Clavicle Fractures Overview 1. Most clavicle fractures require no reduction. 2. Closed reductions cannot be maintained and should not be attempted. Indications for Use 1. Minimally displaced clavicle shaft fractures ( Fig. 9.1 ) 2. Medial physeal clavicle fractures Precautions…
The Three-Point Principle 1. Diaphyseal fractures ( Fig. 8.1 A ): a. The primary reductive force should be applied against the apex of the fracture. b. Counterforce applied in the opposite direction both proximal and distal to the apex stabilizes…
When performing an intraarticular ankle block, an anterolateral approach is preferred. Indications for Use An intraarticular ankle block is used for ankle fracture reduction. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles…
Overview 1. The following five nerves are involved in an ankle block: posterior tibial, superficial peroneal, deep peroneal, saphenous, and sural. 2. The posterior tibial and deep peroneal nerves are deep to the fascia, whereas the remainder of the nerves…
Overview 1. Two techniques can be used to perform a digital block: a. Tendon sheath injection b. Web space injection 2. The web space injection technique is more painful but provides a complete digital block more reliably. Indications for Use…
Overview The following three nerves are involved in a wrist block: radial, median, and ulnar. 1. The ulnar nerve has a dorsal sensory branch that arises 5 cm proximal to the wrist crease. 2. Two techniques can be used to block…
Overview The following five nerves are involved in an elbow block: radial, median, ulnar, medial antebrachial cutaneous, and lateral antebrachial cutaneous. 1. The radial and lateral antebrachial cutaneous nerves are typically blocked at the same time because of their proximity…
Overview 1. A hematoma block may be performed anywhere an acute fracture is present. 2. Typically, hematoma blocks are performed in regions where it is impractical to perform selective nerve blocks or regional blocks. 3. Hematoma blocks function on the…
Overview Review of Local Anesthetics 1. The two most commonly used local anesthetics are lidocaine (Xylocaine) and bupivacaine (Marcaine, Sensorcaine) ( Table 1.1 ). a. Recent studies have suggested that bupivacaine may be toxic to chondrocytes. b. Ropivacaine (Naropin) has…