The Korean Journal of Pain

  • 제36권3호
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  • Pages.328-334
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  • 2023
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Investigation of the existence of and a block technique for the inferior lateral genicular nerve: cadaveric study

  • Jiyoung Kim (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University) ;
  • Ji Yeong Kim (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Hwa Yong Shin (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University) ;
  • Sung Eun Sim (Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Siwook Chung (Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Youngjae Jeon (Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Sang Hyun Kim (Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea) ;
  • Jong Min Jeong (Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jieun Kim (Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • U-Young Lee (Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea) ;
  • Hue Jung Park (Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2023.04.03
  • 심사 : 2023.06.05
  • 발행 : 2023.07.01
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초록

Background: Among the four genicular nerves innervating the anterior aspect of the knee, the inferior lateral genicular nerve has been omitted as a target of blocking. Some authors have suggested that the inferior lateral genicular nerve of the knee might pass beneath the lateral collateral ligament of knee. The authors aimed to study the location of the inferior lateral genicular nerve and the spread of injectate during the inferior lateral genicular nerve block. Methods: In ten knees from fresh frozen cadavers, the authors performed on each an ultrasound-guided block of the inferior lateral genicular nerve of the knee just below the lateral collateral ligament. The needle was inserted below the lateral collateral ligament, and 2 mL of blue dye was injected. A week later, the cadavers were dissected, and the existence of the inferior lateral genicular nerve and the spread of dye around it was investigated. Results: The proportion of inferior lateral genicular nerves branching from the common peroneal nerve was found in 8 of 10 (80.0%) cadavers. Of these eight cadavers with inferior lateral genicular nerve, five specimens (62.5%) were stained with blue dye. The common peroneal nerve was not infiltrated with dye in any specimens. Conclusions: When 2 mL of dye was inserted inferiorly to the lateral collateral ligament, the inferior lateral genicular nerve could be blocked in 62.5% of specimens. Because the common peroneal nerve was not involved in any specimen, motor weakness would be avoided with this method.

키워드

과제정보

This research was supported by the Research Fund of Seoul St. Mary's Hospital, The Catholic University of Korea. Support was provided solely from institutional sources.

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