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Adductor Canal Block Anatomy: A Comprehensive Guide
Author: Dr. Anya Sharma, MD, Anesthesiologist with 15 years of experience specializing in regional anesthesia and pain management, and a certified instructor in ultrasound-guided nerve blocks.
Publisher: Elsevier, a leading publisher of scientific, technical, and medical information.
Editor: Dr. David Lee, MD, PhD, Professor of Anesthesiology, specializing in regional anesthesia and critical care.
Keywords: adductor canal block anatomy, adductor canal block technique, ultrasound-guided adductor canal block, adductor canal nerve block, saphenous nerve block, adductor canal anatomy, superficial peroneal nerve block, anteromedial thigh block, nerve block anatomy
Introduction: Understanding the Adductor Canal Block Anatomy
The adductor canal block (ACB), also known as the Hunter's canal block, is a regional anesthetic technique targeting the nerves supplying the medial compartment of the thigh and the knee. A thorough understanding of adductor canal block anatomy is crucial for successful and safe block performance. This comprehensive guide delves into the intricacies of the adductor canal's anatomy, explores various methodologies, and discusses the approaches used for this increasingly popular regional anesthesia technique.
I. Adductor Canal Anatomy: A Detailed Exploration
The adductor canal, a musculoaponeurotic tunnel located in the medial compartment of the thigh, is approximately 10-15 cm long and extends from the apex of the femoral triangle to the adductor hiatus at the distal third of the thigh. Understanding the precise adductor canal block anatomy is paramount for accurate needle placement.
Key anatomical structures within the adductor canal include:
Sartorius Muscle: This muscle forms the superficial border of the canal.
Vastus Medialis Muscle: This muscle forms the lateral border of the canal.
Adductor Longus and Adductor Magnus Muscles: These muscles form the medial and posterior boundaries.
Femoral Artery and Vein: These vessels run within the canal.
Saphenous Nerve: The primary target of the ACB, this nerve lies superficially and laterally to the femoral vessels within the canal.
Nerve to Vastus Medialis: This nerve branches from the femoral nerve and lies near the femoral vessels within the canal.
The precise location and relationship of these structures are variable, highlighting the importance of anatomical knowledge and the use of image guidance techniques. Variations in the anatomy of the adductor canal can influence the success rate and the spread of local anesthetic. Therefore, a thorough understanding of adductor canal block anatomy, including its variations, is essential for safe and effective ACB performance.
II. Methodologies for Adductor Canal Block: A Comparative Analysis
Several methodologies are employed for adductor canal blocks, each with its advantages and disadvantages. The choice of approach is influenced by factors such as patient anatomy, operator experience, and available equipment.
A. Landmark-Based Technique: This technique relies on palpating anatomical landmarks to guide needle placement. While simpler and requiring less equipment, it carries a higher risk of nerve injury due to the inherent anatomical variability.
B. Ultrasound-Guided Technique: This technique uses real-time ultrasound imaging to visualize the target nerves and surrounding structures, significantly improving accuracy and reducing the risk of complications. The ultrasound probe is typically placed in the mid-thigh, and the needle is advanced under ultrasound guidance until it is positioned appropriately within the adductor canal, near the saphenous nerve. This provides precise visualization of the adductor canal block anatomy in real-time, adjusting needle placement as needed.
C. Nerve Stimulator-Guided Technique: This technique uses a nerve stimulator to identify the saphenous nerve by eliciting muscle contractions. Although it can enhance accuracy, it's less precise than ultrasound guidance, and it may not be effective in all patients, particularly those with high sensory thresholds or underlying neuropathy. It does not provide the visual anatomical detail provided by ultrasound regarding adductor canal block anatomy.
D. Combined Ultrasound and Nerve Stimulator Technique: This approach combines the benefits of both ultrasound and nerve stimulation. Ultrasound guidance provides accurate anatomical localization while nerve stimulation confirms nerve proximity.
III. Approaches to the Adductor Canal Block
The adductor canal can be accessed from various approaches. The most common are:
Anterior Approach: The needle is inserted from the anterior aspect of the thigh, typically just medial to the sartorius muscle.
Medial Approach: The needle is inserted from the medial aspect of the thigh, medial to the adductor longus muscle.
The choice of approach depends on patient factors and the clinician's preference. Each approach requires a meticulous understanding of adductor canal block anatomy to avoid complications.
IV. Complications of Adductor Canal Block
While ACB is generally a safe procedure, potential complications include:
Hematoma: Formation of a hematoma is possible due to the proximity of the femoral artery and vein.
Nerve Injury: Incorrect needle placement can result in injury to the saphenous nerve or other nerves in the adductor canal.
Infection: Infection is a rare but possible complication, particularly with poor aseptic technique.
Local Anesthetic Systemic Toxicity (LAST): Accidental intravascular injection of the local anesthetic can lead to LAST.
Careful attention to detail, the use of appropriate techniques (particularly ultrasound guidance), and adherence to sterile procedures are crucial to minimize the risk of these complications. A strong understanding of adductor canal block anatomy reduces the chance of complications.
V. Clinical Applications of Adductor Canal Block
ACB is commonly used for:
Postoperative analgesia after knee surgery and other surgeries involving the lower leg.
