Nerve Block Gallery - Fascia Iliaca Block for Intertrochanteric Femur Fracture
Caption
A teenaged male patient presented with hip pain and inability to ambulate after a fall off of an electric scooter. XRs demonstrated an intertrochanteric femur fracture, and CT ruled out other involvement of the pelvis or femoral head. To provide analgesia, a fascia iliaca block was performed. Shown here, the needle enters from the lateral aspect, lateral to the femoral nerve, artery, and vein which are seen at the top right of the image. Anesthetic is spread along the fascial plane shown (*). This patient had improved pain and was able to be admitted to the floor for surgery the next day. Dr. Lee Johnson, PGY2 Denver Health Residency in Emergency Medicine