Ignite Creation Date:
2024-05-06 @ 5:26 PM
Last Modification Date:
2024-10-26 @ 2:28 PM
Study NCT ID:
NCT05303597
Status:
COMPLETED
Last Update Posted:
2024-04-02
First Post:
2022-03-22
Brief Title:
The Frequency of Superior Cluneal Nerve Entrapment Diagnosed With Ultrasound Guided Nerve Block
Sponsor:
Istanbul University - Cerrahpasa IUC
Organization:
Istanbul University - Cerrahpasa IUC
Study Overview
Official Title:
The Frequency of Superior Cluneal Nerve Entrapment Diagnosed With Ultrasound Guided Nerve Block In Patients With Low Back Pain A Prospective Cross-Sectional Study
Status:
COMPLETED
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Cluneal nerves are a group of pure sensory nerves that provide direct cutaneous innervation to the buttocks Superior cluneal nerveSCN originates from the T11-L5 nerve roots and has at least 3 branches from medial to lateral these are the medial intermediate and lateral branches Anatomy studies have shown that the medial branch passes 6-7 cm lateral to the midline on the posterior iliac crest Nerve branches pass through the osteofibrous tunnel formed by the thoracolumbar fascia and the superior edge of the iliac crest where they can be trapped Controversial data exist regarding the osteofibrous tunnel It may not be present in all cases and in some cases more than one nerve has been shown to pass through the osteofibrous tunnel As a result there are discussions about superior cluneal nerve anatomy and there is not enough information
In patients with superior cluneal nerve entrapment syndrome low back pain radiates to the upper part of the hip and may cause leg pain that mimics radiculopathy
The diagnosis is clinical Diagnostic criteria for superior cluneal nerve SCN entrapment Low back pain involving the iliac crest and buttocks symptoms aggravated by lumbar movement or posture trigger point over the posterior iliac crest corresponding to the nerve compression zone patients report numbness and radiating pain in the SCN area Tinel sign when the trigger point is compressed symptom relief by SCN block at the trigger point
Prevalence studies of superior cluneal nerve entrapment syndrome are very few Maigne et al reported superior cluneal nerve entrapment in 16 of 1800 patients with low back pain Kuniya et al showed that 14 of 834 patients with low back pain met the criteria for superior cluneal nerve entrapment Superior cluneal nerve entrapment is not as rare as it is thought to be among the causes of low back pain In Turkey there is no study showing the prevalence of the superior cluneal nerve or its importance in patients with low back pain
The aim of this study is to examine the patients who applied to Cerrahpasa Faculty of Medicine Department of Physical Medicine and Rehabilitation polyclinic with low back pain To confirm the diagnosis with an ultrasound-guided diagnostic injection test to determine the importance of superior cluneal nerve entrapment
In patients with superior cluneal nerve entrapment syndrome low back pain radiates to the upper part of the hip and may cause leg pain that mimics radiculopathy
The diagnosis is clinical Diagnostic criteria for superior cluneal nerve SCN entrapment Low back pain involving the iliac crest and buttocks symptoms aggravated by lumbar movement or posture trigger point over the posterior iliac crest corresponding to the nerve compression zone patients report numbness and radiating pain in the SCN area Tinel sign when the trigger point is compressed symptom relief by SCN block at the trigger point
Prevalence studies of superior cluneal nerve entrapment syndrome are very few Maigne et al reported superior cluneal nerve entrapment in 16 of 1800 patients with low back pain Kuniya et al showed that 14 of 834 patients with low back pain met the criteria for superior cluneal nerve entrapment Superior cluneal nerve entrapment is not as rare as it is thought to be among the causes of low back pain In Turkey there is no study showing the prevalence of the superior cluneal nerve or its importance in patients with low back pain
The aim of this study is to examine the patients who applied to Cerrahpasa Faculty of Medicine Department of Physical Medicine and Rehabilitation polyclinic with low back pain To confirm the diagnosis with an ultrasound-guided diagnostic injection test to determine the importance of superior cluneal nerve entrapment
Detailed Description:
Patients with low back pain will be examined by two doctors The clinical history and physical examination of all patients with low back pain will be taken by the first physician Patients with a trigger point in the posterior iliac crest will be evaluated by a second physician and diagnostic nerve block will be performed ultrasound-guided with the preliminary diagnosis of superior cluneal nerve entrapment General Electric LogiqP5 model ultrasound device will be used and lidocaine will be applied between the posterior iliac crest and thoracolumbar fascia which is viewed under the guidance of ultrasonography for diagnosis and treatment Patients who have had a diagnostic injection will be re-evaluated 1 hour later Patients whose pain is reduced by more than 70 will be diagnosed with superior cluneal nerve entrapment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None