188 results match your criteria: "Nerve Block Posterior Tibial"
Eur J Phys Rehabil Med
October 2024
Section of Physical and Rehabilitation Medicine, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Background: Spastic equinus (plantar flexed) foot is a common postural pattern in patients who suffer from post-stroke spasticity. To date, some clinicians use the Silfverskiöld Test in their practice to differentiate between gastrocnemius and soleus muscle overactivity in patients with spastic equinus (plantar flexed) foot. This use of the Silfverskiöld Test goes beyond its original aim, which was to distinguish isolated gastrocnemius contracture in patients with equinus deformity.
View Article and Find Full Text PDFMinerva Anestesiol
July 2024
Anesthesia, Intensive Care and Pain Management Department, Military Medical Academy, Cairo, Egypt.
Background: A high tibial osteotomy is usually associated with severe postoperative pain. Both adductor canal block (ACB) and interspace between the popliteal artery and capsule of the posterior knee (IPACK) have been described as effective block techniques for providing analgesia after knee surgeries, with few comparisons in wedge osteotomy cases. We aim to compare the postoperative analgesic profile of the previously mentioned two block techniques in patients undergoing tibial osteotomies.
View Article and Find Full Text PDFMed Sci Monit
June 2024
Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China (mainland).
BACKGROUND The objective of this investigation was to assess the effectiveness of using T-shaped steel plates through the anterior lateral approach and Gerdy's tubercle osteotomy for treating posterior lateral tibial plateau fractures. MATERIAL AND METHODS A retrospective analysis was conducted on clinical data from 20 patients, aged on average 53.9±10.
View Article and Find Full Text PDFAnesth Analg
July 2024
Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Background: Peripheral nerve stimulation with a train-of-four (TOF) pattern can be used intraoperatively to evaluate the depth of neuromuscular block and confirm recovery from neuromuscular blocking agents (NMBAs). Quantitative monitoring can be challenging in infants and children due to patient size, equipment technology, and limited access to monitoring sites. Although the adductor pollicis muscle is the preferred site of monitoring, the foot is an alternative when the hands are unavailable.
View Article and Find Full Text PDFMedicina (Kaunas)
April 2024
Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
: The interspace between the popliteal artery and the posterior capsule of the knee (iPACK) block has been widely used in perioperative settings to control posterior knee pain and can additionally be used for chronic knee pain. In this cadaveric study, we aimed to investigate the needle tip position and its proximity to the articular branch of the tibial nerve (ABTN) during an iPACK-targeted radiofrequency procedure. : An ultrasound-guided iPACK block was performed on 20 knees of 10 cadavers.
View Article and Find Full Text PDFAnat Cell Biol
June 2024
Department of Anatomy and Histology, School of Medicine, Sefako Makgatho Health Sciences University, Ga-Rankuwa, South Africa.
The infiltration of the interspace between the popliteal artery and the capsule of the posterior knee (IPACK) block, is a novel ultrasound-guided technique used for postoperative pain management of the knee. The success of the block is attributed to the spread of injectate between the capsule of the knee and the popliteal artery. This novel technique is believed to target the articular branches of the tibial, common fibular (peroneal) and obturator nerves.
View Article and Find Full Text PDFJ Emerg Med
February 2024
School of Health Sciences and Physiotherapy, The University of Notre Dame, Fremantle, Western Australia, Australia; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Exp Brain Res
June 2024
Klab4Recovery Research Program, The City University of New York, New York, NY, USA.
The soleus H-reflex modulation pattern was investigated during stepping following transspinal stimulation over the thoracolumbar region at 15, 30, and 50 Hz with 10 kHz carry-over frequency above and below the paresthesia threshold. The soleus H-reflex was elicited by posterior tibial nerve stimulation with a single 1 ms pulse at an intensity that the M-wave amplitudes ranged from 0 to 15% of the maximal M-wave evoked 80 ms after the test stimulus, and the soleus H-reflex was half the size of the maximal H-reflex evoked on the ascending portion of the recruitment curve. During treadmill walking, the soleus H-reflex was elicited every 2 or 3 steps, and stimuli were randomly dispersed across the step cycle which was divided in 16 equal bins.
View Article and Find Full Text PDFJBJS Essent Surg Tech
April 2023
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
November 2023
Department of Trauma Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian Liaoning, 116081, P. R. China.
Objective: To compare the effectiveness between the posterolateral approach and the posterolateral combined posteromedial approaches in the treatment of Mason type 2B posterior malleolar fracture.
Methods: A retrospective analysis was performed on the clinical data of 79 patients with posterior ankle fracture who met the selection criteria between January 2015 and January 2022. There were 62 cases of Mason 2B Pilon subtype and 17 cases of avulsion subtype.
J Emerg Med
November 2023
Department of Advanced Emergency Ultrasound, Mount Sinai Medical Center, Miami Beach, Florida.
Background: Plantar fasciitis (PF) is a common, painful condition for which patients sometimes seek treatment in the emergency department. Although corticosteroid injections are helpful for PF, they are painful.
Discussion: A posterior tibial nerve block provides immediate pain relief and allows the physician to also perform a corticosteroid injection into the heel, which could provide up to 1 month of analgesia.
J Orthop Surg Res
September 2023
Department of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
We aimed to describe anatomical landmarks to accurately locate the five nerves that are infiltrated to accomplish anaesthesia of the foot in an ankle block. Twenty-four formaldehyde-fixed cadaveric ankles were studied. Photographs of cross sections of the frozen legs, cut at a horizontal plane across the most prominent points of the medial and lateral malleoli, were analysed.
