Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Ultrasound-guided interventions for controlling the thoracic spine and chest wall pain: a narrative review

  • Park, Donghwi (Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Chang, Min Cheol (Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine)
  • Received : 2022.03.16
  • Accepted : 2022.04.13
  • Published : 2022.07.31
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Abstract

Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

Keywords

Acknowledgement

This study was supported by the National Research Foundation of Korea Grant funded by the Korean government (No. NRF2021R1A2C1013073).

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