Saphenous nerve block can be performed at different levels as nerve courses in lower extremity from inguinal area to foot
At level of thigh
Perifemoral (femoral block)
Subsartorial (adductor canal block)
Transarterial (in femoral canal)
Medial femoral condyle
Below-knee field block
At lever of leg
Paravenous (at any level in leg)
Can be performed at level of tibial tuberosity
Medial malleolus
Adductor canal block: Targets saphenous nerve
Adductor canal borders
Medially: Sartorius
Anterolaterally: Vastus medialis
Posteriorly: Adductor magnus and adductor longus
Paravenous saphenous nerve block
Targets saphenous nerve below knee lateral to saphenous vein
Renders sensory analgesia to medial leg anteriorly and medial leg posteriorly in areas below block
Saphenous nerve courses down leg along side saphenous vein posteriorly on either side
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
Kandarian BS et al: Updates on multimodal analgesia and regional anesthesia for total knee arthroplasty patients. Best Pract Res Clin Anaesthesiol. 33(1):111-23, 2019
Kandarian B et al: Implementation of the IPACK (infiltration between the popliteal artery and capsule of the knee) block into a multimodal analgesic pathway for total knee replacement. Korean J Anesthesiol. 72(3):238-44, 2019
Tran J et al: Evaluation of the iPACK block injectate spread: a cadaveric study. Reg Anesth Pain Med. ePub, 2019
De Mey JC et al: A paravenous approach for the saphenous nerve block. Reg Anesth Pain Med. 26(6):504-6, 2001
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Abbreviations
Interspace between popliteal artery and capsule of posterior knee (iPACK)
Saphenous nerve block can be performed at different levels as nerve courses in lower extremity from inguinal area to foot
At level of thigh
Perifemoral (femoral block)
Subsartorial (adductor canal block)
Transarterial (in femoral canal)
Medial femoral condyle
Below-knee field block
At lever of leg
Paravenous (at any level in leg)
Can be performed at level of tibial tuberosity
Medial malleolus
Adductor canal block: Targets saphenous nerve
Adductor canal borders
Medially: Sartorius
Anterolaterally: Vastus medialis
Posteriorly: Adductor magnus and adductor longus
Paravenous saphenous nerve block
Targets saphenous nerve below knee lateral to saphenous vein
Renders sensory analgesia to medial leg anteriorly and medial leg posteriorly in areas below block
Saphenous nerve courses down leg along side saphenous vein posteriorly on either side
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
Kandarian BS et al: Updates on multimodal analgesia and regional anesthesia for total knee arthroplasty patients. Best Pract Res Clin Anaesthesiol. 33(1):111-23, 2019
Kandarian B et al: Implementation of the IPACK (infiltration between the popliteal artery and capsule of the knee) block into a multimodal analgesic pathway for total knee replacement. Korean J Anesthesiol. 72(3):238-44, 2019
Tran J et al: Evaluation of the iPACK block injectate spread: a cadaveric study. Reg Anesth Pain Med. ePub, 2019
De Mey JC et al: A paravenous approach for the saphenous nerve block. Reg Anesth Pain Med. 26(6):504-6, 2001
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