The accuracy of distal posterior interosseous and anterior interosseous nerve injection

Paul W. Grutter, Gregory L Desilva, Robert E. Meehan, Stephen P. Desilva

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: To standardize a technique of delivering a local anesthetic to the posterior interosseous nerve (PIN) and anterior interosseous nerve (AIN) by using the anatomic landmarks of the wrist and to evaluate the accuracy of the technique in a cadaver model. Methods: Techniques for PIN and AIN injection and for PIN injection alone are described. Techniques were tested in a fresh frozen cadaver model by using methylene blue injections. Stained nerves were dissected under loupe magnification. Digital photographic images were taken of each nerve. Staining was quantified by calculating the mean density and area stained. Results: For both techniques methylene blue was delivered accurately to the PIN in 100% of the samples. Methylene blue was delivered accurately to the AIN in 100% of samples in which it was injected. Conclusions: These techniques saturated successfully the PIN and AIN and may be useful as diagnostic and therapeutic tools for chronic wrist pain and in evaluating presurgically the effectiveness of partial wrist denervation.

Original languageEnglish (US)
Pages (from-to)865-870
Number of pages6
JournalJournal of Hand Surgery
Volume29
Issue number5
DOIs
StatePublished - Sep 2004
Externally publishedYes

Fingerprint

Methylene Blue
Wrist
Cadaver
Injections
Anatomic Landmarks
Denervation
Local Anesthetics
Chronic Pain
Staining and Labeling
Therapeutics

Keywords

  • Denervation
  • injection
  • interosseous
  • nerve
  • wrist

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

The accuracy of distal posterior interosseous and anterior interosseous nerve injection. / Grutter, Paul W.; Desilva, Gregory L; Meehan, Robert E.; Desilva, Stephen P.

In: Journal of Hand Surgery, Vol. 29, No. 5, 09.2004, p. 865-870.

Research output: Contribution to journalArticle

Grutter, Paul W. ; Desilva, Gregory L ; Meehan, Robert E. ; Desilva, Stephen P. / The accuracy of distal posterior interosseous and anterior interosseous nerve injection. In: Journal of Hand Surgery. 2004 ; Vol. 29, No. 5. pp. 865-870.
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