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Pain arising from the thoracic region has been reported to be potentially as debilitating as cervical or lumbar back pain, and may stem from a vast number of spinal sources, including zygapophysial, costovertebral and costotransverse joints, intervertebral discs, ligaments, fascia, muscles, and nerve roots. Over the last two decades, the use of ultrasound in interventional spinal procedures has been rapidly evolving, due to the ultrasound capabilities of visualizing soft tissues, including muscle layers, pleura, nerves, and blood vessels, allowing for real-time needle tracking, while also reducing radiation exposure to both patient and physician, when compared to traditional fluoroscopy guidance. However, its limitations still preclude it from being the imaging modality of choice for some thoracic spinal procedures, notably epidural (interlaminar and transforaminal approaches) and intradiscal injections. In this technical review, we provide an overview of five thoracic spinal injections that are amenable to ultrasound guidance. We start by discussing their clinical utility, followed by the relevant topographic anatomy, and then provide an illustrated technical description of each of the procedures discussed: (1) erector spinae plane block; (2) intra-articular thoracic zygapophyseal (facet) joint injection; (3) thoracic medial branch block; (4) costotransverse joint injection; and (5) costovertebral joint injection.

Titel:	Ultrasound-guided procedures for the management of chronic thoracic back pain: a technical review.
Autor/in / Beteiligte Person:	Ferreira-Silva, N ; Ribas, R ; Hurdle, MFB ; Gupta, S ; Clendenen, SR ; Ferreira-Dos-Santos, G
Link:	View record at Springer (Volltext)
Zeitschrift:	Journal of ultrasound, Jg. 27 (2024-03-01), Heft 1, S. 1-11
Veröffentlichung:	2013: [Milan] : Springer ; <i>Original Publication</i>: Milano : Elsevier Masson, 2024
Medientyp:	academicJournal
ISSN:	1876-7931 (electronic)
DOI:	10.1007/s40477-023-00825-0
Schlagwort:	Humans Torso Ultrasonography Ultrasonography, Interventional Back Pain diagnostic imaging Back Pain therapy Thorax
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Review Language: English [J Ultrasound] 2024 Mar; Vol. 27 (1), pp. 1-11. <i>Date of Electronic Publication: </i>2023 Aug 30. MeSH Terms: Back Pain* / diagnostic imaging ; Back Pain* / therapy ; Thorax* ; Humans ; Torso ; Ultrasonography ; Ultrasonography, Interventional References: Spine (Phila Pa 1976). 1994 Apr 1;19(7):807-11. (PMID: 8202799) ; Reg Anesth Pain Med. 2019 Apr 16;:. (PMID: 30992410) ; Int J Environ Res Public Health. 2023 Feb 21;20(5):. (PMID: 36900848) ; Minerva Anestesiol. 2019 Mar;85(3):308-319. (PMID: 30621377) ; Pain Med. 2022 Oct 29;23(11):1869-1874. (PMID: 35511142) ; Phys Ther. 2006 Feb;86(2):254-68. (PMID: 16445339) ; Spine (Phila Pa 1976). 2004 Aug 15;29(16):1755-63. (PMID: 15303019) ; Pain. 1988 Feb;32(2):173-183. (PMID: 3362555) ; Curr Sports Med Rep. 2021 Mar 1;20(3):150-156. (PMID: 33655996) ; Can J Anaesth. 