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. 2024 Feb 28;52(1):36-38.
doi: 10.4274/TJAR.2024.231471.

Combined Lumbar-Sacral Plexus Block in Facioscapulohumeral Muscular Dystrophy for Hip Fracture Surgery: A Case Report

Mete Manici  1 , İlayda Kalyoncu  1 , Cemil Cihad Gedik  2 , Mehmet Ali Deveci  2 , Yavuz Gürkan  1
Affiliations

Combined Lumbar-Sacral Plexus Block in Facioscapulohumeral Muscular Dystrophy for Hip Fracture Surgery: A Case Report

Mete Manici et al. Turk J Anaesthesiol Reanim. .

Abstract

Facioscapulohumeral muscular dystrophy (FSHD) is a muscular dystrophy that can affect individuals of all age groups. Its prevalence is reported to be 0.4-1 in 10,000 people. Because of the low occurrence of FSHD, anaesthetic management is primarily based on expert opinions, case reviews, or brief series. Here, we present the case of a 72-year-old woman with FSHD who underwent hip fracture (HF) surgery. To prevent respiratory compromise due to FSHD, we opted for lumbar-sacral plexus block. To the best of our knowledge, there is no information in the literature regarding the use of combined lumbar-sacral plexus block in patients with FSHD undergoing HF surgery.

Keywords: Facioscapulohumeral muscular dystrophy; hip fracture; lumbosacral plexus block; muscular dystrophy; regional anaesthesia.

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Conflict of interest statement

Declaration of Interests: The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
US anatomy of the left lumbar region at the level of the L3 transverse process in the shamrock view. The shamrock view with three leaves consists of the erector spinae (ES), quadratus lumborum (QL), and psoas major muscles (PM) and the transverse process of the L3 vertebral body (VB).
Figure 2
Figure 2
Gluteus maximus muscle (Gmax), sacral bone (yellow arrow), and hyperechoic sacral plexus (red arrow).
See this image and copyright information in PMC

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