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Anesth Analg 2009; 109:988-990
© 2009 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181ac1093
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ANALGESIA

Ultrasound-Guided Ankle Block in Stone Man Disease, Fibrodysplasia Ossificans Progressiva

Patrick Schober, MD, Ralf Krage, MD, Deirdre Thöne, MD, Stephan A. Loer, MD, PhD, and Lothar A. Schwarte, MD, PhD

From the Department of Anesthesiology, VU University Medical Center (VUmc), Amsterdam, The Netherlands.

Address correspondence to Lothar A. Schwarte, MD, PhD, DESA, EDIC, Department of Anesthesiology, VU University Medical Center (VUmc) De Boelelaan 1117 1081 HV Amsterdam, The Netherlands. Address e-mail to L.Schwarte{at}vumc.nl.

Abstract

In this case report, we describe the successful use of ultrasound-guided regional anesthesia in progressive fibrodysplasia ossificans (stone man disease), a condition commonly regarded as a contraindication for regional anesthesia. A patient with advanced fibrodysplasia ossificans progressiva presented with osteomyelitis of a foot and was scheduled for resection of the infected bones and soft tissue. Ultrasound imaging allowed us to identify the obscured anatomic landmarks for ankle block anesthesia and to restrict the injection of local anesthetics to the epifascial tissue and subcutaneous compartment. With this ankle block, the patient uneventfully underwent surgery without need for additional sedative or analgesic drugs.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2009 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2009 by the International Anesthesia Research Society.