Radiofrequency Lesion Generation of the Articular Branches of the Obturator and Femoral Nerve for Hip Joint Pain -A case report-

고관절통을 위한 폐쇄신경 및 대퇴신경 관절지의 고주파열응고술 -증례보고-

  • Shin, Keun Man (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University) ;
  • Nam, Sung Keun (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University) ;
  • Yang, Myo Jin (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University) ;
  • Hong, Seong Joon (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University) ;
  • Lim, So Young (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University) ;
  • Choi, Young Ryong (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallyrn University)
  • 신근만 (한림대학교 의과대학 마취통증의학교실) ;
  • 남성근 (한림대학교 의과대학 마취통증의학교실) ;
  • 양묘진 (한림대학교 의과대학 마취통증의학교실) ;
  • 홍성준 (한림대학교 의과대학 마취통증의학교실) ;
  • 임소영 (한림대학교 의과대학 마취통증의학교실) ;
  • 최영룡 (한림대학교 의과대학 마취통증의학교실)
  • Received : 2006.09.28
  • Accepted : 2006.12.01
  • Published : 2006.12.30

Abstract

Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at $80^{\circ}C$ for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

Keywords

References

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