Pericapsular nerve group block for osteoarthritis-related chronic hip joint pain: a case report.

IF 0.8 Q3 ANESTHESIOLOGY JA Clinical Reports Pub Date : 2023-11-14 DOI:10.1186/s40981-023-00673-1
Reiko Sato, Rina Kato, MinHye So, Takeshi Sugiura, Kazuya Sobue
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Abstract

Background: Pericapsular nerve group (PENG) block has shown effectiveness for acute hip pain associated with fractures and surgery. Herein, PENG block was performed for osteoarthritis (OA)-related chronic hip joint pain.

Case presentation: A 65-year-old woman presented left hip pain. She had bilateral hip osteoarthritis that improved with medications; however, a fall resulted in left hip pain. She experienced severe pain on movements, which required walking aids. To alleviate the hip pain, a PENG block was performed under ultrasound guidance. Transient muscle weakness occurred in 2 of 5 times. After 5 blocks, she regained the ability to walk without assistive devices. Pain did not recur even after 6 months.

Conclusions: Repeated PENG blocks of short-acting local anesthetics alone could be an effective pain management technique for chronic hip pain. For safety, the appropriate injection site and local anesthetic dosage must be carefully considered.

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骨关节炎相关慢性髋关节疼痛的囊周神经阻滞1例。
背景:囊周神经阻滞(PENG)已显示出对骨折和手术相关急性髋关节疼痛的有效性。本研究采用PENG阻滞治疗骨关节炎(OA)相关的慢性髋关节疼痛。病例介绍:一名65岁女性,表现为左髋关节疼痛。她患有双侧髋关节骨关节炎,通过药物治疗有所改善;然而,一次跌倒导致左髋关节疼痛。她运动时剧烈疼痛,需要辅助行走。为了减轻髋关节疼痛,在超声引导下进行PENG阻滞。5例中2例出现短暂性肌无力。经过5个街区后,她恢复了不借助辅助设备行走的能力。6个月后疼痛未复发。结论:单用短效局麻药重复阻滞治疗是治疗慢性髋关节疼痛的有效方法。为安全起见,必须仔细考虑适当的注射部位和局部麻醉剂量。
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来源期刊
JA Clinical Reports
JA Clinical Reports ANESTHESIOLOGY-
CiteScore
1.30
自引率
0.00%
发文量
90
审稿时长
9 weeks
期刊介绍: JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.
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