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Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach

The lateral pectoral nerve is often injured along with the brachial plexus, but its isolated lesions are rare. We report a clinical case of an isolated lateral pectoral nerve injury, presenting as a refractory right shoulder and pectoral pain, determining functional repercussion. After clinical asse...

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Detalles Bibliográficos
Autores principales: Ferro, Inês, Pereira, Adriana, Gonçalves, Ana F, Martins, Joana, Carvalho, José L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884460/
https://www.ncbi.nlm.nih.gov/pubmed/35242465
http://dx.doi.org/10.7759/cureus.21680
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author Ferro, Inês
Pereira, Adriana
Gonçalves, Ana F
Martins, Joana
Carvalho, José L
author_facet Ferro, Inês
Pereira, Adriana
Gonçalves, Ana F
Martins, Joana
Carvalho, José L
author_sort Ferro, Inês
collection PubMed
description The lateral pectoral nerve is often injured along with the brachial plexus, but its isolated lesions are rare. We report a clinical case of an isolated lateral pectoral nerve injury, presenting as a refractory right shoulder and pectoral pain, determining functional repercussion. After clinical assessment and imaging investigation, it was considered that the pain source was likely to be a lateral pectoral nerve mononeuropathy. Thus, a diagnostic ultrasound-guided nerve block was performed, with a major improvement in the patient's symptoms and functionality for two months. Thereafter, a long-lasting alternative was proposed - pulsed radiofrequency. As a form of neuromodulation, pulsed radiofrequency offers pain control without tissue damage or painful sequelae, which is usually associated with conventional radiofrequency.
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spelling pubmed-88844602022-03-02 Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach Ferro, Inês Pereira, Adriana Gonçalves, Ana F Martins, Joana Carvalho, José L Cureus Pain Management The lateral pectoral nerve is often injured along with the brachial plexus, but its isolated lesions are rare. We report a clinical case of an isolated lateral pectoral nerve injury, presenting as a refractory right shoulder and pectoral pain, determining functional repercussion. After clinical assessment and imaging investigation, it was considered that the pain source was likely to be a lateral pectoral nerve mononeuropathy. Thus, a diagnostic ultrasound-guided nerve block was performed, with a major improvement in the patient's symptoms and functionality for two months. Thereafter, a long-lasting alternative was proposed - pulsed radiofrequency. As a form of neuromodulation, pulsed radiofrequency offers pain control without tissue damage or painful sequelae, which is usually associated with conventional radiofrequency. Cureus 2022-01-28 /pmc/articles/PMC8884460/ /pubmed/35242465 http://dx.doi.org/10.7759/cureus.21680 Text en Copyright © 2022, Ferro et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pain Management
Ferro, Inês
Pereira, Adriana
Gonçalves, Ana F
Martins, Joana
Carvalho, José L
Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title_full Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title_fullStr Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title_full_unstemmed Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title_short Ultrasound-Guided Lateral Pectoral Nerve Pulsed Radiofrequency in a Patient With Refractory Pectoral Pain: A Case Report of a Novel Approach
title_sort ultrasound-guided lateral pectoral nerve pulsed radiofrequency in a patient with refractory pectoral pain: a case report of a novel approach
topic Pain Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884460/
https://www.ncbi.nlm.nih.gov/pubmed/35242465
http://dx.doi.org/10.7759/cureus.21680
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