Risk Analysis of Needle Injury to the Long Thoracic Nerve during Ultrasound-Guided C7 Selective Nerve Root Block
DC Field | Value | Language |
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dc.contributor.author | Kang, Seok | - |
dc.contributor.author | Jeong, Ha-Mok | - |
dc.contributor.author | Kim, Beom-Suk | - |
dc.contributor.author | Yoon, Joon-Shik | - |
dc.date.accessioned | 2022-03-01T02:42:03Z | - |
dc.date.available | 2022-03-01T02:42:03Z | - |
dc.date.created | 2022-02-09 | - |
dc.date.issued | 2021-06 | - |
dc.identifier.issn | 1010-660X | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/137324 | - |
dc.description.abstract | Background and Objectives: Ultrasound (US)-guided cervical selective nerve root block (SNRB) is a widely used treatment for upper limb radicular pain. The long thoracic nerve (LTN) passes through the middle scalene muscle (MSM) at the C7 level. The needle trajectory of US-guided C7 SNRB pierces the MSM, therefore indicating a high probability of injury to the LTN. We aimed to identify the LTN and to investigate the risk of needle injury to the nerve during US-guided C7 SNRB. Materials and Methods: This retrospective observational study included 30 patients who underwent US-guided SNRB at the C7 level in a university hospital. We measured the maximal cross-sectional diameter (MCSD) of the LTN and cross-sectional area (CSA) of the C7 nerve root and assessed the injury risk of LTN during US-guided C7 SNRB by simulating the trajectory of the needle in the ultrasound image. Results: The LTN was detectable in all the cases, located inside and outside the MSM in 19 (63.3%) and 11 (36.7%) of cases, respectively. The LTN's mean MCSD was 2.10 mm (SD 0.13), and the C7 root's CSA was 10.78 mm(2) (SD 1.05). The LTN location was within the simulated risk zone in 86.7% (26/30) of cases. Conclusion: Our findings suggest a high potential for LTN injury during US-guided C7 SNRB. The clear visualization of LTNs in the US images implies that US guidance may help avoid nerve damage and make the procedure safer. When performing US-guided C7 SNRB, physicians should take into consideration the location of the LTN. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.subject | LOWER CERVICAL-SPINE | - |
dc.subject | RADICULAR PAIN | - |
dc.subject | ANATOMY | - |
dc.title | Risk Analysis of Needle Injury to the Long Thoracic Nerve during Ultrasound-Guided C7 Selective Nerve Root Block | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kang, Seok | - |
dc.contributor.affiliatedAuthor | Yoon, Joon-Shik | - |
dc.identifier.doi | 10.3390/medicina57060635 | - |
dc.identifier.scopusid | 2-s2.0-85109192577 | - |
dc.identifier.wosid | 000666056400001 | - |
dc.identifier.bibliographicCitation | MEDICINA-LITHUANIA, v.57, no.6 | - |
dc.relation.isPartOf | MEDICINA-LITHUANIA | - |
dc.citation.title | MEDICINA-LITHUANIA | - |
dc.citation.volume | 57 | - |
dc.citation.number | 6 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | ANATOMY | - |
dc.subject.keywordPlus | LOWER CERVICAL-SPINE | - |
dc.subject.keywordPlus | RADICULAR PAIN | - |
dc.subject.keywordAuthor | cervical nerve root | - |
dc.subject.keywordAuthor | long thoracic nerve | - |
dc.subject.keywordAuthor | selective nerve root block | - |
dc.subject.keywordAuthor | ultrasound | - |
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