Ultrasound-guided ankle block in stone man disease, fibrodysplasia ossificans progressiva.

Full Abstract

In this case report, we describe the successful use of ultrasound-guided regional anesthesia in progressive fibrodysplasia ossificans (stone man disease), a condition commonly regarded as a contraindication for regional anesthesia. A patient with advanced fibrodysplasia ossificans progressiva presented with osteomyelitis of a foot and was scheduled for resection of the infected bones and soft tissue. Ultrasound imaging allowed us to identify the obscured anatomic landmarks for ankle block anesthesia and to restrict the injection of local anesthetics to the epifascial tissue and subcutaneous compartment. With this ankle block, the patient uneventfully underwent surgery without need for additional sedative or analgesic drugs.

Author information

Author/s: Schober, Patrick (P); Krage, Ralf (R); Thöne, Deirdre (D); Loer, Stephan A (SA); Schwarte, Lothar A (LA);

Affiliation: Department of Anesthesiology, VU University Medical Center (VUmc), Amsterdam, The Netherlands.

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Anesthesia and analgesia (Anesth Analg), published in United States. (Language: eng)

Reference: 2009-Sep; vol 109 (issue 3) : pp 988-90

Dates: Created 2009/08/19; Completed 2009/09/09;

PMID: 19690279, status: MEDLINE (last retrieval date: 9/9/2009, IMS Date: )

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