Division of Anatomy, Department of Surgery, Temerty Faculty of Medicine, University of Toronto, 1 King's College Circle, Room 1158, Toronto, Ontario M5S 1A8, Canada.
Department of Anesthesia and Pain Management, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, Ontario M5T 2S8, Canada.
Phys Med Rehabil Clin N Am. 2021 Nov;32(4):767-778. doi: 10.1016/j.pmr.2021.05.011. Epub 2021 Jul 14.
Image-guided diagnostic block and radiofrequency ablation of the knee joint to manage pain require detailed understanding of joint innervation in relation to soft tissue and bony landmarks. In this article, the origin, course, and relationship to anatomic landmarks of articular nerves supplying the knee joint are discussed. The innervation pattern of the anterior and posterior aspects of the knee joint capsule is relatively consistent, with some variation in supply by the saphenous, anterior division of obturator, and common fibular nerves. To improve nerve capture rates for diagnostic block and radiofrequency ablation, multiple target sites could be beneficial.
图像引导诊断性阻滞和膝关节射频消融术以管理疼痛需要详细了解关节神经与软组织和骨性标志之间的关系。本文讨论了供应膝关节的关节神经的起源、走行及其与解剖标志的关系。膝关节囊前、后区的神经支配模式相对一致，但隐神经、闭孔神经前支和腓总神经的供应有所不同。为了提高诊断性阻滞和射频消融术的神经捕获率，多个目标部位可能会有所帮助。
