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KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
TERMINOLOGY
Abbreviations
- Tibial nerve (TN)
- Common peroneal nerve (CPN)
- Sciatic nerve (SN)
Synonyms
- Popliteal nerve block
Definitions
- SN is comprised of lumbosacral trunk (L4, L5) and ventral rami of sacral plexus S1, S2, S3
- SN trunk is composed of 2 distinct nerves wrapped in common paraneural sheath
- TN
- CPN
- Provides sensory innervation to skin of lateral leg and foot as well as posterolateral leg and entire posterior foot
- Posterior thigh is innervated by posterior femoral cutaneous nerve (branch of SN)
- Provides innervation to distal posterior femur, majority of tibia, fibula, and foot bone
- Provides innervation to hamstring muscles as well as leg and foot muscles
- SN trunk is composed of 2 distinct nerves wrapped in common paraneural sheath
- SN block can be performed at different levels and using different approaches
- Gluteal posterior approach
- Anterior/midthigh approach: Helpful in patient's who cannot tolerate prone or lateral positioning; easiest in children or thin patients
- Popliteal approach
- SN is comprised of lumbosacral trunk (L4, L5) and ventral rami of sacral plexus S1, S2, S3
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
OUTCOMES
Problems
Complications
Selected References
- Tran DQ et al: Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. ePub, 2019
- Yamamoto H et al: A prospective, randomized comparison between single- and multiple-injection techniques for ultrasound-guided subgluteal sciatic nerve block. Anesth Analg. 119(6):1442-8, 2014
- Perlas A et al: Ultrasound-guided popliteal block through a common paraneural sheath versus conventional injection: a prospective, randomized, double-blind study. Reg Anesth Pain Med. 38(3):218-25, 2013
- Germain G et al: Brief reports: a comparison of an injection cephalad or caudad to the division of the sciatic nerve for ultrasound-guided popliteal block: a prospective randomized study. Anesth Analg. 114(1):233-5, 2012
- Tran DQ et al: A randomized comparison between subepineural and conventional ultrasound-guided popliteal sciatic nerve block. Reg Anesth Pain Med. 36(6):548-52, 2011
- Buys MJ et al: Ultrasound-guided sciatic nerve block in the popliteal fossa using a lateral approach: onset time comparing separate tibial and common peroneal nerve injections versus injecting proximal to the bifurcation. Anesth Analg. 110(2):635-7, 2010
- Prasad A et al: Ultrasound-guided popliteal block distal to sciatic nerve bifurcation shortens onset time: a prospective randomized double-blind study. Reg Anesth Pain Med. 35(3):267-71, 2010
- Bruhn J et al: Visualization of the course of the sciatic nerve in adult volunteers by ultrasonography. Acta Anaesthesiol Scand. 52(9):1298-302, 2008
- Sladjana UZ et al: Microanatomical structure of the human sciatic nerve. Surg Radiol Anat. 30(8):619-26, 2008
- SUNDERLAND S et al: The intraneural topography of the sciatic nerve and its popliteal divisions in man. Brain. 71(Pt. 3):242-73, 1948
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
TERMINOLOGY
Abbreviations
- Tibial nerve (TN)
- Common peroneal nerve (CPN)
- Sciatic nerve (SN)
Synonyms
- Popliteal nerve block
Definitions
- SN is comprised of lumbosacral trunk (L4, L5) and ventral rami of sacral plexus S1, S2, S3
- SN trunk is composed of 2 distinct nerves wrapped in common paraneural sheath
- TN
- CPN
- Provides sensory innervation to skin of lateral leg and foot as well as posterolateral leg and entire posterior foot
- Posterior thigh is innervated by posterior femoral cutaneous nerve (branch of SN)
- Provides innervation to distal posterior femur, majority of tibia, fibula, and foot bone
- Provides innervation to hamstring muscles as well as leg and foot muscles
- SN trunk is composed of 2 distinct nerves wrapped in common paraneural sheath
- SN block can be performed at different levels and using different approaches
- Gluteal posterior approach
- Anterior/midthigh approach: Helpful in patient's who cannot tolerate prone or lateral positioning; easiest in children or thin patients
- Popliteal approach
- SN is comprised of lumbosacral trunk (L4, L5) and ventral rami of sacral plexus S1, S2, S3
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things To Do
OUTCOMES
Problems
Complications
Selected References
- Tran DQ et al: Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. ePub, 2019
- Yamamoto H et al: A prospective, randomized comparison between single- and multiple-injection techniques for ultrasound-guided subgluteal sciatic nerve block. Anesth Analg. 119(6):1442-8, 2014
- Perlas A et al: Ultrasound-guided popliteal block through a common paraneural sheath versus conventional injection: a prospective, randomized, double-blind study. Reg Anesth Pain Med. 38(3):218-25, 2013
- Germain G et al: Brief reports: a comparison of an injection cephalad or caudad to the division of the sciatic nerve for ultrasound-guided popliteal block: a prospective randomized study. Anesth Analg. 114(1):233-5, 2012
- Tran DQ et al: A randomized comparison between subepineural and conventional ultrasound-guided popliteal sciatic nerve block. Reg Anesth Pain Med. 36(6):548-52, 2011
- Buys MJ et al: Ultrasound-guided sciatic nerve block in the popliteal fossa using a lateral approach: onset time comparing separate tibial and common peroneal nerve injections versus injecting proximal to the bifurcation. Anesth Analg. 110(2):635-7, 2010
- Prasad A et al: Ultrasound-guided popliteal block distal to sciatic nerve bifurcation shortens onset time: a prospective randomized double-blind study. Reg Anesth Pain Med. 35(3):267-71, 2010
- Bruhn J et al: Visualization of the course of the sciatic nerve in adult volunteers by ultrasonography. Acta Anaesthesiol Scand. 52(9):1298-302, 2008
- Sladjana UZ et al: Microanatomical structure of the human sciatic nerve. Surg Radiol Anat. 30(8):619-26, 2008
- SUNDERLAND S et al: The intraneural topography of the sciatic nerve and its popliteal divisions in man. Brain. 71(Pt. 3):242-73, 1948