2020 Aug;67(8):942-948. (PMID: 32152885) ; J Ultrasound Med. 2013 Jul;32(7):1109-16. (PMID: 23804333) ; J Ultrasound. 2022 Jun;25(2):167-175. (PMID: 34118056) ; Reg Anesth Pain Med. 2021 May;46(5):452-454. (PMID: 33402417) ; J Ultrasound Med. 2013 Dec;32(12):2083-9. (PMID: 24277889) ; BMC Musculoskelet Disord. 2008 Oct 15;9:140. (PMID: 18922181) ; Can J Anaesth. 2021 Mar;68(3):387-408. (PMID: 33403545) ; J Ultrasound Med. 2022 Jan;41(1):185-191. (PMID: 33713473) ; Scand J Pain. 2017 Oct;17:325-329. (PMID: 28919152) ; PM R. 2018 Jun;10(6):616-622. (PMID: 29174073) ; Spine (Phila Pa 1976). 1998 Jul 1;23(13):1457-63. (PMID: 9670397) ; Spine (Phila Pa 1976). 2005 Jun 1;30(11):1283-6. (PMID: 15928553) ; BMC Musculoskelet Disord. 2004 May 28;5:15. (PMID: 15169547) ; Spine (Phila Pa 1976). 2018 Jan 15;43(2):76-80. (PMID: 28591071) ; Korean J Pain. 2016 Jul;29(3):197-201. (PMID: 27413487) ; Acta Neurochir (Wien). 1995;136(3-4):140-4. (PMID: 8748844) ; Pain. 2016 Oct;157(10):2158-2159. (PMID: 27643833) ; Br J Rheumatol. 1993 Dec;32(12):1066-71. (PMID: 8252316) ; Turk J Anaesthesiol Reanim. 2020 Feb;48(1):86-87. (PMID: 32076689) ; J Pain Res. 2019 Aug 27;12:2597-2613. (PMID: 31695476) ; Spine (Phila Pa 1976). 1996 Jun 15;21(12):1423-9. (PMID: 8792518) ; Australas Radiol. 1987 Feb;31(1):47-9. (PMID: 2956942) ; Postgrad Med J. 1992 Aug;68(802):655-9. (PMID: 1448407) ; Arthritis Rheum. 1964 Jun;7:228-40. (PMID: 14168452) ; Spine (Phila Pa 1976). 1997 Aug 15;22(16):1811-7; discussion 1818. (PMID: 9280016) ; Anesthesiol Res Pract. 2012;2012:585806. (PMID: 22851967) ; Spine (Phila Pa 1976). 2000 Feb 15;25(4):481-6. (PMID: 10707395) ; Spine (Phila Pa 1976). 2012 Jun 15;37(14):E817-22. (PMID: 22310092) ; Pain Physician. 2006 Apr;9(2):97-105. (PMID: 16703969) ; BMC Musculoskelet Disord. 2009 Jun 29;10:77. (PMID: 19563667) ; Reg Anesth Pain Med. 2016 Sep-Oct;41(5):621-7. (PMID: 27501016) ; Pain Physician. 2020 Jun;23(3):E289-E296. (PMID: 32517405) ; Pain Physician. 2012 Jul-Aug;15(4):E483-96. (PMID: 22828695) ; Reg Anesth. 1997 Jul-Aug;22(4):332-6. (PMID: 9223198) ; Reg Anesth Pain Med. 2019 Jan 13;:. (PMID: 30636721) ; Anat Embryol (Berl). 1987;176(4):401-11. (PMID: 3688449) ; Reg Anesth Pain Med. 2018 May;43(4):341-346. (PMID: 29561295) ; Pain Med. 2023 Mar 1;24(3):221-225. (PMID: 35980166) ; Rev Bras Ortop (Sao Paulo). 2021 Mar 31;57(2):345-347. (PMID: 35652017) ; J Ultrasound Med. 2011 Mar;30(3):357-62. (PMID: 21357557) ; Reg Anesth Pain Med. 2015 Jul-Aug;40(4):376-83. (PMID: 26066382) ; Neurol Clin. 2007 May;25(2):353-71. (PMID: 17445733) ; Pain Physician. 2003 Oct;6(4):513-6. (PMID: 16871307) ; Pain Physician. 2002 Oct;5(4):354-9. (PMID: 16886012) ; Reg Anesth Pain Med. 2020 Jun;45(6):424-467. (PMID: 32245841) Contributed Indexing: Keywords: Chronic pain; Neuropathic pain; Pain medicine; Technical review; Thoracic pain Entry Date(s): Date Created: 20230830 Date Completed: 20240304 Latest Revision: 20240305 Update Code: 20240305 PubMed Central ID: PMC10908924

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Ultrasound-guided procedures for the management of chronic thoracic back pain: a technical review.