PAIN MEDICINE

Imaging for Evaluation of Groin Pain

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Imaging for Evaluation of Groin Pain

Fig. 13.1. Anteroposterior (AP) view of the pelvis is acquired with internal rotation of the legs, laying out the femoral necks to evaluate for possible fracture. There is severe osteoarthritic…

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Chronic Orchialgia: Workup and Management

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Chronic Orchialgia: Workup and Management

Fig. 26.1. Two-hit theory on cause of chronic groin and scrotal content pain (From Brahmbhatt et al. [3], with kind permission Springer Science + Business Media). CGSCP may affect over 100,000 men…

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Groin Pain Etiology: Hip-Referred Groin Pain

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Groin Pain Etiology: Hip-Referred Groin Pain

Extension 20° Flexion >120° Adduction 20° Abduction 40° Internal rotation hip in extension 30° Internal rotation hip in flexion at 90° 20° External rotation hip in extension 50° External rotation…

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Open Triple Neurectomy

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Open Triple Neurectomy

Fig. 24.1. Inguinal neuroanatomy (From Chen et al. [11] with kind permission Springer Science + Business Media). Fig. 24.2. Retroperitoneal neuroanatomy (From Wagner et al. [12], with kind permission ©McGraw-Hill Education). The…

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Laparoscopic Triple Neurectomy

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Laparoscopic Triple Neurectomy

Fig. 25.1. Trocar placement and operative positioning. The lumbar plexus should be defined before any neurectomy is performed (Fig. 25.2) [18]. The subcostal nerve can first be identified at the…

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Thoracolumbar Syndrome

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Thoracolumbar Syndrome

Fig. 43.1. T12–L1 thoracolumbar nerve root compression with referred pain. Physical Examination Physical exam begins with examination of the spine with the patient in a prone position. Lateral pressure on…

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Sports Hernia with Adductor Tendonitis

Oct 21, 2016 by in PAIN MEDICINE Comments Off on Sports Hernia with Adductor Tendonitis

Fig. 36.1. (a) T2-weighted axial oblique image of the pelvis demonstrating a cleft sign (arrow) just inferior to the pubic symphysis (PS); (b) T2-weighted sagittal image of the pelvis demonstrating…

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