Anatomic basis to the ultrasound-guided approach for saphenous nerve blockade

Regional Anesthesia and Pain Medicine
Jean-Louis HornBrion Benninger

Abstract

Successful blockade of the saphenous nerve using surface landmarks can be challenging. We evaluated the anatomic basis of performing a saphenous nerve block with ultrasound (US) using its relationship to the saphenous branch of descending genicular artery, sartorius muscle, and the adductor hiatus as defined by cadaveric measurements. Using a total of 9 cadaveric knee dissections, the saphenous nerve and its relationship to the saphenous branch of the descending genicular artery (SBDGA) were examined. The distances from the patella to the distal end of the adductor canal and the bifurcation of the saphenous nerve were recorded. US images of an above-the-knee, subsartorial saphenous nerve block were reviewed. The saphenous nerve coursed with the SBDGA. It exited the adductor canal at a median of 10.25 cm (range, 7.0-11.5 cm) cephalad to the proximal patellar border and traveled closely with the SBDGA. At its bifurcation into the infrapatellar branch and sartorial branch, the saphenous nerve was at its closest approximation to the SBDGA. This point was found to be at a median of 2.7 cm (range, 2.1-3.4 cm) cephalad and a median of 6.6 cm (range, 5.0-9.0 cm) posterior to the proximal and posterior patellar border, respectively. The...Continue Reading

References

Jun 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M van der WalR W Yip
Aug 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·V K ComfortR W Yip
Jan 26, 1999·Pediatrics·R Nir-PazR Shahin
Jul 28, 2004·British Journal of Anaesthesia·P MarhoferS Kapral
Feb 26, 2005·Anesthesiology·Honorio T BenzonArthur Calimaran
May 14, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Daniel J DunawayRyan M Dopirak
Sep 29, 2006·British Journal of Anaesthesia·M LundbladP-A Lönnqvist

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Citations

Jul 4, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Neil A HansonApril E Slee
Nov 18, 2009·Regional Anesthesia and Pain Medicine·Baskar ManickamReva Ramlogan
Jun 24, 2011·Regional Anesthesia and Pain Medicine·Theodosios SaranteasGeorgia Kostopanagiotou
May 13, 2014·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kyung Tai LeeJi Sang Yoon
Dec 19, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Sathish RajasekaranJonathan T Finnoff
Jul 21, 2011·Acta Anaesthesiologica Scandinavica·L SahinN Isikay
Aug 10, 2011·Paediatric Anaesthesia·Sean Flack, Corrie Anderson
Apr 9, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Anne K FiskerThomas F Bendtsen
Oct 10, 2014·International Orthopaedics·Stavros G MemtsoudisThomas P Sculco
Oct 23, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Stephen J HeadStephan K W Schwarz
Mar 31, 2017·Surgical and Radiologic Anatomy : SRA·Eman Elazab Beheiry Elazab
Oct 25, 2016·Regional Anesthesia and Pain Medicine·Thomas Fichtner BendtsenJens Børglum
Oct 11, 2017·Regional Anesthesia and Pain Medicine·David F JohnstonSugantha Ganapathy
Jan 7, 2016·Regional Anesthesia and Pain Medicine·Francis V Salinas
Jan 13, 2019·Regional Anesthesia and Pain Medicine·De Q TranJoseph M Neal
Aug 28, 2019·Regional Anesthesia and Pain Medicine·Maria Paz SebastianAlexander Sell
Feb 10, 2016·Anesthesia and Analgesia·Nicholas EglitisSylvia Nelsen
Sep 21, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Adam D NiesenDavid P Martin
Jan 30, 2019·The Journal of Manual & Manipulative Therapy·James EscaloniJustin Loss

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