Management of chronic pain conditions affecting the medial aspect of the thigh and knee.
Providing analgesia for diagnostic or therapeutic procedures involving the knee.
Its effectiveness in reducing postoperative opioid consumption and improving patient comfort has made it an increasingly popular technique.
Conclusion
The adductor canal block is a valuable regional anesthetic technique offering excellent analgesia for various conditions. A detailed understanding of adductor canal block anatomy, coupled with the appropriate choice of technique and meticulous attention to detail, is crucial for maximizing its efficacy and minimizing potential complications. The use of ultrasound guidance significantly improves the safety and success rate of ACB. Continued research and advancements in the understanding of adductor canal anatomy will further optimize this regional anesthetic technique, enhancing patient care.
FAQs
1. What are the advantages of ultrasound-guided adductor canal block over landmark-based techniques? Ultrasound guidance significantly improves accuracy, reduces the risk of nerve injury, and allows for real-time visualization of the needle placement and surrounding structures within the adductor canal, leading to improved success rates.
2. What is the typical duration of analgesia provided by an adductor canal block? The duration of analgesia can vary but typically ranges from 6 to 12 hours, depending on the local anesthetic used and the patient's individual factors.
3. Can an adductor canal block be used for patients with a history of bleeding disorders? An adductor canal block should be performed cautiously in patients with bleeding disorders due to the risk of hematoma formation. Careful monitoring and close attention to detail are required.
4. What are the common local anesthetic agents used in adductor canal blocks? Common local anesthetics include bupivacaine, ropivacaine, and levobupivacaine. The choice of agent depends on the desired duration of analgesia and patient factors.
5. What are the signs and symptoms of local anesthetic systemic toxicity (LAST)? LAST symptoms can include tinnitus, dizziness, numbness, muscle twitching, seizures, and cardiovascular collapse. Immediate treatment is crucial if LAST occurs.
6. Can an adductor canal block be combined with other regional anesthetic techniques? Yes, ACB can be combined with other techniques, such as femoral nerve block or sciatic nerve block, for more comprehensive analgesia.
7. How long does it take to perform an adductor canal block? The procedure time varies depending on the technique used (landmark-based, ultrasound-guided, etc.), but it generally takes between 5 to 15 minutes.
8. What are the contraindications for adductor canal block? Contraindications include local infection at the injection site, patient refusal, and significant coagulopathy.
9. What should I expect after an adductor canal block? After the procedure, you may experience some mild discomfort at the injection site. You should be monitored for any signs of complications. The onset of analgesia varies but typically occurs within 30-60 minutes.
Related Articles:
1. "Ultrasound Guidance in Adductor Canal Block: A Step-by-Step Guide": This article provides a detailed, illustrated guide to performing an ultrasound-guided adductor canal block, covering various approaches and needle placement techniques.
2. "Anatomical Variations Affecting Adductor Canal Block Success Rates": This article reviews the anatomical variations that can influence the success of adductor canal blocks and how to adapt techniques accordingly.
3. "Comparative Effectiveness of Adductor Canal Block and Femoral Nerve Block for Postoperative Knee Surgery Analgesia": This article compares the efficacy of adductor canal block and femoral nerve block in managing postoperative pain after knee surgery.
4. "Complications of Adductor Canal Block: Prevention and Management": This article reviews the potential complications of adductor canal block, strategies for their prevention, and management protocols.
5. "The Role of Nerve Stimulation in Adductor Canal Block: Accuracy and Limitations": This article discusses the use of nerve stimulators in adductor canal blocks, outlining their benefits and limitations compared to ultrasound-guided techniques.
6. "Adductor Canal Block for Chronic Knee Pain: A Case Series": This article presents case studies demonstrating the effectiveness of adductor canal block in managing chronic knee pain.
7. "A Systematic Review of Adductor Canal Block in Pediatric Patients": This article reviews the literature on the use of adductor canal blocks in children, addressing specific anatomical and procedural considerations.
8. "Comparison of different local anesthetics in Adductor Canal Block: A Randomized Controlled Trial": This article compares the effectiveness and duration of analgesia provided by different local anesthetics in adductor canal blocks.
9. "The Influence of Patient Body Mass Index on Adductor Canal Block Success Rates": This article examines the correlation between patient BMI and the success rate of adductor canal blocks.
