Radiofrequency strategies to target peripheral large joint orthopedic pain

Jeffrey D. Petersohn MD
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引用次数: 2

Abstract

Partial neurotomy of painful large joints may be accomplished by radiofrequency (RF) lesioning of the articular branch innervation of these joints. Successful RF lesions of the knee and the hip are clinically useful procedures whose success depends upon the knowledge of articular branch neuro anatomy and the practitioner’s optimized choice of RF probe for the procedure. Although clearly indicated for patients who may not be medically suitable for arthroplasty, the procedures may be invaluable in preserving functional mobility and providing non-opiate pain relief for many patients with articular pain including those with postarthroplasty pain. Techniques for diagnostic nerve blocks and varied approaches for anatomically optimized RF lesioning of the innervation of the hip and knee are provided.

针对周围大关节矫形疼痛的射频策略
疼痛大关节的部分神经切断术可以通过射频(RF)损伤这些关节的关节分支神经支配来完成。成功的射频损伤膝关节和髋关节是临床有用的手术,其成功取决于关节分支神经解剖学知识和医生对射频探头的最佳选择。虽然明确指出,对于医学上不适合进行关节置换术的患者,该手术在保留功能活动能力和为许多关节疼痛患者(包括关节置换术后疼痛患者)提供非阿片类疼痛缓解方面可能是非常宝贵的。提供了诊断神经阻滞的技术和各种解剖优化的髋关节和膝关节神经支配射频损伤的方法。
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