2014
DOI: 10.1016/j.jclinane.2014.06.006
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Selective blockade of the dorsal scapular nerve for scapula surgery

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Cited by 13 publications
(9 citation statements)
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“…There are 2 approaches for DSN blockade related to managing DSN entrapment. One is the anterolateral approach within the middle scalene muscle through the posterior triangle of the neck, which is the most common method [7]. However, there is high anatomical variability and, in some patients, the DSN may not visible even using US [15].…”
Section: Discussionmentioning
confidence: 99%
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“…There are 2 approaches for DSN blockade related to managing DSN entrapment. One is the anterolateral approach within the middle scalene muscle through the posterior triangle of the neck, which is the most common method [7]. However, there is high anatomical variability and, in some patients, the DSN may not visible even using US [15].…”
Section: Discussionmentioning
confidence: 99%
“…However, there is high anatomical variability and, in some patients, the DSN may not visible even using US [15]. In this case, blocking the entire brachial plexus may be an option for providing nonspecific analgesia to the scapula; however, there is concern about unintentional blockade or injury of the other nerves [7]. Using a relatively high volume of anesthetics for a brachial plexus block may also cause unexpected side effects, such as paralysis of the phrenic nerve or paralysis or the nerves from the cervical plexus [16,17].…”
Section: Discussionmentioning
confidence: 99%
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“…Conservative treatments beyond physical rehabilitation may involve administering a local nerve block injection, which is commonly guided via ultrasound, in order to relieve patients of their symptoms [27, 33, 34]. It is very important for health care providers to have good working knowledge of the area around the scalene muscles in the neck, especially if they are going to apply nerve block injections in this area.…”
Section: Introductionmentioning
confidence: 99%
“…The DSN arises within the posterior cervical triangle deep to the prevertebral fascia [11] and typically pierces the middle scalene muscle where it travels posteriorly between the posterior scalene and the serratus posterior superior muscles to provide motor innervation to the levator scapulae, rhomboid minor, and rhomboid major muscles. Collectively, all three of these muscles act to elevate and retract the scapula [12][13][14][15][16][17].…”
Section: Introductionmentioning
confidence: 99%