar aspect of the MP joint, and the extensor pollicis brevis (EPB) tendon shifted onto the central dorsal course of the MP joint. Read More

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https://www.worldscientific.com/doi/abs/10.1142/S24248355187
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http://dx.doi.org/10.1142/S2424835518720256DOI Listing
September 2018
69 Reads

Ultrasound-guided anterior approach to the axillary and intercostobrachial nerves in the axillary fossa: an anatomical investigation.

Br J Anaesth 2018 Oct 23;121(4):883-889. Epub 2018 Aug 23.

Department of Anesthesiology, Intensive Care Medicine, Germany; Palliative Care Medicine and Pain Management, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH Bochum, Bochum, Germany.

Background: The posterolateral and medial aspect of the arm is supplied by the axillary (AXN) and intercostobrachial nerves (ICBN), which are not anaesthetised by an axillary brachial plexus block (ABPB). Blockade of the AXN and the ICBN has been reported in the quadrangular space (QS) posteriorly or by serratus plane block, respectively. An anterior ultrasound-guided approach to block the AXN and ICBN would be desirable to complete an ABPB at a single insertion site. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00070912183051
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http://dx.doi.org/10.1016/j.bja.2018.06.006DOI Listing
October 2018
8 Reads

Landmark Technique for a Wrist Block.

JBJS Essent Surg Tech 2018 Mar 14;8(1):e7. Epub 2018 Mar 14.

Sheffield Teaching Hospitals, Sheffield, United Kingdom.

Effective anesthesia of the hand and wrist has many uses inside and outside the operating room. In the emergency department or fracture clinic, a wrist block may be used for closed reductions of dislocations and fractures or for effective inspection and treatment of wounds. In the operating room, surgery may be carried out under a wrist block alone or a wrist block may be used as an adjunct to general anesthesia as the block is an opiate-sparing option to facilitate outpatient surgery and to provide many hours of postoperative analgesia, particularly if administered prior to the commencement of surgery. Read More

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http://dx.doi.org/10.2106/JBJS.ST.16.00082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143305PMC
March 2018
13 Reads

Use of ViperSlide Lubricant to Extract Entrapped Sheath after Severe Radial Artery Spasm during Coronary Angiography.

Tex Heart Inst J 2018 06 1;45(3):186-187. Epub 2018 Jun 1.

Radial artery spasm is a known complication of transradial cardiac catheterization. However, severe spasm with sheath entrapment is rare. We describe such a case, and the condition's response to an alternative removal method after conventional efforts failed. Read More

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http://dx.doi.org/10.14503/THIJ-17-6394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059514PMC
June 2018
45 Reads
0.630 Impact Factor

Effect of a lateral infraclavicular brachial plexus block on the axillary and suprascapular nerves as determined by electromyography - a cohort study.

Anaesthesia 2018 Oct 25;73(10):1251-1259. Epub 2018 Jul 25.

Department of Anaesthesiology, Nordsjaellands Hospital, University of Copenhagen, Denmark.

We aimed to examine to what extent a lateral infraclavicular brachial plexus block affected the axillary and the suprascapular nerve. We included patients undergoing hand surgery anaesthetised with a lateral infraclavicular brachial plexus block. Our primary outcome was the relative change in surface electromyography during maximum voluntary isometric contraction of the medial deltoid muscle (axillary nerve) and the infraspinatus muscle (suprascapular nerve) from baseline to 30 min after the block procedure. Read More

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http://dx.doi.org/10.1111/anae.14360DOI Listing
October 2018
7 Reads

Phenol Neurolysis for the Management of Shoulder Spasticity in Early Recovery From Traumatic Brain Injury: A Case Report.

PM R 2019 01 16;11(1):90-93. Epub 2019 Jan 16.

Department of Physical Medicine and Rehabilitation, University of Texas Health Sciences Center at Houston, Houston, and TIRR Memorial Hermann, Houston, TX.

This case describes a 16-year-old boy who suffered a severe traumatic brain injury. The patient gradually recovered but developed debilitating spasticity mainly in left triceps muscle, abnormal positioning of shoulder girdle complex, and shoulder pain. Phenol (6%) was injected to axillary and radial nerves under the guidance of electrical stimulation and ultrasound imaging at 10 weeks after the initial injury. Read More

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http://dx.doi.org/10.1016/j.pmrj.2018.06.002DOI Listing
January 2019
1 Read

Ultrasound-Guided Infraclavicular Brachial Plexus Block: Prospective Randomized Comparison of the Lateral Sagittal and Costoclavicular Approach.

Reg Anesth Pain Med 2018 Nov;43(8):825-831

From the Department of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.

Background And Objectives: It has recently been proposed that an infraclavicular brachial plexus block (BPB) at the costoclavicular (CC) space may overcome some of the limitations of the lateral sagittal (LS) approach. In this study, we hypothesized that the CC approach will produce faster onset of sensory blockade of the 4 major terminal nerves of the brachial plexus than the LS approach.

Methods: Forty patients undergoing elective upper extremity surgery under a BPB were randomized to receive either the LS (Gp-LS, n = 20) or CC approach (Gp-CC, n = 20) for infraclavicular BPB. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000822DOI Listing
November 2018
55 Reads

Ultrasound-guided perineural injection with dextrose for treatment of radial nerve palsy: A case report.

Medicine (Baltimore) 2018 Jun;97(23):e10978

Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan, Republic of China.

Rationale: Perineural injection with dextrose could be a novel intervention for peripheral entrapment neuropathy. However, this intervention has not been reported for treating radial nerve palsy (RNP). Here, we present a case with RNP having outstanding improvement after 2 sessions of ultrasound-guided perineural injection with 5% dextrose (D5W). Read More

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http://dx.doi.org/10.1097/MD.0000000000010978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999508PMC
June 2018
54 Reads