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Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries

Phalanx fractures and interphalangeal joint dislocations commonly present to the emergency department. Although these orthopedic injuries are not complex, the four-point digital block used for anesthesia during the reduction can be painful. Additionally, cases requiring prolonged manipulation or con...

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Detalles Bibliográficos
Autores principales: Amini, Richard, Patricia Javedani, Parisa, Amini, Albert, Adhikari, Srikar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983335/
https://www.ncbi.nlm.nih.gov/pubmed/27555971
http://dx.doi.org/10.1155/2016/2518596
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author Amini, Richard
Patricia Javedani, Parisa
Amini, Albert
Adhikari, Srikar
author_facet Amini, Richard
Patricia Javedani, Parisa
Amini, Albert
Adhikari, Srikar
author_sort Amini, Richard
collection PubMed
description Phalanx fractures and interphalangeal joint dislocations commonly present to the emergency department. Although these orthopedic injuries are not complex, the four-point digital block used for anesthesia during the reduction can be painful. Additionally, cases requiring prolonged manipulation or consultation for adequate reduction may require repeat blockade. This case series reports four patients presenting after mechanical injuries resulting in phalanx fracture or interphalangeal joint dislocations. These patients received an ultrasound-guided peripheral nerve block of the forearm with successful subsequent reduction. To our knowledge, use of ultrasound-guided peripheral nerve blocks of the forearm for anesthesia in reduction of upper extremity digit injuries in adult patients in the emergency department setting has not been described before.
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spelling pubmed-49833352016-08-23 Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries Amini, Richard Patricia Javedani, Parisa Amini, Albert Adhikari, Srikar Case Rep Emerg Med Case Report Phalanx fractures and interphalangeal joint dislocations commonly present to the emergency department. Although these orthopedic injuries are not complex, the four-point digital block used for anesthesia during the reduction can be painful. Additionally, cases requiring prolonged manipulation or consultation for adequate reduction may require repeat blockade. This case series reports four patients presenting after mechanical injuries resulting in phalanx fracture or interphalangeal joint dislocations. These patients received an ultrasound-guided peripheral nerve block of the forearm with successful subsequent reduction. To our knowledge, use of ultrasound-guided peripheral nerve blocks of the forearm for anesthesia in reduction of upper extremity digit injuries in adult patients in the emergency department setting has not been described before. Hindawi Publishing Corporation 2016 2016-07-31 /pmc/articles/PMC4983335/ /pubmed/27555971 http://dx.doi.org/10.1155/2016/2518596 Text en Copyright © 2016 Richard Amini et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Amini, Richard
Patricia Javedani, Parisa
Amini, Albert
Adhikari, Srikar
Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title_full Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title_fullStr Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title_full_unstemmed Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title_short Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries
title_sort ultrasound-guided forearm nerve blocks: a novel application for pain control in adult patients with digit injuries
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983335/
https://www.ncbi.nlm.nih.gov/pubmed/27555971
http://dx.doi.org/10.1155/2016/2518596
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