Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Continuous ulnar nerve block at the forearm for early active mobilisation following flexor tendon reconstruction

Continuous ulnar nerve block at the forearm for early active mobilisation following flexor tendon... A 63‐year‐old woman had sustained a subcutaneous rupture of the flexor digitorum profundus tendon of the little finger due to osteoarthritis of the pisotriquetral joint. She underwent excision of the pisiform bone and reconstruction of the flexor digitorum profundus tendon of the little finger using an autogenous palmaris longus tendon graft. After surgery, a continuous ulnar nerve block was performed at the forearm under ultrasound and nerve stimulator guidance. During rehabilitation, she could not actively extend her little finger independently due to the block; however, she could actively extend it when the dorsum of the metacarpophalangeal joint was pressed by the occupational therapist, resulting in successful early active mobilisation. A continuous ulnar nerve block at the forearm may help to facilitate early active mobilisation after reconstructive surgery for little finger flexor tendon rupture. However, it may restrict the active extension of the little finger because the block does not spare the innervation of the intrinsic muscles responsible for little finger extension. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Reports Wiley

Continuous ulnar nerve block at the forearm for early active mobilisation following flexor tendon reconstruction

Download PDF
4 pages

Loading next page...
 
/lp/wiley/continuous-ulnar-nerve-block-at-the-forearm-for-early-active-TIVfxFrIB2
Publisher
Wiley
Copyright
2022 © Association of Anaesthetists
eISSN
2637-3726
DOI
10.1002/anr3.12180
Publisher site
See Article on Publisher Site

Abstract

A 63‐year‐old woman had sustained a subcutaneous rupture of the flexor digitorum profundus tendon of the little finger due to osteoarthritis of the pisotriquetral joint. She underwent excision of the pisiform bone and reconstruction of the flexor digitorum profundus tendon of the little finger using an autogenous palmaris longus tendon graft. After surgery, a continuous ulnar nerve block was performed at the forearm under ultrasound and nerve stimulator guidance. During rehabilitation, she could not actively extend her little finger independently due to the block; however, she could actively extend it when the dorsum of the metacarpophalangeal joint was pressed by the occupational therapist, resulting in successful early active mobilisation. A continuous ulnar nerve block at the forearm may help to facilitate early active mobilisation after reconstructive surgery for little finger flexor tendon rupture. However, it may restrict the active extension of the little finger because the block does not spare the innervation of the intrinsic muscles responsible for little finger extension.

Journal

Anaesthesia Reports – Wiley

Published: Jul 1, 2022

Keywords: peripheral nerves: sensory vs. motor; upper extremity nerve blocks: indications; upper extremity: regional management

References

  • The effectiveness of early mobilization after tendon transfers in the hand: a systematic review
    Sultana, SS; MacDermid, JC; Grewal, R; Rath, S
  • Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta‐analysis of randomized controlled trials
    Paul, JE; Arya, A; Hurlburt, L
  • Ultrasound‐guided ulnar nerve catheter placement in the forearm for postoperative pain relief and physiotherapy
    Lurf, M; Leixnering, M
  • Continuous peripheral nerve blocks for early active mobilization after hand surgery: four case reports
    Otsuka, T; Okamoto, H; Mizutani, J; Goto, H; Sekiya, I
  • Ulnar nerve anatomy
    Polatsch, DB; Melone, CP; Beldner, S; Incorvaia, A
  • Finger flexor motor control patterns during active flexion: an in vivo tendon force study
    Nikanjam, M; Kursa, K; Lehman, S; Lattanza, L; Diao, E; Rempel, D
  • Alternative site for median nerve blockade allowing early functional rehabilitation after hand surgery
    Watanabe, T; Watanabe, I; Koizumi, M; Petrenko, AB; Baba, H
  • Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery
    Capdevila, X; Barthelet, Y; Biboulet, P; Ryckwaert, Y; Rubenovitch, J; d'Athis, F
  • Zone‐II flexor tendon repair: a randomized prospective trial of active place‐and‐hold therapy compared with passive motion therapy
    Trumble, TE; Vedder, NB; Seiler, JG; Hanel, DP; Diao, E; Pettrone, S