Advancing the Science of Ultrasound Guided Regional Anesthesia and Pain Medicine

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Head and Neck [Link to top]

Cervical Facet Joint

Herring AA, Stone MB, Frenkel O, Chipman A, Nagdev AD. The ultrasound-guided superficial cervical plexus block for anesthesia and analgesia in emergency care settings. Am J Emerg Med 2011 Oct 24

"This article describes an ultrasound-guided technique for blockade of the superficial cervical plexus to manage pain for a patient with an acute clavicle fracture."
Jee H and et al. Ultrasound-guided selective nerve root block versus fluoroscopy-guided transforaminal block for the treatment of radicular pain in the lower cervical spine: A randomized, blinded, controlled study. Skeletal Radiol published May 2012. DOI 10.1007/s00256-012-1434-1

"This study compares the short-term effects and advantages of ultrasound-guided selective nerve root block with fluoroscopy-guided transforaminal epidural block for radicular pain in the lower cervical spine through assessment of pain relief, functional improvement, and safety."
Galiano K, Obwegeser AA, Bodner G, Freund MC, Gruber H, Maurer H, et al. Ultrasound-guided facet joint injections in the middle to lower cervical spine: a CT-controlled sonoanatomic study. Clin J Pain 2006;22:538-543.

"This cadaver study examines ultrasound as a guiding tool for facet joint injections in the cervical spine."

The Greater Occipital Nerve

Kim OS, Jeong SM, Ro JY, Kim DK, Koh YC, Ko YS, et al. Fluoroscopy and sonographic guided injection of obliquus capitis inferior muscle in an intractable occipital neuralgia. Korean J Pain 2010;23:82-87.

"This article describes the technique of steroid and local anesthetic injection into obliquus capitis inferior muscles under fluoroscopic and sonographic guidance in a patient with intractable occipital neuralgia."
Skaribas I, Alo K. Ultrasound imaging and occipital nerve stimulation. Neuromodulation 2010;13:126-130.

"This article describes successful percutaneous trials of bilateral occipital nerve stimulation under ultrasound guidance."
Cho JCS, Haun DW, Kettner NW, Scali F, Clark TB. Sonography of the normal greater occipital nerve and obliquus capitis inferior muscle. J Clin Ultrasound 2010;38:299-304.

"This article examines the use of sonography to measure the cross-sectional area of the greater occipital nerve (GON)..."

Lower Limb [Link to top]

Lateral Femoral Cutaneous Nerve

Hara K, Sakura S, Shido A. Ultrasound-guided lateral femoral cutaneous nerve block: comparison of two techniques. Anaesth Intensive Care 2011;39:69-72.

"This study finds that injecting local anesthetic immediately under the inguinal ligament rather than around the nerve itself blocks the lateral femoral cutaneous nerve more reliably."
Tagliafico A, Serafini G, Lacelli F, Perrone N, Valsania V, Martinoli C. Ultrasound-guided treatment of meralgia paresthetica (lateral femoral cutaneous neuropathy): technical description and results of treatment in 20 consecutive patients. J Ultrasound Med 2011;30:1341-1346.

"This article describes an ultrasound technique for treatment of meralgia paresthetica."
Damarey B, Demondion X, Boutry N, Kim H-J, Wavreille G, Cotten A. Sonographic assessment of the lateral femoral cutaneous nerve. J Clin Ultrasound 2009;37:89-95.

"This cadaveric study examines the course of the lateral femoral cutaneous nerve with dissection and ultrasound."
Hurdle MF, Weingarten TN, Crisostomo RA, Psimos C, Smith J. Ultrasound-guided blockade of the lateral femoral cutaneous nerve: technical description and review of 10 cases. Arch Phys Med Rehabil 2007;88:1362-1364.

"This article describes a technique for blockade of the LFCN using ultrasound guidance."

Trunk [Link to top]

Thoracic Outlet Syndrome

Christo PJ, McGreevy K. Updated perspectives on neurogenic thoracic outlet syndrome. Curr Pain Headache Rep 2011;15:14-21.

"This article provides an evidence-based literature review of the classification, etiology, clinical presentation, diagnostic measures..."
Torriani M, Gupta R, Donahue DM. Botulinum toxin injection in neurogenic thoracic outlet syndrome: results and experience using a ultrasound-guided approach. Skeletal Radiol 2010;39:973-980.

"This study describes the technique and clinical outcome of US-guided botulinum toxin injection..."
Torriani M, Gupta R, Donahue DM. Sonographically guided anesthetic injection of anterior scalene muscle for investigation of neurogenic thoracic outlet syndrome. Skeletal Radiol 2009;38:1083-1087.

"This article describes the technique and complications of sonographically guided anesthetic injection..."
Jordan SE, Ahn SS, Gelabert HA. Combining ultrasonography and electromyography for botulinum chemodenervation treatment of thoracic outlet syndrome: comparison with fluoroscopy and electromyography guidance. Pain Physician 2007;10:541-546.

"This study retrospectively analyzed patients treated with botulinum toxin using 2 different combined targeting techniques..."
Demondion X, Herbinet P, Van Sint Jan S, Boutry N, Chantelot C, Cotten A. Imaging assessment of thoracic outlet syndrome. Radiographics 2006;26:1735-1750.

"This article describes the use of B-mode and color duplex ultrasonography for assessment of vessel compression..."
Demondion X, Vidal C, Herbinet P, Gautier C, Duquesnoy B, Cotten A. Ultrasonographic assessment of arterial cross-sectional area in the thoracic outlet on postural maneuvers measured with power Doppler ultrasonography in both asymptomatic and symptomatic populations. J Ultrasound Med 2006;25:217-224.

"The Arterial compression inside the thoracic outlet can be detected and quantified with B-mode imaging in association with PDU."

Myofascial Pain

Domingo T, Blasi J, Casals M, Mayoral V, Ortiz-Sagrista JC, Miguel-Perez M. Is interfascial block with ultrasound-guided puncture useful in treatment of myofascial pain of the trapezius muscle? Clin J Pain 2011;27:297-303.

"This study examines the effect of an interfascial block for myofascial pain in the trapezius muscle."

Pudendal Neuralgia

Mollo M, Bautrant E, Rossi-Seignert A-K, Collet S, Boyer R, Thiers-Bautrant D. Evaluation of diagnostic accuracy of Colour Duplex Scanning, compared to electroneuromyography, diagnostic score and surgical outcomes, in Pudendal Neuralgia by entrapment: a prospective study on 96 patients. Pain 2009;142:159-163.

"This article describes the Pudendal Artery Ratio, for diagnosing pudendal nerve entrapment."

Pelvic Pain

Prather H, Dugan S, Fitzgerald C, Hunt D. Review of anatomy, evaluation, and treatment of musculoskeletal pelvic floor pain in women. PM R. 2009 Apr.;1(4):346-358.

"This article reviews the anatomy, evaluation and treatment of musculoskeletal pelvic floor pain in women."

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