Nerve Block Gallery - Posterior Tibial Nerve Block
Caption
Posterior Tibial Nerve Block Foot and heel pain after missing a jump while skiing. XR showed calcaneal fracture. Pain not relieved by IV analgesics, posterior tibial nerve performed proximal to medial malleolus with complete resolution of pain. Nerve seen inferior to artery. Watch as fluid surrounds nerve. Use in-plane approach to avoid vasculature and avoid intraneural injection. Submitted by Dr. Miguel Agrait Gonzalez, University of Puerto Rico