Ultrasound-Guided Blockade of the Lateral Femoral Cutaneous Nerve: Technical Description and Review of 10 Cases

Hurdle, Mark Friedrich B.; Weingarten, Toby N.; Crisostomo, Ralph A.; Psimos, Christina; Smith, Jay

doi:10.1016/j.apmr.2007.07.013

Cited by 106 publications

(60 citation statements)

References 10 publications

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“…Knowledge regarding the anatomy of the LFCN is essential for decompression and neurolysis of the nerve in the treatment of meralgia paresthetica (Ducic et al, 2006). Variable courses and relationships of the LFCN to surface landmarks becomes significant in pulsed radiofrequency neuromodulation or ultrasound-guided LFCN blockade (Dalmau-Carolà, 2009;Philip et al, 2009;Hurdle et al, 2007).…”

Section: Discussionmentioning

confidence: 98%

Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance

et al. 2010

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The lateral femoral cutaneous nerve (LFCN), a branch from the lumbar plexus, may come to the clinician's or surgeon's attention. We studied this nerve to determine its location and its relationship with neighboring structures around the anterior superior iliac spine (ASIS) and the inguinal ligament (IL). Additionally, cross-sectional microanatomy of the LFCN at the IL was studied. The LFCN was dissected in 47 lower limbs from formalin-fixed cadavers. The distances from the ASIS to the point where the LFCN crossed the IL and the lateral border of the sartorius were measured. The distance between the ASIS and the point it pierced the deep fascia was also measured. Twelve nerve specimens at the IL were collected for histological sectioning and were stained with hematoxylin and eosin. On examination of the cross-sectional area, the nonfascicular area was wider than the fascicular area because of an increased amount of thick collagen fibers. This study may be of help to clinicians managing meralgia paresthetica and may also assist in defining a safe area for surgical intervention on the anterolateral aspect of the thigh.

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Section: Discussionmentioning

confidence: 98%

Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance

et al. 2010

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“…All the US-guided blocks were conducted using previously published techniques [32][33][34][35][36][37][38]. The success of the sensory and motor blockade was examined 30 min after completion of the block as described in our previous trial [4].…”

Section: Methodsmentioning

confidence: 99%

Perineural versus Intravenous Dexamethasone for Prolongation of Multiple Nerve Blocks for Pain Relief after Total Knee Arthroplasty

Stav¹,

Reytman²,

Stav³

et al. 2017

J Pain Relief

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Background: Multiple nerve blocks (MNB) provide excellent time-limited perioperative analgesia following total knee arthroplasty. Both perineural and systemic use of dexamethasone (DXM) as an adjuvant to local anesthetic prolong the duration of single-shot MNB. We hypothesized that preoperative perineural injection of DXM prolongs analgesia after MNB more than the same dose of intravenous (IV) DXM injection due to direct action on the nerves and not only by a systemic action mechanism.

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“…After sterile preparation the nerve is visualized lying within the connective tissues between the fascia lata and fascia iliaca as previously described by Hurdle et al [5] We advanced a 22G 50 mm insulated needle (Braun, Germany) in-plane to the transducer, in a lateral-to-medial direction under direct visualization of needle-tip position and local anesthetic spread on ultrasound imaging (Fig. 2b).…”

Section: Lateral Femoral Cutaneous Nerve Blockmentioning

confidence: 99%

“…[4] Ultrasound-guided injections of the LFCN allow for consistent blockade of the nerve with minimal volumes. [5] Infraclavicular approach to the brachial plexus block anesthesia is an alternative to general anesthesia for upper extremity surgery. Ultrasound guided infraclavicular block appears to be associated with high success rate, short onset time and low complication rate.…”

Section: Introductionmentioning

confidence: 99%

Combined Use Of Ultrasound Guided Infraclavicular Block And Lateral Femoral Cutaneous Nerve Block In Upper Extremity Reconstruction Requiring Large Skin Graft: Case Report

Kılıçaslan

Erol²,

Topal³

et al. 2013

Agri

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Özet Üst ve alt ekstremite bloklarının aynı ameliyat içinde kombine kullanımı lokal anestetiklerin sistemik toksisite riskinden dolayı nadi SummaryCombined nerve blocks of the upper extremity and lower limb in same operation rarely performed due to the risk of systemic toxicity of local anesthetics. Therefore, general anesthesia is generally preferred in this operations. However, use of ultrasound allows reliable deposition of the anesthetic around the nerves, potentially lowering the local anesthetic requirement. In this case report, we present a 44-year-old, ASA physical status I, male patient who was operated for upper extremity reconstruction requiring skin graft from anterolateral thigh region under ultrasound-guided infraclavicular brachial plexus block and lateral femoral cutaneous nerve block. The block was successful and no block-related complications were noted. We think that combining an ultrasound guided infraclavicular brachial plexus block and a lateral femoral cutaneous nerve block is a clinically useful and safe technique and an alternative anesthetic method for procedures requiring skin grafts for the upper extremity.

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Ultrasound-Guided Blockade of the Lateral Femoral Cutaneous Nerve: Technical Description and Review of 10 Cases

Cited by 106 publications

References 10 publications

Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance

Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance

Perineural versus Intravenous Dexamethasone for Prolongation of Multiple Nerve Blocks for Pain Relief after Total Knee Arthroplasty

Combined Use Of Ultrasound Guided Infraclavicular Block And Lateral Femoral Cutaneous Nerve Block In Upper Extremity Reconstruction Requiring Large Skin Graft: Case Report

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