title: Tibial Nerve Block Using an Ultrasound-Guided Inframalleolar Medial Plantar Nerve Perineural Injection: A Technical Note.
abstract: Sonographic-guided tibial nerve block allows for rapid anesthetization of the heel and plantar regions of the foot. We describe a variant technique for tibial nerve regional anesthesia utilizing perineural injection of the medial plantar nerve proximal to the sustentaculum tali where the nerve is superficial and readily accessed, with resultant retrograde flow of local anesthetic proximally. Perineural injection of the medial plantar nerve at the inframalleolar level provides a simple, safe, and effective alternative method to achieve tibial nerve block for regional anesthesia in a variety of procedures. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:134-137, 2017.
authors.affiliation: Department of Radiology, Division of Musculoskeletal Radiology, Hospital for Joint Diseases, NYU Langone Medical Center, 301 East 17th Street, New York, NY, 10003.
authors.forename: Christopher J
authors.identifier: http://orcid.org/0000-0001-7609-1146
authors.initials: CJ
authors.lastname: Burke
authors.affiliation: Department of Radiology, Division of Musculoskeletal Radiology, Center for Musculoskeletal Care, NYU Langone Medical Center, 333 East 38th Street, New York, NY, 10016.
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Adler
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D013979:Tibial Nerve / Q000000981:diagnostic imaging* / Q000187:drug effects*; D018084:Ultrasonography, Interventional; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine; D002045:Bupivacaine
keywords: anesthesia; foot; musculoskeletal system; perineural injection; tibial nerve; ultrasound guidance