| adductor canal block anatomy: Regional Nerve Blocks in Anesthesia and Pain Therapy Danilo Jankovic, Philip Peng, 2015-07-17 In recent years the field of regional anesthesia, in particular peripheral and neuraxial nerve blocks, has seen an unprecedented renaissance following the introduction of ultrasound-guided regional anesthesia. This comprehensive, richly illustrated book discusses traditional techniques as well as ultrasound-guided methods for nerve blocks and includes detailed yet easy-to-follow descriptions of regional anesthesia procedures. The description of each block is broken down into the following sections: definition; anatomy; indications; contraindications; technique; drug choice and dosage; side effects; potential complications and how to avoid them; and medico-legal documentation. A checklist record for each technique and a wealth of detailed anatomical drawings and illustrations offer additional value. Regional Nerve Blocks in Anesthesia and Pain Medicine provides essential guidelines for the application of regional anesthesia in clinical practice and is intended for anesthesiologists and all specialties engaged in the field of pain therapy such as pain specialists, surgeons, orthopedists, neurosurgeons, neurologists, general practitioners, and nurse anesthetists. |
| adductor canal block anatomy: Anesthesiology In-Training Exam Review Ratan K. Banik, 2022-01-18 Focused on rotations in regional anesthesia and chronic pain, this book provides a structured review of the concepts covered in the American Board of Anesthesiology in-training exam. The first section of the book covers regional anesthesia with dedicated chapters on basic science, acute postoperative pain, and nerve blocks for neuraxial, lower and upper extremity blocks, and head and neck. The second section on chronic pain includes chapters on basic science and common pain conditions - including craniofacial pain, CRPS, neuropathic pain, and cancer pain. This section closes on multimodal analgesia and other treatment approaches. Each chapter presents a common clinical topic and is organized by indications, preparation, technique, complication, prevention, clinical pearls, and related ABA key points. Highlights must-know information in bold throughout the text. Concise, practical, and easy-to-read, this book will aid anesthesiology residents, certified nurse anesthetists, and medical students in their study regarding patient care practices on regional anesthesia and chronic pain. The book will also be useful to residents going into regional anesthesia and pain medicine subspecialties during the year of their anesthesiology training. |
| adductor canal block anatomy: Anatomy for the FRCA James Bowness, Alasdair Taylor, 2019-07-11 This practical, comprehensive anatomy book arms FRCA candidates with detailed, robust anatomical knowledge via a question-based approach. |
| adductor canal block anatomy: Ultrasound Guided Regional Anesthesia Stuart A. Grant, 2016 This book provides a detailed, stepwise approach to performing ultrasound guided regional anesthesia, identifying pearls and pitfalls to ensure success. Basic principles are covered, followed by techniques for upper extremity, lower extremity, and chest, trunk and spine nerve blocks. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. |
| adductor canal block anatomy: Pediatric Regional Anesthesia BernardJ. Dalens, 2019-08-15 This book provides a precise description of safe and reliable procedures for regional anesthesia in children. It covers the advantages and disadvantages, specific features related to the pediatric range of ages, and the practical importance of the described procedures. Written in two main parts, emphasis is placed on scientific basis and technical approach. It includes both anatomical and psychological aspects of pain, as well as detailed viewpoints of parents, children, surgeons, and anesthetists. This book is a must for all anesthesiologists and will be particularly useful to students of medicine and anesthesiology and nurses working with intensive care units. |
| adductor canal block anatomy: Acute Pain Management Raymond S. Sinatra, 2009-04-27 This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff. |
| adductor canal block anatomy: Neural Blockade in Clinical Anesthesia and Management of Pain Michael J. Cousins, Phillip O. Bridenbaugh, 1988 |
| adductor canal block anatomy: Grant's Atlas of Anatomy A. M. R. Agur, Ming J. Lee, 1991 A collection of color diagrams and line drawings representing human anatomical dissections. Also includes x-rays and photographs. |
| adductor canal block anatomy: Gray's Clinical Photographic Dissector of the Human Body, 2 edition- South Asia Edition-E-book Marios Loukas, Brion Benninger, R. Shane Tubbs, 2019-06-24 Perfect for hands-on reference, Gray's Clinical Photographic Dissector of the Human Body, 2nd Edition is a practical resource in the anatomy lab, on surgical rotations, during clerkship and residency, and beyond! The fully revised second edition of this unique dissection guide uses superb full-color photographs to orient you more quickly in the anatomy lab, and points out the clinical relevance of each structure and every dissection. - Perform dissections with confidence by comparing the 1,098 full-color photographs to the cadavers you study. - Easily relate anatomical structures to clinical conditions and procedures. - Understand the pertinent anatomy for more than 30 common clinical procedures such as lumbar puncture and knee aspiration, including where to make the relevant incisions. - Depend on the same level of accuracy and thoroughness that have made Gray's Anatomy the defining reference on this complex subject, thanks to the expertise of the author team - all leading authorities in the world of clinical anatomy. - Use this unique guide as a hands-on reference in the anatomy lab, on surgical rotations, during clerkship and residency, and beyond! - New and improved photographs guide you through each dissection step-by-step. - All new page design, incorporating explanatory diagrams alongside photographs to more easily orientate you on the cadaver. - Corresponding Gray's illustrations added to aid understanding and add clarity to key anatomical structures. New coverage of the pelvis and perineum added to this edition. Perform dissections with confidence by comparing the 1,098 full-color photographs to the cadavers you study. Easily relate anatomical structures to clinical conditions and procedures. Understand the pertinent anatomy for more than 30 common clinical procedures such as lumbar puncture and knee aspiration, including where to make the relevant incisions. Depend on the same level of accuracy and thoroughness that have made Gray's Anatomy the defining reference on this complex subject, thanks to the expertise of the author team - all leading authorities in the world of clinical anatomy. New and improved photographs guide you through each dissection step-by-step. All-new page design, incorporating explanatory diagrams alongside photographs to more easily orientate you on the cadaver. Corresponding Gray's illustrations added to aid understanding and add clarity to key anatomical structures. New coverage of the pelvis and perineum added to this edition. |
