Acute Pain Service, Department of Anesthesiology, University of Virginia Health System, University of Virginia, PO Box 800710, Charlottesville, VA 22908-0710, USA.
Department of Anesthesiology, University of Virginia Health System, University of Virginia, PO Box 800710, Charlottesville, VA 22908-0710, USA.
Anesthesiol Clin. 2024 Jun;42(2):233-246. doi: 10.1016/j.anclin.2023.11.015.
Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed.
髋关节镜检查后可能会出现严重疼痛，但我们缺乏非阿片类镇痛药的共识方法。在这里，我们描述了髋关节镜检查的解剖学要素以及我们目前对相关感觉神经支配的理解，作为评估局部区域镇痛技术的前奏。许多区域神经阻滞和局部麻醉浸润技术得到了回顾，包括 2 种较新的超声筋膜平面阻滞。需要进一步研究有针对性的、保留运动功能的方法，无论是超声引导还是在直接手术可视化下进行。
