Ultrasound-guided ankle block in stone man disease, fibrodysplasia ossificans progressiva.
In this case report, we describe the successful use of ultrasound-guided regional anesthesia in progressive fibrodysplasia ossificans (stone man disease), a condition commonly regarded as a contraindication for regional anesthesia. A patient with advanced fibrodysplasia ossificans progressiva presented with osteomyelitis of a foot and was scheduled for resection of the infected bones and soft tissue. Ultrasound imaging allowed us to identify the obscured anatomic landmarks for ankle block anesthesia and to restrict the injection of local anesthetics to the epifascial tissue and subcutaneous compartment. With this ankle block, the patient uneventfully underwent surgery without need for additional sedative or analgesic drugs.
Schober
Patrick
P
Department of Anesthesiology, VU University Medical Center (VUmc), Amsterdam, The Netherlands.
Krage
Ralf
R
Thöne
Deirdre
D
Loer
Stephan A
SA
Schwarte
Lothar A
LA
D000328:Adult; D000765:Anesthesia, Conduction / Q000379:methods*; D000776:Anesthesiology / Q000379:methods; D005260:Female; D005528:Foot / Q000601:surgery; D006801:Humans; D007249:Inflammation; D009221:Myositis Ossificans / Q000473:pathology* / Q000601:surgery*; D009407:Nerve Block; D010019:Osteomyelitis / Q000601:surgery; D014463:Ultrasonography / Q000379:methods*