Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report
ABSTRACTChronic pain following distal biceps rupture (DBR) is often nonspecific in that it may arise due to the injury, subsequent surgical repair, or a combination of factors, making the painful symptoms challenging to treat. Peripheral nerve injury in the setting of DBR most commonly affects the m...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Canadian Journal of Pain |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2023.2249054 |
| _version_ | 1827631200431243264 |
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| author | Quinn Tate Guilherme Ferreira-Dos-Santos Darrell Vydra Nuno Ferreira-Silva Sahil Gupta Mark Friedrich B. Hurdle |
| author_facet | Quinn Tate Guilherme Ferreira-Dos-Santos Darrell Vydra Nuno Ferreira-Silva Sahil Gupta Mark Friedrich B. Hurdle |
| author_sort | Quinn Tate |
| collection | DOAJ |
| description | ABSTRACTChronic pain following distal biceps rupture (DBR) is often nonspecific in that it may arise due to the injury, subsequent surgical repair, or a combination of factors, making the painful symptoms challenging to treat. Peripheral nerve injury in the setting of DBR most commonly affects the musculocutaneous nerve or one of its terminal branches and may lead to chronic neuropathic pain involving the elbow and lateral/radial aspect of the forearm. In this brief technical report, we describe an ultrasound-guided (USG) technique for percutaneous implantation of a peripheral nerve stimulator (PNS) targeting the musculocutaneous nerve, along with an illustrative case report of successful treatment of chronic refractory pain following DBR utilizing this technique. Six months postimplantation, the patient reported a greater than 60% baseline pain intensity reduction, and no complications were noted. |
| first_indexed | 2024-03-09T14:17:37Z |
| format | Article |
| id | doaj.art-5594d802b3ab46fcbba2d8e895dd51f6 |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-03-09T14:17:37Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-5594d802b3ab46fcbba2d8e895dd51f62023-11-28T20:20:17ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272023-12-017110.1080/24740527.2023.2249054Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case ReportQuinn Tate0Guilherme Ferreira-Dos-Santos1Darrell Vydra2Nuno Ferreira-Silva3Sahil Gupta4Mark Friedrich B. Hurdle5Department of Physical Medicine and Rehabilitation, Penn Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USADivision of Pain Medicine, Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Catalonia, SpainDepartment of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USADepartment of Physical Medicine and Rehabilitation, Hospital Professor Doutor Fernando Fonseca, Amadora, PortugalDepartment of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USADepartment of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USAABSTRACTChronic pain following distal biceps rupture (DBR) is often nonspecific in that it may arise due to the injury, subsequent surgical repair, or a combination of factors, making the painful symptoms challenging to treat. Peripheral nerve injury in the setting of DBR most commonly affects the musculocutaneous nerve or one of its terminal branches and may lead to chronic neuropathic pain involving the elbow and lateral/radial aspect of the forearm. In this brief technical report, we describe an ultrasound-guided (USG) technique for percutaneous implantation of a peripheral nerve stimulator (PNS) targeting the musculocutaneous nerve, along with an illustrative case report of successful treatment of chronic refractory pain following DBR utilizing this technique. Six months postimplantation, the patient reported a greater than 60% baseline pain intensity reduction, and no complications were noted.https://www.tandfonline.com/doi/10.1080/24740527.2023.2249054Pain medicineneuromodulationperipheral neuropathyperipheral nerve stimulationultrasound |
| spellingShingle | Quinn Tate Guilherme Ferreira-Dos-Santos Darrell Vydra Nuno Ferreira-Silva Sahil Gupta Mark Friedrich B. Hurdle Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report Canadian Journal of Pain Pain medicine neuromodulation peripheral neuropathy peripheral nerve stimulation ultrasound |
| title | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report |
| title_full | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report |
| title_fullStr | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report |
| title_full_unstemmed | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report |
| title_short | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation of the Musculocutaneous Nerve for Refractory Antecubital ElbowPain—Brief Technical Report and Illustrative Case Report |
| title_sort | ultrasound guided percutaneous peripheral nerve stimulation of the musculocutaneous nerve for refractory antecubital elbowpain brief technical report and illustrative case report |
| topic | Pain medicine neuromodulation peripheral neuropathy peripheral nerve stimulation ultrasound |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2023.2249054 |
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