Necessity of an exact anatomical understanding for the better pain practice

Kim, Yeon-Dong

doi:10.3344/kjp.2021.34.4.373

Cited by 3 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…IPT is defined as the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders by the application of interventional techniques to manage subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatments [ 15 ]. On the basis of advances in imaging, anatomic findings, medication, and the development of precision diagnostic and therapeutic injection techniques, the importance of interventional pain management techniques has been refined and continues to evolve with reviews of clinical evidence [ 16 , 17 ]. However, interventional techniques are performed by physicians across multiple specialties and settings globally, with a growing number taking place in Korea [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan

Lee,

Won,

Yang

et al. 2023

Korean J Pain

Self Cite

View full text Add to dashboard Cite

Background The rise in national health care costs has emerged as a global problem given the ever-aging population and rapid development of medical technology. The utilization of interventional pain management has, similarly, shown a continued rise worldwide. This study evaluates the differences in the medical costs in the field of interventional pain treatment (IPT) between two countries Korea and Japan. Methods Korean medical insurance costs for 2019 related to pain management focused on IPT were compared to those of Japan. Purchasing power parity (PPP) was used to adjust the exchange rate differences and to compare prices in consideration of the respective societies’ economic power. Results The cost of trigger point injections in Japan was 1.06 times higher than that of Korea, whereas the perineural and intraarticular injection prices were lower in Japan. The cost of epidural blocks was higher in Japan compared to Korea in both cervical/thoracic and lumbar regions. As for blocks of peripheral branches of spinal nerves, the cost of scapular nerve blocks in Japan was lower than that in Korea, given a PPP ratio 0.09. For nerve blocks in which fluoroscopy guidance is mandatory, the costs of epidurography in Japan were greater than those in Korea, given a PPP ratio 1.04. Conclusions This is the first comparative study focusing on the medical costs related to IPT between Korea and Japan, which reveals that the costs differed along various categories. Further comparisons reflecting more diverse countries and socio-economic aspects will be required.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan

Lee,

Won,

Yang

et al. 2023

Korean J Pain

Self Cite

View full text Add to dashboard Cite

show abstract

“…Art has progressively transformed from traditional illustrations to digital imaging, driven by technological advancements in the digital age. Accurate and intuitive illustrations are most effective for conveying information in various disciplines rooted in medicine, such as anatomy, embryology, physiology, neuroanatomy, and all fields related to surgery or medical education [ 4 , 5 ]. In some countries (United States, Canada, United Kingdom, France, Netherlands, etc.…”

Section: To the Editormentioning

confidence: 99%

“…However, there are discrepancies between various clinical textbooks in explanations and illustrations of the same anatomical structures. This www.epain.org can lead to the dissemination of incorrect information to practitioners performing the procedures, which ultimately negatively affects patient satisfaction and outcomes [4]. Moreover, during the training process for medical specialists, clear, simple, and accurate illustrations play a significant role in explaining and understanding anatomical structures, especially during surgical education.…”

Section: To the Editormentioning

confidence: 99%

Necessity of professional medical illustration for increasing the value of the journal

Won,

Yang,

Kim

2023

Korean J Pain

Self Cite

View full text Add to dashboard Cite

“…Furthermore, the clinical effectiveness and safety of this block has been confirmed using ultrasound (US)-guided imaging [ 12 , 13 ]. However, for a precise and effective selective nerve blockade, an exact understanding of the topographical relationships related to nerve pathways is essential [ 14 ]. Until recently, physicians have attempted to block only the SN [ 15 ], a sensory nerve passing through the adductor canal, and to determine the exact location of the NVM in the canal to avoid unwanted side effects such as quadriceps paralysis.…”

Section: Introductionmentioning

confidence: 99%

New insight into the vasto-adductor membrane for safer adductor canal blockade

Heo,

Yang,

Nam

et al. 2024

Korean J Pain

Self Cite

View full text Add to dashboard Cite

Background This study aimed to identify exact anatomical landmarks and ideal injection volumes for safe adductor canal blocks (ACB). Methods Fifty thighs from 25 embalmed adult Korean cadavers were used. The measurement baseline was the line connecting the anterior superior iliac spine (ASIS) to the midpoint of the patellar base. All target points were measured perpendicular to the baseline. The relevant cadaveric structures were observed using ultrasound (US) and confirmed in living individuals. US-guided dye injection was performed to determine the ideal volume. Results The apex of the femoral triangle was 25.3 ± 2.2 cm distal to the ASIS on the baseline and 5.3 ± 1.0 cm perpendicular to that point. The midpoint of the superior border of the vasto-adductor membrane (VAM) was 27.4 ± 2.0 cm distal to the ASIS on the baseline and 5.0 ± 1.1 cm perpendicular to that point. The VAM had a trapezoidal shape and was connected as an aponeurosis between the medial edge of the vastus medialis muscle and lateral edge of the adductor magnus muscle. The nerve to the vastus medialis penetrated the muscle proximal to the superior border of the VAM in 70% of specimens. The VAM appeared on US as a hyperechoic area connecting the vastus medialis and adductor magnus muscles between the sartorius muscle and femoral artery. Conclusions Confirming the crucial landmark, the VAM, is beneficial when performing ACB. It is advisable to insert the needle obliquely below the superior VAM border, and a 5 mL injection is considered sufficient.

show abstract

Necessity of an exact anatomical understanding for the better pain practice

Cited by 3 publications

References 8 publications

Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan

Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan

Necessity of professional medical illustration for increasing the value of the journal

New insight into the vasto-adductor membrane for safer adductor canal blockade

Contact Info

Product

Resources

About