View Article and Find Full Text PDFAnesth Pain Med
February 2023
Department of Anesthesiology and Intensive Care, Regional Specialist Hospital, Olsztyn, Poland.
Background: Electromyography can be used for quantitative neuromuscular monitoring during general anesthesia, mostly using the stimulation train-of-four (TOF) pattern. Relaxometry measures the muscular response of the adductor pollicis muscle to electrical stimulation of the ulnar nerve, which is routinely used in clinical practices for monitoring the neuromuscular block. However, when it is not always possible to be used for all patients, the posterior tibial nerve is a suitable alternative.
View Article and Find Full Text PDFThe anesthetic technique for calcaneal surgery has been reported to include peripheral nerve blocks, such as a sciatic block in the popliteal fossa, followed by intraoperative sedation. Sciatic nerve blocks are associated with limb weakness and fall risk. We present a case of a patient presenting for outpatient calcaneal surgery.
View Article and Find Full Text PDFPM R
February 2024
Section of Sports Health, Levitetz Department of Orthopaedic Surgery, Orthopaedic and Rheumatologic Center, Cleveland Clinic Florida, Weston, Florida, USA.
Cureus
April 2023
Anatomy, All India Institute of Medical Sciences, Bibinagar, Hyderabad, IND.
Variations in the anatomical division of the sciatic nerve are not uncommon. In this case report, we are presenting a rare variation of the sciatic nerve in relation to the superior gemellus and the presence of anomalous muscle. To the best of our knowledge, the anomalous communicating branches of the posterior cutaneous femoral nerve with tibial and common peroneal nerve and the presence of an anomalous muscle originating from the greater sciatic notch and inserting at ischial tuberosity have not been reported yet in the literature.
View Article and Find Full Text PDFNeurourol Urodyn
August 2023
Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands.
Objectives: To compare brain responses to peroneal electrical transcutaneous neuromodulation (peroneal eTNM®) and transcutaneous tibial nerve stimulation (TTNS), two methods for treating overactive bladder (OAB), using functional magnetic resonance imaging (fMRI). The present study was not designed to compare their clinical efficacy.
Materials And Methods: This study included 32 healthy adult female volunteers (average age 38.
Anaesth Crit Care Pain Med
August 2023
Department of Anaesthesia, University Hospital of Lausanne and University of Lausanne, Lausanne, Switzerland. Electronic address:
Background: The adductor canal block provides pain relief on the anterior aspect of the knee after arthroplasty. Pain on the posterior aspect may be treated either by partial local infiltration analgesia of the posterior capsule or by a tibial nerve block. This randomized, controlled, triple-blinded trial tests the hypothesis that a tibial nerve block would provide superior analgesia compared to posterior capsule infiltration in patients scheduled for total knee arthroplasty under spinal anesthesia with an adductor canal block.
View Article and Find Full Text PDFJ Arthroplasty
September 2023
Department of Anesthesiology, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society and Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Background: The interspace between the popliteal artery and capsule of the posterior knee (iPACK) block and the genicular nerve block (GNB) are motor-sparing nerve blocks used for knee pain relief. We compared the analgesic efficacies of ultrasound-guided iPACK block and GNB when combined with continuous adductor canal block after total knee arthroplasty.
Methods: In this randomized control study, 132 total knee arthroplasty patients were assigned to the iPACK, GNB, and iPACK + GNB groups.
J Rehabil Med
February 2023
Neuromotor and Cognitive Rehabilitation Research Centre, Section of Physical and Rehabilitation Medicine, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy; Neurorehabilitation Unit, University Hospital of Verona, Verona, Italy.
Objective: To define the anatomical landmarks of tibial motor nerve branches for selective motor nerve blocks of the gastrocnemii, soleus and tibialis posterior muscles in the management of spastic equinovarus foot.
Design: Observational study.
Patients: Twenty-four children with cerebral palsy with spastic equinovarus foot.
JBJS Essent Surg Tech
April 2022
Institute of Sports Medicine, Peking University Third Hospital, Beijing, People's Republic of China.
Unlabelled: The rate of nonunion observed among the variety of Bristow-Latarjet procedures reportedly ranges from 9.4% to 28%. In Chinese timber buildings, the mortise-tenon joint is commonly utilized to connect beams to columns.
View Article and Find Full Text PDFClin Pract Cases Emerg Med
November 2022
University of Minnesota Medical School, Minneapolis, Minnesota.
Introduction: Frostbite is a painful condition that requires rapid identification and wound care to optimize outcomes. The posterior tibial nerve (PTN) block, however, has yet to be described in the literature for pain control of frostbite injuries on the plantar surfaces.
Case Series: In this case series we discuss three patients who presented with bilateral frostbite on the plantar surfaces.
Am J Phys Med Rehabil
March 2023
From the Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (JW, BDW); and Massachusetts General Hospital for Children, Boston, Massachusetts (BDW).
Arthrosc Tech
June 2022
University of Calgary, Department of Trauma and Orthopaedic Surgery, Calgary, Alberta, Canada.
Recurrent shoulder instability and its role in bone loss from the anterior glenoid is well recognized throughout the literature. This technique paper presents an all-arthroscopic technique that uses distal tibial allograft and double-button suture fixation to address anterior recurrent shoulder instability. With the patient in the lateral decubitus position, we use the posterior portal to position the double-barrel drill guide tangential to the face of the glenoid, while viewing through the anterosuperolateral portal.
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