Ultrasound Guided Superficial Cervical Plexus and Superior Trunk Interscalene Block as Sole Anaesthetic Technique for Acromioclavicular Joint Fixation Surgery

Abstract

Treating pain that patient experiences from repair of distal clavicle fracture can be a challenge for the anaesthesiolgists. The primary technique employed in the management of distal clavicular surgeries is by incorporating the use of interscalene block. One important factor that reduces the overall effectiveness of the interscalene block is the inability to cover area incised for the surgery due to the dual innervation in this region. While in contrast the use of cervical plexus block for clavicular pain is relatively new, studies have shown that the combination of superficial cervical plexus and selective C5 nerve root blockade under USG is a novel approach to alleviate the pain associated with distal clavicular fracture repair. In this case report, authors describe the use of combination of Ultrasound guided superficial cervical plexus plus superior trunk interscalene block as sole anaesthetic technique in management of right Acromial-clavicular disruption.

Keywords

• brachial plexus
• clavicular surgeries
• regional anaesthesia