Superior Cluneal Nerve Injection: Difference between revisions

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{{stub}}
{{stub}}
{{procedure
{{procedure
|indication=
|image=SCN block2.PNG
|syringe=
|indication=Cluneal nerve pain
|needle=
|syringe=10mL
|steroid=
|needle=80mm nerve block needle
|local=
|steroid=optional
|volume=
|local=doctor choice
|volume=?10-15mL
}}
}}


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==Technique==
==Technique==
[[File:SCN block.PNG|thumb|right|SCN block. The needle is inserted through the thoracolumbar fascia (yellow line), close to the lateral edge of iliocostalia, at the L3 level.</br><small>© American Society of Regional Anesthesia & Pain Medicine 2019</small>]]
[[File:SCN block2.PNG|thumb|right|The needle is inserted in plane from a lateral to medial direction through the thoracolumbar fascia (yellow line). Intermuscular aponeurosis is shown (red arrow).</br><small>© American Society of Regional Anesthesia & Pain Medicine 2019</small>]]
Injection can be done by landmark guided palpation based on the maximal area of tenderness, and/or by ultrasound guidance.
Injection can be done by landmark guided palpation based on the maximal area of tenderness, and/or by ultrasound guidance.


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[[Category:Infoboxes]]
[[Category:Infoboxes]]
[[Category:Pelvis, Hip & Thigh Procedures]]
[[Category:Pelvis, Hip & Thigh Procedures]]
[[Category:Sacroiliac Joint Procedures]]
[[Category:Stubs]]
[[Category:Stubs]]
[[Category:Sacroiliac Joint Procedures]]

Revision as of 18:31, 7 September 2020

This page or section deals with a topic that is not widely recognised or accepted.
Please use your clinical judgement and note that this is not necessarily standard practice in NZ.
This article is a stub.
SCN block2.PNG
Superior Cluneal Nerve Injection
Indication Cluneal nerve pain
Syringe 10mL
Needle 80mm nerve block needle
Steroid optional
Local doctor choice
Volume ?10-15mL


Anatomy

Indications

Contraindications

Pre-procedural Evaluation

Equipment

Technique

SCN block. The needle is inserted through the thoracolumbar fascia (yellow line), close to the lateral edge of iliocostalia, at the L3 level.
© American Society of Regional Anesthesia & Pain Medicine 2019
The needle is inserted in plane from a lateral to medial direction through the thoracolumbar fascia (yellow line). Intermuscular aponeurosis is shown (red arrow).
© American Society of Regional Anesthesia & Pain Medicine 2019

Injection can be done by landmark guided palpation based on the maximal area of tenderness, and/or by ultrasound guidance.

Ultrasound Guided

An ultrasound guided technique has been developed, in a cadaveric and live human randomised study.[1]

Fluoroscopy Guided

Landmark Guided

Complications

Aftercare

Videos

See Also

External Links

References

  1. Nielsen et al.. Randomized trial of ultrasound-guided superior cluneal nerve block. Regional anesthesia and pain medicine 2019. . PMID: 31061111. DOI.