MSK Ultrasound - Spine -

Incheon Terminal Orthopedic Private Clinic Yong-Hyun, Yoon C,T-spine

Basic Advanced • Medial branch block • C-spine transforaminal block • Facet joint block • Thoracic paravertebral block • C-spine intra-discal injection

• Superficial cervical plexus block • Vagus nerve block • Greater occipital nerve block(GON) • Third occipital nerve block(TON) • Hydrodissection • Brachial plexus(1st rib level) • Suboccipital nerve • Stellate ganglion block(SGB) • C1, C2 nerve root, C2 nerve • Brachial plexus block(interscalene) • Recurrent laryngeal nerve • Serratus anterior plane • Cervical nerve root Cervical facet joint

Anatomy Diagnosis Cervical facet joint injection

C-arm Ultrasound Cervical medial branch

Anatomy Nerve innervation • Medial branch • Same level facet joint • Inferior level facet joint

• Facet joint • Dual nerve innervation Cervical medial branch

C-arm Ultrasound Cervical nerve root

Anatomy Diagnosis • Motor

• Sensory

• Dermatome, myotome, fasciatome Cervical nerve root block

C-arm Ultrasound Stallete ganglion block

Anatomy Injection Vagus nerve

Anatomy Injection L,S-spine

Basic Advanced • Medial branch block • Lumbar sympathetic block • Facet joint block • Lumbar plexus block • Superior, inferior hypogastric nerve block • Caudal block • Transverse abdominal plane(TAP) block • Sacral plexus block

• Epidural block • Hydrodissection • Interlaminal • Pudendal nerve • Transforaminal injection • Genitofemoral nerve • Superior, inferior cluneal nerve • Rectus abdominal sheath • Erector spinae plane Lumbar facet joint

Anatomy Diagnosis Lumbar facet joint

C-arm Ultrasound Lumbar medial branch

Anatomy Nerve innervation • Dual nerve innervation • L34 facet joint – L23 MBB

• L5 is exception • L5/S1 dorsal rami Lumbar medial branch

C-arm Ultrasound Lumbar plexus

Anatomy Indications • Psoas muscle dysfunction

• Plexopathy(from Cyriax) Lumbar plexus block

C-arm Ultrasound Caudal block

Anatomy Indications Caudal block

C-arm Ultrasound Q & A

• Contact • [email protected]

• Incheon Terminal Orthopaedic Clinic • https://www.koreanonop.com/

• CP • 010-2886-3854 Take home message

• Diagnosis, Diagnosis, Diagnosis

• Anatomy, Anatomy, Anatomy

• Accurate Treatment!

• Review the chart or procedure • After 2 Treatments, no effect -> review the chart & diagnosis