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Case Reports
. 2019 Jan 24;11(1):e3949.
doi: 10.7759/cureus.3949.

Ultrasound-guided Mid-humeral Radial Nerve Block Provides Sufficient Surgical Anesthesia at Hand Dorsum: A Novel Method and Report of Three Cases

Affiliations
Case Reports

Ultrasound-guided Mid-humeral Radial Nerve Block Provides Sufficient Surgical Anesthesia at Hand Dorsum: A Novel Method and Report of Three Cases

Onur Balaban et al. Cureus. .

Abstract

A peripheral nerve block is a sufficient anesthesia method for hand surgeries, as it protects the patient from the complications of general anesthesia and provides postoperative analgesia. We report the first use of an ultrasound-guided mid-humeral radial nerve block in three cases of ganglion cyst excision from hand dorsum. The block provided efficient surgical anesthesia and postoperative analgesia for the excision of ganglion cysts at the hand dorsum.

Keywords: ganglion cyst; mid-humeral radial nerve block; ultrasound.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. A ganglion cyst at the hand dorsum
Arrow indicates the 2x3-centimeter-sized mass
Figure 2
Figure 2. Scanning position of the ultrasound probe and position of the needle during the mid-humeral radial nerve block
Figure 3
Figure 3. The ultrasonographic view of the radial nerve, the block needle, and local anesthetic spread around the nerve
RN: radial nerve, LA: local anesthetic; arrows indicate the needle position during local anesthetic injection
Figure 4
Figure 4. The incision performed for excision of the ganglion cyst

References

    1. Treatment of ganglion cysts. Suen M, Fung B, Lung CP. ISRN Orthop. 2013;2013:940615. - PMC - PubMed
    1. Wrist ganglion treatment: systematic review and meta-analysis. Head L, Gencarelli JR, Allen M, Boyd KU. https://www.ncbi.nlm.nih.gov/pubmed/25708437. J Hand Surg Am. 2015;40:546–553. - PubMed
    1. Ultrasound guided distal peripheral nerve block of the upper limb: a technical review. Sehmbi H, Madjdpour C, Shah UJ, Chin KJ. https://www.ncbi.nlm.nih.gov/pubmed/26330706. J Anaesthesiol Clin Pharmacol. 2015;31:296–307. - PMC - PubMed
    1. Distal peripheral nerve blockade for patients undergoing hand surgery: a pilot study. Soberon JR, Bhatt NR, Nossaman BD, Duncan SF, Patterson ME, Sisco-Wise LE. Hand (N Y) 2015;10:197–204. - PMC - PubMed
    1. Can we perform distal nerve block instead of brachial plexus nerve block under ultrasound guidance for hand surgery? Ince I, Aksoy M, Celik M. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268596/ Eurasian J Med. 2016;48:167–171. - PMC - PubMed

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