Serratus anterior plane block with ultrasound-guided hydrodissection for lateral thoracic pain caused by long thoracic nerve neuropathy – A case report -
- Author:
Minsoo KIM
1
;
Daehun GOH
;
Soyeon CHO
;
Yeonji NOH
;
Byeongmun HWANG
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2022;17(4):434-438
- CountryRepublic of Korea
- Language:English
-
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.
