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Abdominal Cutaneous Nerve Entrapment (ACNES) Injection: Difference between revisions
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==Technique== | ==Technique== | ||
===Ultrasound Guided=== | |||
* First locate the point of maximal tenderness using the [[Carnett Sign]] | * First locate the point of maximal tenderness using the [[Carnett Sign]] | ||
* Position: Supine | * Position: Supine | ||
| Line 29: | Line 23: | ||
* Aspirate to ensure needle not penetrated a blood vessel. | * Aspirate to ensure needle not penetrated a blood vessel. | ||
* Inject local anaesthetic +/- steroid around the nerve | * Inject local anaesthetic +/- steroid around the nerve | ||
<gallery mode=packed heights=250px> | |||
File:ACNES ultrasound.jpg | |||
File:ACNES ultrasound2.jpg | |||
File:ACNES USS guided nerve block.png | |||
</gallery> | |||
==Indications== | ==Indications== | ||
Revision as of 08:56, 15 June 2021
This article is still missing information.
| Abdominal Cutaneous Nerve Entrapment (ACNES) Injection | |
|---|---|
| Indication | ACNES |
| Syringe | 10mL |
| Needle | 25G 38mm |
| Steroid | optional 10mg triamcinolone |
| Local | Clinician choice |
| Volume | 10mL |
Various authors have described a technique for performing a block for anterior cutaneous nerve entrapment (ACNE) [1][2]
Technique
Ultrasound Guided
- First locate the point of maximal tenderness using the Carnett Sign
- Position: Supine
- Ultrasound Anatomy
- Transverse plane in the midline at first to identify the rectus abdominis muscle and linea alba (the medial border of the rectus abdominis).
- Move the transducer laterally to view the lateral border of the rectus abdominis and the linea semilunaris
- The target abdominal cutaneous nerve normally exits between the rectus abdominis and linea semilunaris.
- Advance the needle lateral to medial in plane
- Aspirate to ensure needle not penetrated a blood vessel.
- Inject local anaesthetic +/- steroid around the nerve
Indications
Anterior Cutaneous Nerve Entrapment Syndrome
Risks
Infection, subcutaneous injection, allergic reaction, intravascular injection ADR from steroids
Aftercare
Advised to keep active within pain limits, and is reassessed about 10 days later. Repeated injections may be performed
See Also
References
- ↑ Hong MJ, Kim YD, Seo DH. Successful treatment of abdominal cutaneous entrapment syndrome using ultrasound guided injection. Korean J Pain. 2013;26(3):291-294. doi:10.3344/kjp.2013.26.3.291
- ↑ Misoon Lee, Yong-Ik Kim, Woobin Kang. Diagnosis and Treatment of Abdominal Cutaneous Nerve Entrapment Syndrome Using Ultrasonography. Soonchunhyang Medical Science (SMS) 2016; 22(2): 147-150
Literature Review
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,
