EFFECT OF ULTRASOUND-GUIDED SUBSARTORIAL APPROACH FOR SAPHENOUS NERVE BLOCK IN CASES WITH SAPHENOUS NERVE ENTRAPMENT IN ADDUCTOR CANAL FOR CONTROLLING CHRONIC KNEE PAIN.

Middle East Journal of Anesthesiology Pub Date : 2015-02-01

Arman Taheri, Maryam Hatami, Majid Dashti, Alireza Khajehnasiri, Mahsa Ghajarzadeh

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Abstract

Background: Saphenous nerve neuropathy is one of the causes of chronic pain of the knee. Blockade of saphenous nerve under sonographich guide has been used for controlling pain in recent years. The goal of this study was to evaluate the effect of saphenous nerve block for controlling pain in patients with chronic knee pain.

Method: Thirty five patients with chronic knee pain referred to Amir Alam hospital during June 2012-June 2013 were enrolled in this study. Under sonographic approach, subsartorial blockade of saphenous nerve conducted and patients were followed up for 3 months after treatment. Demographic data, ASA (American Society of Anesthesiologists) category, weight, height, complications of intervention and pain scores were recorded.

Results: In 54%, the NRS was zero 30 minutes after intervention. In one patient (2.8%) all NRSs were 0 after intervention. We observed no sensory dysfunction in enrolled cases.

Conclusion: The result of current study showed that ultrasound guided subsartorial approach is moderately effective in blockade of saphenous nerve in cases with saphenous nerve entrapment in adductor canal for controlling chronic knee pain.

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超声引导下隐神经阻滞入路治疗隐神经内收管卡压对慢性膝关节疼痛的疗效。

背景:隐神经病变是膝关节慢性疼痛的原因之一。近年来，超声引导下的隐神经阻滞已被用于控制疼痛。本研究的目的是评估隐神经阻滞对慢性膝关节疼痛患者控制疼痛的效果。方法:选取2012年6月至2013年6月在Amir Alam医院就诊的35例慢性膝关节疼痛患者作为研究对象。超声入路下行隐神经鞘下阻滞，治疗后随访3个月。记录人口统计资料、ASA(美国麻醉医师协会)分类、体重、身高、干预并发症和疼痛评分。结果:干预后30分钟，54%的患者NRS为0。1例患者(2.8%)干预后所有NRSs均为0。我们没有观察到入组病例的感觉功能障碍。结论:超声引导下缝下入路对内收管内隐神经卡压的隐神经阻滞治疗慢性膝关节疼痛有中等疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine

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0.20

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期刊介绍： The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.