| adductor canal block anatomy: Ultrasound-Guided Peripheral Nerve Blocks Enzo Silvestri, Fabio Martino, Filomena Puntillo, 2018-05-24 This book offers a comprehensive but straightforward, practical handbook on ultrasound (US)-guided nerve blocks. It presents the normal US anatomy of peripheral nerves, clinical aspects of nerve entrapment and different procedures / techniques for each block. Axial or peripheral chronic radicular pain can be particularly severe and debilitating for the patient. The aim of treatment is to provide medium-/ long-term pain relief, and consequently to restore function. The therapeutic nerve block, performed with a perineural injection of anaesthetic, steroid or painkiller, is generally used once conservative treatments have proven unsuccessful and is aimed to avoid surgical options. Ultrasound guidance, offering the direct and real-time visualization of the needle and adjacent relevant anatomic structures, significantly increases the accuracy and safety of nerve blocks reducing the risk of intraneural or intravascular injection and the potential damage to the surrounding structures, but also enhances the efficacy of the block itself, reducing its onset and drug doses. This practical volume addresses the needs of physicians dealing with pain management, e.g. anaesthesiologists, radiologists, orthopaedists and physiatrists, with various levels of experience, ranging from physicians in training to those who already perform peripheral nerve blocks with traditional techniques and who want to familiarize with US guided procedures. |
| adductor canal block anatomy: Peripheral Nerve Entrapments Andrea M Trescot, MD, ABIPP, FIPP, 2016-05-10 Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications. Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain. As an example, one of the most common forms of nerve entrapment syndrome, Carpal Tunnel Syndrome, affects roughly 1 in 20 people in the United States, and is only one of several types of entrapment syndromes possible for the median nerve. Chapters are also extensively illustrated and include 3D anatomical images. The additional online material enhances the book with more than 50 videos - at least 2 for each nerve. This enables readers to easily navigate the book. In addition to a conventional index it includes a “Pain Problems Index” for searching by symptom. Peripheral Nerve Entrapments: Clinical Diagnosis and Management is a long-needed resource for pain physicians, emergency room physicians, and neurologists. |
| adductor canal block anatomy: Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia Admir Hadzic, 2011-12-28 Rev. ed. of: Peripheral nerve blocks: principles and practice. c2004. |
| adductor canal block anatomy: Complications in Equine Surgery Luis M. Rubio-Martinez, Dean A. Hendrickson, 2021-02-08 Complications in Equine Surgery is the first reference to focus exclusively on understanding, preventing, recognizing, managing, and prognosing, technical and post-procedural complications in equine surgery. Edited by two noted experts on the topic, the book presents evidence-based information using a clear approach, organized by body system. Featuring color images, the book contains detailed coverage of the gastrointestinal, respiratory, musculoskeletal, urogenital, and neurological systems. Each chapter contains a short introduction of the procedure with explanations of when and how the procedure is to be performed. All chapters review how to recognize and prevent technical complications and explain how to manage post-operative complications. This important text: Offers the first resource specifically focused on complications encountered in equine surgery Takes a helpful format organized by body system Provides consistently formatted chapters for ease of use Covers clinically relevant information for dealing with technical and post-operative complications Presents more than 350 color images to illustrate the concepts described Written for general practitioners and specialists, Complications in Equine Surgery is an essential resource to decreasing morbidity and mortality and increasing surgical success in horses. |
| adductor canal block anatomy: Essential Clinical Anesthesia Charles Vacanti, Scott Segal, Pankaj Sikka, Richard Urman, 2011-07-11 The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice. |
| adductor canal block anatomy: Comprehensive Atlas of Ultrasound-Guided Pain Management Injection Techniques Steven Waldman, 2019-10-08 In recent years, ultrasound has become an essential tool for clinicians who care for patients suffering from acute or chronic pain. Comprehensive Atlas of Ultrasound-Guided Pain Management Injection Techniques, 2nd Edition, depicts in clear, step-by-step detail how to prepare and perform injections under ultrasound guidance. Noted pain expert Dr. Steven D. Waldman’s succinct, easy-to-read writing style guides you through more than 180 useful techniques – all highlighted by hundreds of full-color, oversized images designed to demonstrate the ease and utility of ultrasound in contemporary pain management care. |
| adductor canal block anatomy: Essentials of Regional Anesthesia Alan D. Kaye, Richard D. Urman, Nalini Vadivelu, 2011-12-21 This is a compact, single-source guide to regional anesthesia. Chapters are authored by regional anesthesia fellowship directors and fellows to insure maximum practicality and up-to-date coverage. Essentials of Regional Anesthesia covers all anatomical regions as well as the unique considerations in patients with chronic pain, obstetric patients, pediatric patients, and patients treated in the outpatient setting. A common chapter format makes it easy to find information quickly, and extensive illustrations enhance the text. Stay current with Essentials of Regional Anesthesia, and stay ahead with these helpful features: • Ultrasound incorporated into each block • Extremely practical focus • More than 400 Q & As to test knowledge • Authored by regional anesthesia fellowship directors and fellows • Clinical pearls and guidance on complications • Concise, clinically oriented review of relevant basic science • Common chapter format for ease of use • Well illustrated with 350 figures, nearly 200 in color |
