Successful clavicle fracture surgery performed under selective supraclavicular nerve block using the new subclavian approach

Abstract

Objectives: Cervical nerves block cannot be performed on some patients because of the risk of phrenic nerve paralysis. To overcome this limitation, we discovered the site of selective only supraclavicular nerve block at the subclavian site.

Case report: We present the case of a 62-year-old woman with clavicular fracture. We performed a selective block of the supraclavicular nerve and the fifth and sixth cervical nerves for the clavicle fracture surgery.

Conclusions: We can perform selective supraclavicular nerve blocks for clavicular fracture surgery of patients who have bilateral pneumothorax.

Keywords: Cervical plexus nerve block; Clavicular fracture; Selective only supraclavicular nerve block.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1

Probe’s method. A probe is a white box, and the injection site is a white arrow

Fig. 2

An ultrasound image of the selective supraclavicular nerve block. An injection point is a white arrow

Fig. 3

An illustration of the supraclavicular nerve. SM sternocleidomastoid muscle, PM pectoralis major muscle, I intermediate, M medial, L lateral