Kim M, Goh D, Cho S, Noh Y, Hwang B. Serratus anterior plane block with ultrasound-guided hydrodissection for lateral thoracic pain caused by long thoracic nerve neuropathy - A case report.
Anesth Pain Med (Seoul) 2022;
17:434-438. [PMID:
36317437 PMCID:
PMC9663951 DOI:
10.17085/apm.21120]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 09/18/2022] [Indexed: 01/25/2023] Open
Abstract
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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