Motor-Sparing Nerve Blocks Can Improve the Results of Digit Tendon Surgery: A Case Report
- PMID: 35171841
- DOI: 10.1213/XAA.0000000000001567
Motor-Sparing Nerve Blocks Can Improve the Results of Digit Tendon Surgery: A Case Report
Abstract
A 56-year-old woman presented with flexion dysfunction of the fifth digit 6 weeks after surgical repair of a flexor digitorum profundus laceration. She was scheduled for surgical adhesiolysis and restoration of the functionality of the finger. Intraoperative monitoring of the range of motion by active flexion was deemed important to prevent incomplete release of the tendon and residual dysfunction. Distal median and ulnar nerve blocks were used for anesthesia with the patient's ability to flex the finger. This case suggests that motor-sparing peripheral nerve blocks can improve functional outcome in certain hand surgeries.
Copyright © 2022 International Anesthesia Research Society.
Conflict of interest statement
Conflicts of Interest: See Disclosures at the end of the article.
References
-
- Yang G, McGlinn EP, Chung KC. Management of the stiff finger: evidence and outcomes. Clin Plast Surg. 2014;41:501–512.
-
- Neal JM, Gerancher JC, Hebl JR, et al. Upper extremity regional anesthesia: essentials of our current understanding, 2008 [published correction appears in Reg Anesth Pain Med . 2010;35:407]. Reg Anesth Pain Med. 2009;34:134–170.
-
- Moayeri N, Bigeleisen PE, Groen GJ. Quantitative architecture of the brachial plexus and surrounding compartments, and their possible significance for plexus blocks. Anesthesiology. 2008;108:299–304.
-
- Hadzic A ed. Hadzic’s Textbook of Regional Anesthesia and Acute Pain Management, 2e. McGraw-Hill; 2017.
-
- NYSORA. NYSORA Learning System. Wrist block. Accessed June 25, 2021. https://nysoralms.com .
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