Use of Ultrasound and Fluoroscopy Guidance in Percutaneous Radiofrequency Lesioning of the Sensory Branches of the Femoral and Obturator Nerves

Hip pain is a common condition that is often seen in patients with multiple comorbidities. Often surgery is not an option due to these comorbidities. Percutaneous radiofrequency lesioning of the articular branches of the obturator and femoral nerves is an alternative treatment for hip pain. Traditio...

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Bibliographic Details
Published in:Pain practice 2014-04, Vol.14 (4), p.343-345
Main Authors: Chaiban, Gassan, Paradis, Tyler, Atallah, Joseph
Format: Article
Language:English
Subjects:
Aged, 80 and over
Catheter Ablation - methods
denervation
Femoral Nerve - physiology
Fluoroscopy
hip
Hip Joint - physiopathology
Humans
joint pain
Male
Obturator Nerve - physiology
Pain - pathology
Pain - surgery
radiofrequency
Ultrasonography, Doppler
ultrasound guidance
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Summary:Hip pain is a common condition that is often seen in patients with multiple comorbidities. Often surgery is not an option due to these comorbidities. Percutaneous radiofrequency lesioning of the articular branches of the obturator and femoral nerves is an alternative treatment for hip pain. Traditionally, fluoroscopy is used to guide needle placement. We report a case where a novel approach was used with ultrasound guidance to visualize vascular and soft tissue structures in real time. The use of ultrasound might help to guide the needle to avoid vascular complications due to anatomical variation between patients.
ISSN:1530-7085
1533-2500
DOI:10.1111/papr.12069