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http://dx.doi.org/10.12701/jyms.2022.00192

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)
Publication Information
Journal of Yeungnam Medical Science / v.39, no.3, 2022 , pp. 190-199 More about this Journal
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
Anatomy; Diagnostic imaging; Injections; Pain; Thoracic vertebrae; Thoracic wall;
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