| adductor canal block anatomy: Ultrasound Fundamentals Jinlei Li, Robert Ming-Der Chow, Nalini Vadivelu, Alan David Kaye, 2021-03-03 Written by experts in the field, this concise and evidence-based ultrasound text includes key topics ranging from the head and neck to the upper and lower extremity, covering all the clinically relevant sonoanatomy. This 33-chapter book emphasizes the practical use of ultrasound for the diagnosis and treatment of a multitude of conditions in various specialty areas such as airway management, cardiovascular disease assessment, pulmonary status evaluation, orthopedics, gynecology and pediatrics. The optimal techniques and the step-by-step interpretation of normal and pathologic sonoanatomy are discussed in detail. This text can be used as a starting point for the study of ultrasound guided diagnosis and treatment, a refresher manual for sonoanatomy on major organ systems, or a last-minute guide before a bedside procedure. There is a great breadth of material that is covered in a comprehensive manner, making it a great resource for board review and exam preparation for various medical, surgical and allied specialties. Unique and pragmatic, Ultrasound Fundamentals is a back to basics manual on normal and pathologic sonoanatomy of head and neck, upper and lower extremity, chest, abdomen and other major organ systems |
| adductor canal block anatomy: The Anaesthesia Science Viva Book Simon Bricker, 2005 The definitive guide to this part of the FRCA exam. |
| adductor canal block anatomy: Regional Anesthesia in Trauma Jeff Gadsden, 2012-11-12 The management of pain from acute injuries is a priority in trauma care. Regional analgesic techniques are very effective at treating acute pain and are gaining in popularity as recognition of their beneficial effects on morbidity increases. Regional Anesthesia in Trauma employs multiple narrative problem-solving case scenarios that explore the use of regional anesthesia in: • Blunt chest trauma, amputations, upper and lower extremity fractures and spinal injury • Burn injury • Patients with pre-existing nerve injury and other co-morbidities • Patients at risk for compartment syndrome • Pregnant, obese, elderly and pediatric patients • Local anesthetic systemic toxicity With a focus on ultrasound-guided techniques, the reader is guided through the technical aspects of performing regional anesthesia as well as the medical and surgical considerations that influence the choice of analgesic therapy. Regional Anesthesia in Trauma is invaluable for practitioners and trainees in anesthesiology, emergency medicine and trauma surgery. |
| adductor canal block anatomy: Blockmate Arunangshu Chakraborty, 2020-12-07 This is a highly informative and carefully presented book for trainees and postgraduate students of anaesthesiology as well as practicing clinicians. This book aims to help them in selecting and implementing the most suitable regional block in each clinical scenario and successfully use the techniques of ultrasound-guided regional anaesthesia (USRA) in their practice. This book covers basics of ultrasound imaging, anatomical aspects and techniques of all nerve blocks that are commonly used in clinical practice in a lucid and illustrated presentation. Regional anaesthesia can be a safe alternative to general anaesthesia. When combined with general anaesthesia, it can provide excellent postoperative analgesia too. With the advent of ultrasound, the scope, safety and reliability of regional anaesthesia have expanded manifold. However, there is a lack of formal clinical training in regional anaesthesia in most of the anaesthesia postgraduate curricula and this book intends to bridge this gap. The book serves as a useful resource to the anaesthetist; trainee or practitioner who wants to master the nerve blocks. |
| adductor canal block anatomy: Chronic Pain Management in General and Hospital Practice Koki Shimoji, Antoun Nader, Wolfgang Hamann, 2020-07-27 This book covers a range of topics, from the cause and identity of pain, to pain relief management. Starting from the mechanism of pain, it continues to pain management techniques such as nerve blocks, drugs (pain killers), noninvasive manipulations psychological techniques and electric management, before describing the management of various painful conditions such as headaches, back pain, extremities pain, post-herpetic pain or complex regional pain syndrome. It also provides the format of case reports which can be used to explain management options. A novel feature of the book is that it provides additional insights into how clinicians involve patients in treating their own pain through guided self-assessment and self-management. Recent studies have revealed that pain is not only a biological alarm that warns of disease, but can also be the disease itself, or the catalyst of a vicious circle of pain and disease. Providing rapid pain relief is often effective in sparking the rapid recovery from various diseases. This book offers the perfect guide for all clinicians, not only those working at pain clinics but all those who have to treat patients who are in pain. |
| adductor canal block anatomy: Joint Denervation A. Lee Dellon, 2019-03-01 This book serves as an anatomic atlas of the nerves that innervate the joints of the human body in a format that also provides technical insight into pathways that both interventional pain management and surgical subspecialists can use to denervate those painful joints when traditional approaches to manage the pain are no longer successful. This book avails the knowledge of how denervation can relieve joint pain available to the many groups of physicians who care for this problem. Each chapter is devoted to a joint and reviews the neural anatomy as it relates to the clinical examination of the patient. Chapters are user friendly and provide details on the indicated nerve blocks and the clinical results of partial joint denervation. Clinical case studies also serve as a helpful guide in each chapter. Extensive intra-operative clinical photographs and photographs from new prosections provide examples to guide those physicians providing care to the patients with joint pain. Joint Denervation: Anatomic Atlas of Surgical Technique should be of interest to surgical subspecialists from Neurosurgery, Plastic Surgery, Hand Surgery, Orthopedic Surgery, Podiatric Foot & Ankle Surgery, and Oral & Maxillofacial Surgeons. It may also interest those physicians trained in Anesthesia, Radiology, and Physical & Rehabilitation Medicine for their evaluation and treatment protocols using hydrodissection, cryoablation and pulsed radiofrequency approaches to pain. |
