Ultrasound guidance for a lateral approach to the sciatic nerve in the popliteal fossa

Summary Descriptions of the use of ultrasound for nerve location have focused on upper limb blocks. We present a case in which ultrasound imaging was used for a lateral approach to the sciatic nerve in the popliteal fossa. Ultrasound images taken proximal to the popliteal crease showed tibial and co...

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Bibliographic Details
Published in:Anaesthesia 2004-10, Vol.59 (10), p.1023-1025
Main Authors: McCartney, C. J. L., Brauner, I., Chan, V. W. S.
Format: Article
Language:English
Subjects:
Aged
Anaesthesia
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
conduction
Fibula - injuries
Fibula - surgery
Fracture Fixation, Internal
Humans
Legs
Male
Medical sciences
Nerve Block - methods
Nervous system
Pain, Postoperative - prevention & control
Peroneal Nerve - diagnostic imaging
regional
Sciatic nerve
Sciatic Nerve - diagnostic imaging
Tibial Fractures - surgery
Tibial Nerve - diagnostic imaging
Ultrasonic imaging
Ultrasonography
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Summary:Summary Descriptions of the use of ultrasound for nerve location have focused on upper limb blocks. We present a case in which ultrasound imaging was used for a lateral approach to the sciatic nerve in the popliteal fossa. Ultrasound images taken proximal to the popliteal crease showed tibial and common peroneal nerves as round hyperechoic structures superficial and lateral to the tibial artery. Under direct ultrasound guidance, we placed a block needle close to the tibial nerve and confirmed its position with nerve stimulation. Injected local anaesthetic was seen on ultrasound as it spread around both tibial and common peroneal nerves.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2004.03872.x