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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 67 - 75 (9page)
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Background: The genicular arteries (GAs) can be utilized for genicular nerve block. We aimed to evaluate the ability to localize GAs under ultrasound in patients with chronic knee pain. Methods: Twenty-four knees from 14 osteoarthritic patients were enrolled. The target GAs included the superomedial GA (SMGA), superolateral GA (SLGA), and inferomedial GA (IMGA). GAs were observed at the relevant adductor tubercle and epicondyle-shaft transition under ultrasound. Distribution of the SMGA at the adductor tubercle was evaluated using defined zones in transverse and longitudinal ultrasound images. SLGA and IMGA were also categorized using defined zones in longitudinal images. Distance from bony cortex to the relevant GA was then estimated. Results: Among 24 knees, 91.7% of SMGAs were located at the upper part of the adductor tubercle. The distances between the SMGA and bony cortex on transverse view (dSMGAt) and on longitudinal view (dSMGAl) were directly correlated (rs = 0.6539, P = 0.0005). Conclusions: Under ultrasound guidance, the SMGA was found to be mainly localized to the upper part of the adductor tubercle. Likewise, the SLGA and IMGA were mainly localized at the distal and proximal parts of the epicondyle-shaft transition, respectively. Our results support the feasibility of ultrasound guidance for GA localization in patients with knee osteoarthritis.
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참고문헌 (19)
참고문헌 신청
Horner G / 1994 / Innervation of the human knee joint and implications for surgery / Clin Orthop Relat Res (301):221~226
Choi WJ / 2011 / Radiofrequency treatment relieves chronic knee osteoarthritis pain : a double-blind randomized controlled trial / Pain 152:481~487
Ikeuchi M / 2011 / Percutaneous radiofrequency treatment for refractory anteromedial pain of osteoarthritic knees / Pain Med 12:546~551
Bellini M / 2015 / Cooled radiofrequency system relieves chronic knee osteoarthritis pain : the first case-series / Anaesthesiol Intensive Ther 47:30~33
Shen WS / 2017 / Radiofrequency thermocoagulation in relieving refractory pain of knee osteoarthritis / Am J Ther 24:e693~e700
Choi WJ / 2011 / Radiofrequency treatment relieves chronic knee osteoarthritis pain : a double-blind randomized controlled trial / Pain 152:481~487
Ikeuchi M / 2011 / Percutaneous radiofrequency treatment for refractory anteromedial pain of osteoarthritic knees / Pain Med 12:546~551
Bellini M / 2015 / Cooled radiofrequency system relieves chronic knee osteoarthritis pain : the first case-series / Anaesthesiol Intensive Ther 47:30~33
Shen WS / 2017 / Radiofrequency thermocoagulation in relieving refractory pain of knee osteoarthritis / Am J Ther 24:e693~e700
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