{"id":228,"date":"2014-10-30T20:04:43","date_gmt":"2014-10-30T20:04:43","guid":{"rendered":"http:\/\/www.euroespa.com\/?page_id=228"},"modified":"2023-06-20T10:14:06","modified_gmt":"2023-06-20T08:14:06","slug":"subsartorial-femoral","status":"publish","type":"page","link":"https:\/\/www.euroespa.com\/science-education\/specialized-sections\/espa-pain-committee\/us-regional-anaesthesia\/lower-limb\/subsartorial-femoral\/","title":{"rendered":"Subsartorial femoral"},"content":{"rendered":"<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\"><b><span style=\"font-size: 12.0pt; line-height: 107%;\">Subsartorial (Adductor Canal Block)<\/span><\/b>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Dr Sanjay Desai<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\"><b>Content<\/b><\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Indications<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Anatomy<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Technique<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Volume of LA<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Specific Complications<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">References<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\"><b>\u00a0<\/b><\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\"><b>Indications<\/b><\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">The subsartorial block is a&nbsp;largely motor sparing block, anaesthetising the femoral nerve after most of the motor branches to quadriceps have already exited, providing anaesthesia and analgesia intraoperatively and postoperatively for:<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">Surgery to the anterior part of the knee e.g. Knee arthroscopy, Patellar surgery, ACL, MCL Reconstruction, Superficial surgery to the medial side of the leg.<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">In conjunction with a&nbsp;popliteal block for all surgery below the site of insertion on the lower limb.<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\"><b>Anatomy<\/b><\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">The femoral nerve passes through the femoral canal to lie beneath the sartorius muscle, entering an aponeurotic intermuscular tunnel in the middle third of the medial side of the thigh called the Subsartorial canal, Adductor canal or Hunter\u2019s canal.<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">The Adductor canal is bounded anterolaterally by vastus medialis, anteromedially by sartorius and posteriorly by adductor magnus.<\/p>\n<p style=\"margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;\">The Adductor canal contains the femoral artery, femoral vein, saphenous nerve, nerve to vastus medialis and the posterior branch of the obturator nerve (see Image 1).<\/p>\n<p>You can view the full article <a href=\"http:\/\/www.euroespa.com\/wp-content\/uploads\/2018\/01\/adductor-canal-block.pdf\">HERE.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Subsartorial (Adductor Canal Block)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dr Sanjay Desai Content Indications Anatomy Technique Volume of LA Specific Complications References \u00a0 Indications&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":225,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":""},"class_list":["post-228","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/comments?post=228"}],"version-history":[{"count":2,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/228\/revisions"}],"predecessor-version":[{"id":7158,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/228\/revisions\/7158"}],"up":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/225"}],"wp:attachment":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/media?parent=228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}