ArticleSkeletal radiology2015
High-resolution ultrasound of the posterior femoral cutaneous nerve: visualization and initial experience with patients.
Article in Skeletal radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 35 citations in OpenAlex.
- Unusual nerve communication in gluteal region: embryological basis and clinical perspective.Anatomy & cell biology · 2024Article
- Beyond the obvious: A case presentation on the misdiagnosis of posterior femoral cutaneous nerve entrapment as semitendinosus muscle tear.Clinical case reports · 2024Article
- The Gluteus Deep Investing Fascia Compartment Block: A Novel Technique for Posterior Femoral Cutaneous Nerve Block.Local and regional anesthesia · 2024Article
- Article
- Cutaneous nerve fields of the anteromedial lower limb-Determination with selective ultrasound-guided nerve blockade.Clinical anatomy (New York, N.Y.) · 2021Article
- The sciatic nerve block.BJA education · 2020Review
- Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications.Journal of clinical medicine · 2018Review
- A brief report on a technical description of ultrasound-guided lumbar sympathetic block.The Korean journal of pain · 2017Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe posterior femoral cutaneous nerve (PFCN) is a sensory nerve originating from the sacral plexus. PFCN neuropathy leads to pain within the inferior gluteal region and the posterior aspect of the thigh. As electrophysiological assessment is challenging, diagnosis of PFCN neuropathy has been, thus far, primarily based on clinical findings, which can result in misdiagnosis. Therefore, alternative confirmatory assessments such as an imaging modality that could aid in the diagnosis of PFCN neuropathy would be desirable. The purpose of this study was to determine the feasibility of visualization of the PFCN with high-resolution ultrasound (HRUS) and to test this technique in our clinical routine. MATERIALS AND
methodsThe study consisted of two parts. In the first part, HRUS-guided perineural ink injections along the course of the PFCN were performed at the posterior aspect of the thigh in 26 lower limbs of 14 fresh non-embalmed cadavers. Subsequent dissection confirmed correct identification of the nerve. In the second part, patients with a suspected PFCN neuropathy were examined and a selective HRUS-guided nerve block was performed to verify the suspected diagnosis.
resultsThe PFCN was correctly identified with HRUS in 96.2% (25/26) of cadavers. Further, six patients with a suspected lesion of the PFCN were examined, and the diagnosis was proven by successful HRUS-guided block in all cases.
conclusionWe confirmed the reliable visualization of the PFCN using HRUS. This offers a new technique for the assessment of the PFCN, which could also be demonstrated with the case series presented.
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