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Updated: Apr 26, 2026

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient
1Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
Study Design:
A case report defining an interventional procedure.
Objectives:
To reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve.
Setting:
The study was conducted in Ankara, Turkey.
Methods:
A paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography.
Results:
After treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced.
Conclusion:
Ultrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve.
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