• A&A practice · Dec 2019

    Case Reports

    Thermal Radiofrequency Ablation of the Articular Branch of the Lateral Pectoral Nerve: A Case Report and Novel Technique.

    • Maxim S Eckmann, Bryan K Lai, Marco A Uribe, Samir Patel, and Jonathan A Benfield.
    • From the Department of Anesthesiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
    • A A Pract. 2019 Dec 1; 13 (11): 415-419.

    AbstractThe lateral pectoral nerve (LPN) innervates anterior shoulder structures. We report a novel technique for radiofrequency ablation (RFA) of the articular branch of the LPN (abLPN) to treat persistent anterior shoulder pain. Ultrasound and fluoroscopy were used to identify bony and vascular landmarks to target the midlateral and superior-lateral coracoid process (CP). Multiple thermal RFA lesions were delivered along this location without complication using a 20-gauge cannula. As a result, the patient has continued substantial relief of resting and dynamic deep anterior shoulder pain beyond 3 months. Ablation of the abLPN may provide anterior shoulder analgesia without causing motor weakness.

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