• A & A case reports · Aug 2017

    Case Reports

    Successful Continuous Adductor Canal Block Placement in a Patient With Absent Sartorius Muscle: A Case Report.

    • Shin-E Lin, David B Auyong, Aaron B Dahl, and Neil A Hanson.
    • From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.
    • A A Case Rep. 2017 Aug 15; 9 (4): 101-104.

    AbstractWe report a novel case of a patient who presented for elective total knee arthroplasty and had distorted adductor canal anatomy due to previous sartorius rotational flap surgery. Despite the lack of a sartorius muscle on the intended operative limb, we describe the successful placement of a continuous adductor canal block. This case is a clinically relevant example that highlights the importance of the vastoadductor membrane as the anatomical anteromedial boundary for the adductor canal, and that it remains intact even after sartorius muscle flap surgery.

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