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KMID : 1155520220170040434
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Anesthesia and Pain Medicine
2022 Volume.17 No. 4 p.434 ~ p.438
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Serratus anterior plane block with ultrasound-guided hydrodissection for lateral thoracic pain caused by long thoracic nerve neuropathy - A case report -
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Kim Min-Soo
Goh Dae-Hun
Cho So-Yeon
Noh Yeon-Ji
Hwang Byeong-Mun
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Abstract
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Background : Long thoracic nerve (LTN) neuropathy occasionally occurs in young people who engage in various sports. It may have a traumatic or non-traumatic etiology. The landmark manifestation of LTN neuropathy is scapular winging; however, it can also occur without scapular winging and specific magnetic resonance imaging findings.
Case : An 18-year-old male complained of right-sided lateral chest pain for 7 months. He was treated with medication, trigger point injection, and physical therapy but showed no improvement. Electromyelogram findings suggested LTN neuropathy in the right lateral chest. We performed a serratus anterior (SA) plane block with ultrasound (US)-guided hydrodissection and achieved pain relief.
Conclusions : We report the successful treatment of LTN neuropathy with an SA plane block and US-guided hydrodissection.
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KEYWORD
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Chest pain, Muscles, Nerve block, Nerve compression syndromes, Peripheral nerves, Ultrasonography
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