Ultrasound-guided interscalene-supraclavicular block for an intramedullary nailing of a pathologic humeral fracture: practical application of ultrasound-guided regional anesthesia.


Journal Article

Fractures of the proximal upper extremity present a challenge to the anesthesia provider when administering a regional anesthetic because the dermatomal distribution of the upper extremity requires more local anesthetic coverage than any single brachial plexus nerve block can provide. A 60-year-old woman underwent intramedullary nailing of a pathologic humeral fracture using a combination of regional and general anesthesia. This case study shows how ultrasound guidance permitted the performance of both an interscalene and supraclavicular nerve block for a single procedure without the increased volume of local anesthetic that would normally be required, while still providing complete coverage of the entire upper extremity.

Full Text

Duke Authors

Cited Authors

  • Falyar, CR; Grossman, EC

Published Date

  • June 2014

Published In

Volume / Issue

  • 82 / 3

Start / End Page

  • 219 - 222

PubMed ID

  • 25109160

Pubmed Central ID

  • 25109160

Electronic International Standard Serial Number (EISSN)

  • 2162-5239

International Standard Serial Number (ISSN)

  • 0094-6354


  • eng