Abstract
Hip innervation is derived from lumbar plexus (L1–L4) by both femoral (L2–4, articular branches) and obturator (L2–4, medial region of hip capsule) nerves. Sacral plexus (L4–S4, cephalad portion), via superior gluteal nerve (L4–S2), innervates the posterior region of hip capsule and ischiocapsular ligament (Figs. 1, 2, and 3).
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References
Winnie AP, Ramamurthy S, Durrani Z, Radonjic R. Plexus blocks for lower extremity surgery: new answers to old problems. Anesthesiol Rev. 1974;1:11–6.
Chayen D, Nathan H, Chayen M. The psoas compartment block. Anesthesiology. 1976;45(1):95–9.
Lee EM, Murphy KP, Ben-David B. Postoperative analgesia for hip arthroscopy: combined L1 and L2 paravertebral blocks. J Clin Anesth. 2008;20:462–5.
Möller T, Benthaus S, Huber M, Bentrup I, Schofer M, Eberhart L, Wulf H, Morin A. A randomized and observer blinded comparison of continuous femoral block and fascia iliaca compartment block in hip replacement surgery. J Anesth Clin Res. 2011;4:1.
Ben-Ari AY, Joshi R, Uskova A, Chelly JE. Ultrasound localization of the sacral plexus using a parasacral approach. Anesth Analg. 2009;108(6):1977–80.
Hu S, Zhang ZY, Hua YQ, Li J, Cai ZD. A comparison of regional and general anesthesia for total replacement of the hip or knee: a meta-analysis. J Bone Joint Surg (Br). 2009;91:935–42.
Biboulet P, Morau D, Aubas P, Bringuier-Branchereau S, Capdevila X. Postoperative analgesia after total-hip arthroplasty: comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block: a prospective, randomized, double-blind study. Reg Anesth Pain Med. 2004;29(2):102–9.
Gadsden JC, Lindenmuth DM, Hadzic A, Xu D, Somasundarum L, Flisinski KA. Lumbar plexus block using high-pressure injection leads to contralateral and epidural spread. Anesthesiology. 2008;109(4):683–8.
Aida S, Takahashi H, Shimoji K. Renal subcapsular hematoma after lumbar plexus block. Anesthesiology. 1996;84(2):452–5.
Chelly JE, Casati A, Al-Samsan T, Coupe K, Criswell A, Tucker J. Continuous lumbar plexus block for acute postoperative pain management after open reduction and internal fixation of acetabular fracture. J Orthop Trauma. 2003;17(5):362–7.
Horlocker TT, Wedel DJ, Rowlingson JC, et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg Anesth Pain Med. 2010;35(1):64–101.
Chelly JE. The most recent recommendations for “deep blocks” and thromboprophylaxis: evidence not supporting a “thromboprophylaxis therapeutic window”. Reg Anesth Pain Med. 2010;35(4):402.
Leng CL, Torillo TM, Rosenblatt MA. Complications of peripheral nerve blocks. Br J Anaesth. 2010;105(1):i97–107.
Ludot H, Tharin JY, Belouadah M, Mazoit JX, Malinovsky JM. Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child. Anesth Analg. 2008;106(5):1572–4.
Choi PT, Bhandari M, Douketis J. Epidural analgesia for pain relief following hip or knee replacement. Cochrane Database Syst Rev. 2003;(3):CD003071.
Murphy PM, Stack D, Kinirons B, Laffey JG. Optimizing the dose of intrathecal morphine in older patients undergoing hip arthroplasty. Anesth Analg. 2003;97(6):1709–15.
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Halaszynski, T., Uskova, A. (2016). Regional Anesthesia for Hip Surgery. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_9
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DOI: https://doi.org/10.1007/978-3-319-34109-5_9
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