Applied anatomy of femoral nerve block

Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (4) : 390-392.

Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (4) : 390-392. DOI: 10.13418/j.issn.1001-165x.2015.04.004

Applied anatomy of femoral nerve block

  • XIE Yu-ping1,ZHENG Jun2,XI Shan-shan2,ZHOU Xiao-bing3
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Abstract

Objective    To determine the anatomical basis of an algorithm for needle insertion in femoral nerve block. Methods Five unfixed corpses underwent whole body carboxymethylcellulose/lead oxide injection for CT scanning and three-dimensional reconstruction. Five bodies were injected with red latex. Femoral triangle were dissected by layers to document the precise course,location and relationships of the femoral nerve,femoral artery,and other anatomical structures with relevance to the femoral nerve block.  Results    Structures relevant to the femoral nerve block were located between the inguinal ligament and a line parallel to it at the level of the greater trochanter. The distance between the two lines was (5.8±1.6) cm. Profunda femoris artery was could be frequently encountered at the level of the parallel line, which crossed the femoral nerve in 85 percentages point. Conclusions The safe zone of femoral nerve block is located between the inguinal ligament and a line parallel to it. ?Using volume rendering technique is very useful for study of the location and relationships of artery with other structures.

Key words

Femoral nerve / Nerve block / Femoral artery / 3D-reconstruction /   / Digital anatomy

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Applied anatomy of femoral nerve block[J]. Chinese Journal of Clinical Anatomy. 2015, 33(4): 390-392 https://doi.org/10.13418/j.issn.1001-165x.2015.04.004

References

[1] Bergeron SG, Kardash KJ, Huk OL, et al. Functional outcome of femoral versus obturator nerve block after total knee arthroplasty[J]. Clin Orthop Relat Res, 2009,467(6): 1458-1462.
[2] Duarte VM, Fallis WM, Slonowsky D, et al. Effectiveness of femoral nerve blockade for pain control after total knee arthroplasty[J]. J Perianesth Nurs, 2006, 21(5): 311-316.
[3] Sharma S, Iorio R, Specht LM, et al. Complications of femoral nerve block for total knee arthroplasty[J]. Clin Orthop Relat Res, 2010, 468(1): 135-140.
[4]  贺端端, 贾东林, 郭向阳. 超声联合神经刺激器引导连续股神经阻滞用于全膝关节置换术后镇痛的对比研究[J]. 中国微创外科杂志, 2011, 11(4): 304-307.
[5]  张建杏,邓恋,王研,等. 超声引导下股神经阻滞应用于膝关节镜术后镇痛的临床观察[J]. 中国临床解剖学杂志,2014, 32(3):365-367.
[6]  陈小涛, 王述波, 苘莲萍, 等. 股神经加坐骨神经阻滞麻醉在高龄患者下肢手术中的应用[J]. 中医正骨, 2010, 22(4): 49-50.
[7]  李丽, 罗曼, 冯洁, 等. 连续股神经阻滞镇痛对老年人全膝关节置换术后康复功能的影响[J]. 中国矫形外科杂志, 2009, 17(15): 1139-1141.
[8] Orebaugh SL. The femoral nerve and its relationship to the lateral circumflex femoral artery[J]. Anesth Analg, 2006, 102(6): 1859-1862.
[9]  Ty Muhly W, Orebaugh SL. Ultrasound evaluation of the anatomy of the vessels in relation to the femoral nerve at the femoral crease[J]. Surg Radiol Anat, 2011, 33(6): 491-494.
[10] 金联洲, 崔怀瑞, 戴开宇, 等. 旋髂深动脉穿支骨皮瓣3D可视化模型的制备[J]. 中国临床解剖学杂志, 2008, 26(1): 8-10.
[11] 周小兵, 范立新, 石小田,等. X线填充剂新载体羧甲基纤维素最佳配比的实验研究[J]. 中国临床解剖学杂志, 2008,26(2): 216-219.
[12] Auroy Y, Benhamou D, Bargues L, et al. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service[J]. Anesthesiology, 2002, 97(5): 1274-1280.
[13] 农光, 李泽均. 超声定位外周神经阻滞的研究进展[J]. 右江民族医学院学报, 2008, 30(4): 665-666.
[14] 王爱忠, 陈佳, 江伟. 超声引导连续坐骨神经阻滞用于足部手术术后镇痛[J]. 临床麻醉学杂志, 2009, 25(9): 767-769.
[15] Chin KJ, Chan V. Ultrasound-guided peripheral nerve blockade[J]. Curr Opin Anaesthesiol, 2008, 21(5): 624-631.

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