Regional Anesthesia for Pain Management in Idiopathic Multicentric Osteolysis: A Case Report

Idiopathic multicentric osteolysis (IMO) is a rare disease characterized by rapid spontaneous bone loss, typically affecting the carpal and tarsal bones. Patients with IMO often suffer from chronic pain, immobility, and renal disease, posing challenges for pain control in the perioperative setting. We present the case of a 19-year-old woman with Gorham-Stout syndrome, a subtype of IMO, who underwent a successful femoral nerve block and catheter placement under general anesthesia for palliative knee resection. This case report illustrates the safety and efficacy of regional anesthesia for postoperative pain control, emphasizing its potential benefits in this unique patient population.

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Publication Details

Journal
A&A Practice
Published
2025-05-01
DOI
https://doi.org/10.1213/xaa.0000000000001966
Primary Topic
Shoulder Injury and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Regional Anesthesia for Pain Management in Idiopathic Multicentric Osteolysis: A Case Report

Beth A. VanderWielen, Katherine B. Elsea
A&A Practice
Shoulder Injury and Treatment
article

Regional Anesthesia for Pain Management in Idiopathic Multicentric Osteolysis: A Case Report

Beth A. VanderWielen, Katherine B. Elsea
article en

Abstract

Idiopathic multicentric osteolysis (IMO) is a rare disease characterized by rapid spontaneous bone loss, typically affecting the carpal and tarsal bones. Patients with IMO often suffer from chronic pain, immobility, and renal disease, posing challenges for pain control in the perioperative setting. We present the case of a 19-year-old woman with Gorham-Stout syndrome, a subtype of IMO, who underwent a successful femoral nerve block and catheter placement under general anesthesia for palliative knee resection. This case report illustrates the safety and efficacy of regional anesthesia for postoperative pain control, emphasizing its potential benefits in this unique patient population.

A&A PracticeVol. 19(5)
Mayo Clinic (US)
Good health and well-being
Openalex Percentile: Top 84%
Shoulder Injury and Treatment
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