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The goal of this observational study is to learn about the relative position of femoral nerve in relation to the femoral artery in patients scheduled for femoral fractures using ultrasound scanning.
The classical description of femoral nerve is that it lies immediately near to artery, but it is not always true. The nerve lies at a varying distance from the artery.
The main question it aims to answer are:
• Is the age sex and Body Mass Index affect the relationship between femoral artery and nerve?
The femoral nerve block is ideal for surgeries of the femur, knee, or anterior thigh and is often combined with a sciatic nerve block for near complete lower extremity analgesia. The classic teaching is that the femoral nerve lies lateral to femoral artery sandwiched between the fascia iliaca and iliopsoas muscle1.
Aim:
The objective of the study is to find out the anatomical variation in the site of the femoral nerve in relation to the femoral artery, with respect to the age, sex, weight and ethnicity of the patient.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound scanning of inguinal area for femoral nerve and artery | Other | ultrasound scanning of inguinal region is done in femoral fracture patient to identify femoral artery and nerve |
| Measure | Description | Time Frame |
|---|---|---|
| Variability of anatomical position of Femoral Nerve with respect to Femoral artery - effect of age, sex and BMI | After positioning the patients with femoral fracture, ultrasound scanning of femoral nerve is done and the femoral nerve and arteries are identified. The distance between the femoral artery and nerve are measured using ultrasound. | From the time the patient is positioned for ultrasound scanning to obtain a clear image of the femoral nerve until the measurement of the distance between the femoral nerve and artery is completed, assessed over a period of up to 6 hours. |
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Inclusion Criteria:
Exclusion Criteria:
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femoral fracture patients admitted in Rashid hospital and trauma centre Dubai
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24145804 | Background | Fanara B, Christophe JL, Boillot A, Tatu L, Jochum D, Henri Y, Berthier F, Samain E. Ultrasound guidance of needle tip position for femoral nerve blockade: an observational study. Eur J Anaesthesiol. 2014 Jan;31(1):23-9. doi: 10.1097/01.EJA.0000435016.83813.aa. | |
| 19606024 | Background | Fingerman M, Benonis JG, Martin G. A practical guide to commonly performed ultrasound-guided peripheral-nerve blocks. Curr Opin Anaesthesiol. 2009 Oct;22(5):600-7. doi: 10.1097/ACO.0b013e32832f7643. |
| Label | URL |
|---|---|
| Andrew T. Gray, Adam B. Collins, Ingeborg Schafhalter-Zoppoth, An introduction to femoral nerve and associated lumbar plexus nerve blocks under ultrasonic guidance, Techniques in Regional Anesthesia and Pain Management, Volume 8, Issue 4, 2004, Pages 155 | View source |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 20, 2016 | Aug 7, 2023 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D007869 | Leg Injuries |
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| 26626896 | Background | Baker MD, Gullett JP. Ultrasound-Guided Femoral Nerve Blocks. Pediatr Emerg Care. 2015 Dec;31(12):864-8; quiz 869-71. doi: 10.1097/PEC.0000000000000634. |
| 21173942 | Background | Szucs S, Morau D, Iohom G. Femoral nerve blockade. Med Ultrason. 2010 Jun;12(2):139-44. |