| adductor canal block anatomy: Case Studies in Pediatric Anesthesia Adam C. Adler, Arvind Chandrakantan, Ronald S. Litman, 2019-12-05 Covers the most important and relevant topics on the anesthetic care of children, using a question-and-answer format. |
| adductor canal block anatomy: Peripheral Nerve Blocks: Principles and Practice Admir Hadzic, Jerry Vloka, 2004 4 STAR DOODY'S REVIEW! The book can serve as an introduction, a refresher, or a supplement, depending on the experience and background of the reader. The authors are well regarded for their teaching, research, and clinical abilities....The book covers basic and advanced regional anesthesia techniques. It includes mostly classic approaches, but also offers some novel techniques for both single shot and continuous nerve blockade. The illustrations are superb, especially those that reveal the underlying structures, providing an almost three-dimensional view of the relevant anatomy.--Doody's Review Service Authored by the world's leading authorities, this is an authoritative, full-color instructional manual for mastering nerve block techniques. Beautifully illustrated with 350 color illustrations, including 175 clinical photographs of actual patients. |
| adductor canal block anatomy: The Knee Made Easy Charalambos Panayiotou Charalambous, 2021-07-26 This book provides a concise and accessible resource for evaluating, diagnosing, and managing common knee disorders. The chapters are presented in a clear, and easily understood style so that practitioners can readily apply the information in their day-to-day clinical practice. The Knee Made Easy opens with discussion of the anatomy, biomechanics, clinical examination and radiological imaging of the knee, followed by commonly encountered clinical symptoms and conditions of the knee. Each clinical condition is demonstrated with the background, presentation, investigations, and treatment options. Medical students, generalist doctors, junior orthopaedic doctors, and physiotherapists will find this book to be an essential go-to guide for effectively treating the most common knee disorders and improving patients' care. |
| adductor canal block anatomy: Textbook of Regional Anesthesia and Acute Pain Management Admir Hadzic, 2007 Comprehensive reference that covers the practice of regional anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. It provides algorithms for managing or avoiding a wide range of common clinical dilemmas or complications and time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as no-nonsense selection of nerve block techniques and advice on their strengths and pitfalls. Helps the practitioner to make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It discusses how to successfully manage patients with suspected epidural hematoma or neurologic injuries - and much more. |
| adductor canal block anatomy: Ultrasound Guidance in Regional Anaesthesia Peter Marhofer, 2010-09-09 Ultrasonographic guidance for regional anaesthetic blocks is an innovative technique that allows for the direct visualization of nerves, adjacent structures and the position of the needle, as well as for the precise observation of the spread of local anaesthetic. The advantages of the technique allow for the exact administration of moderate volumes of local anaesthetic, reducing the risk of complications. Written by a physician with 16 years' experience in ultrasound-guided regional anaesthesia, this second edition of the well-received practical handbook provides a concise summary of the basics of ultrasound technology and the most recent techniques in the use of ultrasound to guide peripheral nerve blocks, focusing specifically on ultrasound-guided peripheral nerve block techniques. All chapters have been carefully revised to provide the most recent knowledge in the topic of ultrasound in regional anaesthesia. A strong focus has still been attached on anatomical descriptions and subsequent practical implementations. Paediatric applications are now included in this new edition to aid paediatric anaesthesiologists, as well as the incorporation of neuraxial techniques to complete the entire topic. With illustrated colour images throughout, this book is highly relevant to anaesthesiologists and pain specialists with an interest in regional anaesthesia. |
| adductor canal block anatomy: Netter's Concise Orthopaedic Anatomy E-Book, Updated Edition Jon C. Thompson, 2015-07-24 Netter's Concise Orthopaedic Anatomy is a best-selling, portable, full-color resource excellent to have on hand during your orthopaedic rotation, residency, or as a quick look-up in practice. Jon C. Thompson presents the latest data in thoroughly updated diagnostic and treatment algorithms for all conditions while preserving the popular at-a-glance table format from the previous edition. You'll get even more art from the Netter Collection as well as new radiologic images that visually demonstrate the key clinical correlations and applications of anatomical imaging. For a fast, memorable review of orthopaedic anatomy, this is a must-have. - Maintains the popular at-a-glance table format that makes finding essential information quick and convenient. - Contains useful clinical information on disorders, trauma, history, physical exam, radiology, surgical approaches, and minor procedures in every chapter. - Lists key information on bones, joints, muscles, and nerves in tables correlate to each Netter image. - Highlights key material in different colors—pearls in green and warnings in red—for easy reference. - Features both plain film and advanced radiographic (CT and MRI) images, along with cross-sectional anatomic plates for an even more thorough visual representation of the material. - Features both plain film and advanced radiographic (CT and MRI) images, along with cross-sectional anatomic plates for an even more thorough visual representation of the material. - Includes additional common surgical approaches to give you a broader understanding of techniques. - Incorporates reorganized Complicated Arthology tables for large joints, such as the shoulder, knee, and hip, for increased clarity and to incorporate new artwork and additional clinical correlations. - Reflects new data and current diagnostic and treatment techniques through updates to the Disorders and Fractures sections and the Physical Exam and Anatomic tables in each chapter. - Presents the very latest developments in the field through thoroughly updated diagnostic and treatment algorithms for all clinical conditions. |
| adductor canal block anatomy: A Text-book of Anatomy Frederic Henry Gerrish, 1902 |
