Advertisement

Ankle Joint and Nerves

  • Neilesh Soneji
  • Philip PengEmail author
Chapter

Abstract

Foot and ankle injections can play an important diagnostic and therapeutic role in patients with chronic foot and ankle pain. Ultrasound is a validated technique to guide injections of the tibiotalar and subtalar joints. Ultrasound-guided peripheral nerve injections can also be used for peripheral neuropathic pain in the foot in the context of peripheral nerve injury or entrapment.

Keywords

Foot Ankle Injection Tibiotalar Subtalar Tibial nerve Superficial peroneal nerve Deep peroneal nerve Saphenous nerve Sural nerve 

Suggested Readings

  1. Antonakakis JG, Scalzo DC, Jorgenson AS, et al. Ultrasound does not improve the success rate of a deep peroneal nerve block at the ankle. Reg Anesth Pain Med. 2010;35:217–21.CrossRefPubMedGoogle Scholar
  2. Chang KV, Hsiao MY, Chen WS, Wang TG, Chien KL. Effectiveness of intra-articular hyaluronic acid for ankle osteoarthritis treatment: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2013;94:951–60.CrossRefPubMedGoogle Scholar
  3. Chen J, Lesser J, Hadzic A, Resta-Flarer F. The importance of the proximal saphenous nerve block for foot and ankle surgery. Reg Anesth Pain Med. 2013;38:372.CrossRefPubMedGoogle Scholar
  4. Chin KJ. Ultrasound visualization of the superficial peroneal nerve in the mid-calf. Anesthesiology. 2013;118:956–65.CrossRefPubMedGoogle Scholar
  5. Ducic I, Dellon AL, Graw KS. The clinical importance of variations in the surgical anatomy of the superficial peroneal nerve in the mid-third of the lateral leg. Ann Plast Surg. 2006;56:635–8.CrossRefPubMedGoogle Scholar
  6. Khosla S, Thiele R, Baumhauer JF. Ultrasound guidance for intra-articular injections of the foot and ankle. Foot Ankle Int. 2009;30:886–90.CrossRefPubMedGoogle Scholar
  7. Khoury NJ, el-Khoury GY, Saltzman CL, Brandser EA. Intraarticular foot and ankle injections to identify source of pain before arthrodesis. AJR Am J Roentgenol. 1996;167:669–73.CrossRefPubMedGoogle Scholar
  8. Lucas PE, Hurwitz SR, Kaplan PA, Dussault RG, Maurer EJ. Fluoroscopically guided injections into the foot and ankle: localization of the source of pain as a guide to treatmentprospective study. Radiology. 1997;204:411–5.CrossRefPubMedGoogle Scholar
  9. Newman JS. Diagnostic and therapeutic injections of the foot and ankle. Semin Roentgenol. 2004;39:85–94.CrossRefPubMedGoogle Scholar
  10. Papaliodis DN, Vanushkina MA, Richardson NG, Di Preta JA. The foot and ankle examination. Med Clin North Am. 2014;98:181–204.CrossRefPubMedGoogle Scholar
  11. Reach JS, Easley ME, Chuckpaiwong B, Nunley JA. Accuracy of ultrasound guided injections in the foot and ankle. Foot Ankle Int. 2009;30:239–42.CrossRefPubMedGoogle Scholar
  12. Redborg KE, Antonakakis JG, Beach ML, Chinn CD, Sites BD. Ultrasound improves the success rate of a tibial nerve block at the ankle. Reg Anesth Pain Med. 2009;34:256–60.CrossRefPubMedGoogle Scholar
  13. Ricci S, Moro L, Antonelli Incalzi R. Ultrasound imaging of the sural nerve: ultrasound anatomy and rationale for investigation. Eur J Vasc Endovasc Surg. 2010;39:636–41.CrossRefPubMedGoogle Scholar
  14. Smith J, Finnoff JT, Henning PT, Turner NS. Accuracy of sonographically guided posterior subtalar joint injections: comparison of 3 techniques. J Ultrasound Med. 2009;28:1549–57.CrossRefPubMedGoogle Scholar
  15. Smith J, Maida E, Murthy NS, Kissin EY, Jacobson JA. Sonographically guided posterior subtalar joint injections via the sinus tarsi approach. J Ultrasound Med. 2015;34:83–93.CrossRefPubMedGoogle Scholar
  16. Soneji N, Peng P. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanaotmy and procedures. Part VI: ankle joint. Reg Anesth Pain Med. 2016;41:99–116.CrossRefPubMedGoogle Scholar
  17. Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152:2870–80.CrossRefPubMedGoogle Scholar
  18. Ward ST, Williams PL, Purkayastha S. Intra-articular corticosteroid injections in the foot and ankle: a prospective 1-year follow-up investigation. J Foot Ankle Surg. 2008;47:138–44.CrossRefPubMedGoogle Scholar
  19. Wisniewski SJ, Smith J, Patterson DG, Carmichael SW, Pawlina W. Ultrasound-guided versus nonguided tibiotalar joint and sinus tarsi injections: a cadaveric study. PM R. 2010;2:277–81.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of AnesthesiaUniversity of TorontoTorontoCanada
  2. 2.Department of Anesthesia and Pain ManagementUniversity Health Network – Toronto Western Hospital, Women’s College HospitalTorontoCanada
  3. 3.Department of Anesthesia and Pain ManagementToronto Western Hopsital and Mount Sinai Hospital, University of TorontoTorontoCanada

Personalised recommendations