Document Type
Article
Publication Date
2-1-2025
Publication Title
Arthroplasty Today
Abstract
Background: This study aimed to define an intra-articular surgeon-administered technique that may be comparable to ultrasound (US)-guided adductor canal block (ACB). Methods: Five cadaver lower limbs were examined. An anesthesiologist administered a US-guided ACB using 20 mL of dilute indocyanine dye. An orthopedic surgeon performed a medial parapatellar arthrotomy and introduced an 18-gauge needle 1-2 cm proximal to the palpated adductor tubercle angled posteromedially. Needle position and dye spread were fluoroscopically documented. Results: This technique consistently reached the infrapatellar branch of the saphenous nerve, nerve to the vastus medialis muscle, and posterior capsule, with minimal proximal dye spread. Conclusions: This technique may be an efficient complement to ACB or surgeon infiltration or an alternative to US-guided ACB when it is not available.
Volume
31
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Piuzzi, Nicolas S.; Spitzer, Andrew I.; Mussell, Jason; Pasqualini, Ignacio; Dysart, Stan; Gonzales, Jeffrey; Mont, Michael A.; Lonner, Jess H.; and Mihalko, William, "Validation of a Novel Landmark-guided Intra-articular Postero-medial Surgeon-administered Injection Technique" (2025). School of Medicine Faculty Publications. 3423.
https://digitalscholar.lsuhsc.edu/som_facpubs/3423
10.1016/j.artd.2025.101619