| adductor canal block anatomy: Atlas of Ultrasound-Guided Procedures in Interventional Pain Management Samer N. Narouze, 2019-06-13 With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management. |
| adductor canal block anatomy: The Musculoskeletal System Philip Sambrook, Leslie Schrieber, Thomas Taylor, Andrew Ellis, 2010 This is an integrated textbook on the musculoskeletal system, covering the anatomy, physiology and biochemistry of the system, all presented in a clinically relevant context appropriate for the first two years of the medical student course. One of the seven volumes in the Systems of the Body series. Concise text covers the core anatomy, physiology and biochemistry in an integrated manner as required by system- and problem-based medical courses. The basic science is presented in the clinical context in a way appropriate for the early part of the medical course. There is a linked website providing self-assessment material ideal for examination preparation. |
| adductor canal block anatomy: Military Advanced Regional Anesthesia and Analgesia Handbook Chester Buckenmaier, Michael Kent, Jason Brookman, Edward Mariano, Patrick Tighe, David Edwards, 2020-10-09 A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. Although the MARAA handbook initially gained its reputation as a useful resource for managing pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance provides pertinent and practical guidance for managing vital acute pain services in all civilian and military clinical settings. Opening chapters review equipment, local anesthesia and additives, and physics of ultrasound and nerve stimulation. Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more. |
| adductor canal block anatomy: Clemente's Anatomy Dissector Carmine D. Clemente, 2010 A comprehensive manual of anatomical dissection, this title provides in-depth and detailed explanations for each dissection, enabling students to self-teach. It correlates surface anatomy to anatomical structures revealed in the dissections, which is important for clinical correlation. |
| adductor canal block anatomy: Atlas of Interventional Pain Management E-Book Steven D. Waldman, 2019-09-05 An essential resource for pain medicine clinicians at all levels of practice and training, Atlas of Interventional Pain Management, 5th Edition, is a comprehensive, easy-to-follow guide to delivering safe, accurate, and cost-effective relief for patients with acute and chronic pain. Dr. Steven D. Waldman walks you step by step through each procedure, incorporating all clinically appropriate imaging modalities to help you achieve the best possible outcomes for more than 160 nerve block procedures. - Focuses on the how rather than the why of interventional pain procedures, offering an abundance of high-quality, full-color illustrations to demonstrate the best technique. - Incorporates all clinically useful imaging modalities that increase needle placement precision, including significantly expanded content on office-based ultrasound guided techniques as well as fluoroscopy and computed tomography guided procedures. - Keeps you up to date with 19 brand-new chapters, including Selective Maxillary Nerve Block: Suprazygomatic Approach, Brachial Plexus Block: Retroclavicular Approach, Erector Spinae Plane Block, Transversalis Fascia Plane Block, Adductor Canal Block, Dorsal Root Ganglion Stimulation, Sacral Neuromodulation, and more. - Provides Indications, Clinically Relevant Anatomy, Technique, Side Effects and Complications, and Clinical Pearls and updated CPT codes for each procedure. - Clearly illustrates the anatomical targets for each procedure and the appropriate needle placement and trajectory used to reach each target. - Includes access to procedural videos covering Cervical Translaminar Epidural Block, Cervical Paravertebral Medical Branch Block, Percutaneous Facet Fusion, Lumbar Transforaminal Epidural Block, and more. |
| adductor canal block anatomy: 1,000 Practice MTF MCQs for the Primary and Final FRCA Hozefa Ebrahim, Michael Clarke, Hussein Khambalia, 2019-01-10 A single, comprehensive text covering all the MCQs required to prepare for both the Primary and Final FRCA exams. |
| adductor canal block anatomy: Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia Ban C.H. Tsui, Santhanam Suresh, 2015-08-27 This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety considerations f or child patients |
| adductor canal block anatomy: Nerve Blockade and Interventional Therapy Kiyoshige Ohseto, Hiroyuki Uchino, Hiroki Iida, 2019-04-02 This book provides physicians practicing at pain management clinics with comprehensive explanations of interventional therapeutic procedures including nerve blockade, as well as pharmacotherapy. Interventional therapeutic procedures including nerve blockade are categorized by devices into landmark (“blind”), X-ray-guided, ultrasound-guided, CT-guided, MR-guided, and endoscopic techniques. In this book, each chapter introduces one type of nerve blockade procedure that involves several different devices. The authors describe the pros and cons of each technique and make recommendations for the best devices to use. This book will also help anesthesiologists and other physicians to improve their treatment techniques. |
| adductor canal block anatomy: ACL Surgery Bernard R. Bach, 2010 This book offers valuable technical pearls on how to perform ACL surgery with reliable and tested results, as well as an efficient way to review the surgical treatment of the torn ACL. Dr. Bernard R. Bach, Jr. and Dr. Matthew T. Provencher present a user-friendly and clinically relevant book that covers both primary and revision ACL surgery. Covered inside is essential information on how to approach the patient with a failed primary and revision ACL surgery, examination and radiographic workup, and revision ACL construction. Over 55 contributors describe each procedural step in a logical and precise manner, while combining clinical and technical pearls. |
| adductor canal block anatomy: Management of Chronic Pelvic Pain Michael Hibner, 2021-03-25 A practical manual on the treatment of pelvic pain, focusing on the many gynecological and non-gynecological causes of the condition. |
| adductor canal block anatomy: Applied Anatomy for Anaesthesia and Intensive Care Andy Georgiou, Chris Thompson, James Nickells, 2014-10-02 Concise anatomical text and descriptions of procedures are supported by high-quality, anatomical illustrations linked to clinical images. |
Adductor muscles of the hip - Wikipedia
The adductor muscles of the hip are a group of muscles in the medial compartment of the thigh mostly used for bringing the thighs together (called adduction).
