Nerve Block Gallery - Median Nerve Block
Caption
30s M presented with a unintentional laceration to the middle finger nailbed while preparing food with a knife. To provide pain control and facilitate nailbed removal and repair, a median nerve block was performed. The block is shown here, first with a survey scan of the distal volar forearm showing the median nerve (*) deep to the flexor digitorum superficialis muscle bellies and superficial to the flexor digitorum profudus muscle bellies. The nerve was anesthetized using an in-plane approach, with the needle depositing anesthetic in the fascial plane adjacent to the median nerve. The patient had improvement in his pain. He ultimately declined nailbed repair but had good pain control and was discharged with outpatient orthopedic follow up. Dr. Nimish Bhatt, Ultrasound Fellow Denver Health Ultrasound Fellowship