The 10 Best Hip Adductor Exercises - Jacked Gorilla
Jan 1, 2024 · The best adductor exercises target the often-neglected inner thigh muscles that strongly impact the performance, strength, and mobility of the entire lower body. To properly …
7 Top Adductor Exercises You Can Do At Home [Without ...
Mar 24, 2022 · This post will cover the top 7 adductor exercises you can do at home, with and without equipment. Specifically, you’ll learn the best way to activate the adductors for BOTH …
The Adductor Muscles, Their Attachments and Actions
Mar 14, 2017 · The adductors are a group of muscles, as the name suggests, that primarily function to adduct the femur at the hip joint. Although they are all located somewhere along …
Adductor Exercises: Build Hip Strength and Prevent Injury
May 19, 2023 · Adductors provide important support for your hips and lower body. Incorporating exercises that target these muscles can help to improve mobility and decrease your risk of …
Muscles of the Medial Thigh - TeachMeAnatomy
Jan 10, 2025 · The muscles in the medial compartment of the thigh are collectively known as the hip adductors. There are five muscles in this group; gracilis, obturator externus, adductor …
Adductors: The Glute's Sidekick - PrecisionPT
Jun 6, 2021 · Today we discuss an unsung hero of hip and knee stability: the adductors. Often overshadowed by the glutes, the adductors play an important role in keeping your hips, knees, …
Hip adductors: Anatomy, innervation, supply, function | Kenhub
Oct 30, 2023 · The hip adductors are a group of five muscles located in the medial compartment of the thigh. These muscles are the adductor longus, adductor brevis, adductor magnus, …
Adductor muscle | Inner Thigh, Hip Flexion & Abduction ...
adductor muscle, any of the muscles that draw a part of the body toward its median line or toward the axis of an extremity (compare abductor muscle), particularly three powerful muscles of the …
Exploring The Adductor Muscles - 3D Muscle Lab
The adductors are a group of five muscles that are important for stabilizing and balancing our pelvis when we’re standing, walking, and running. We previously covered the largest muscle in …
Adductor muscles of the hip - Wikipedia
The adductor muscles of the hip are a group of muscles in the medial compartment of the thigh mostly used for bringing the thighs together (called adduction).
The 10 Best Hip Adductor Exercises - Jacked Gorilla
Jan 1, 2024 · The best adductor exercises target the often-neglected inner thigh muscles that strongly impact the performance, strength, and mobility of the entire lower body. To properly …
7 Top Adductor Exercises You Can Do At Home [Without ...
Mar 24, 2022 · This post will cover the top 7 adductor exercises you can do at home, with and without equipment. Specifically, you’ll learn the best way to activate the adductors for BOTH …
The Adductor Muscles, Their Attachments and Actions
Mar 14, 2017 · The adductors are a group of muscles, as the name suggests, that primarily function to adduct the femur at the hip joint. Although they are all located somewhere along …
Adductor Exercises: Build Hip Strength and Prevent Injury
May 19, 2023 · Adductors provide important support for your hips and lower body. Incorporating exercises that target these muscles can help to improve mobility and decrease your risk of …
Muscles of the Medial Thigh - TeachMeAnatomy
Jan 10, 2025 · The muscles in the medial compartment of the thigh are collectively known as the hip adductors. There are five muscles in this group; gracilis, obturator externus, adductor …
Adductors: The Glute's Sidekick - PrecisionPT
Jun 6, 2021 · Today we discuss an unsung hero of hip and knee stability: the adductors. Often overshadowed by the glutes, the adductors play an important role in keeping your hips, knees, …
Hip adductors: Anatomy, innervation, supply, function | Kenhub
Oct 30, 2023 · The hip adductors are a group of five muscles located in the medial compartment of the thigh. These muscles are the adductor longus, adductor brevis, adductor magnus, …
Adductor muscle | Inner Thigh, Hip Flexion & Abduction ...
adductor muscle, any of the muscles that draw a part of the body toward its median line or toward the axis of an extremity (compare abductor muscle), particularly three powerful muscles of the …
Exploring The Adductor Muscles - 3D Muscle Lab
The adductors are a group of five muscles that are important for stabilizing and balancing our pelvis when we’re standing, walking, and running. We previously covered the largest muscle in …
