PDF(Pubmed)
Abstract：
Ultrasound-guided clavipectoral fascial plane block (CPB) and intermediate cervical plexus block (ICPB) have been used as novel approaches for clavicular fracture surgery in adults. However, there are few reports of ultrasound-guided CPB combined with ICPB for clavicular surgery in children under 18 years of age. A 16-year-old male baseball player (weight, 57 kg; height, 160 cm) was scheduled to undergo open reduction and internal fixation with superior plate placement for a left-sided displaced midshaft clavicular fracture. We performed ultrasound-guided CPB using 0.25% ropivacaine (10 mL each) on the medial and lateral sides of the clavicle fracture between the periosteum of the clavicle and the clavipectoral fascia and ICPB using 0.25% ropivacaine (5 mL) under general anesthesia. The surgery proceeded smoothly, and the postoperative pain was minimal. In this case, ultrasound-guided CPB combined with ICPB was used effectively and safely to treat clavicular fractures in an adolescent athlete.
摘要：
超声引导下的胸肌筋膜平面阻滞（CPB）和中间颈丛阻滞（ICPB）已被用作成人锁骨骨折手术的新方法。然而,超声引导下CPB联合ICPB用于18岁以下儿童锁骨手术的报道很少.一名16岁的男性棒球运动员(体重，57kg;高度,160cm）计划进行切开复位和内固定，并进行上钢板放置，以治疗左侧移位的锁骨中段骨折。我们在全身麻醉下，使用0.25％罗哌卡因（5mL）在锁骨骨膜和胸肌筋膜之间的锁骨骨折的内侧和外侧使用0.25％罗哌卡因（各10mL）和ICPB进行超声引导下的CPB。手术进展顺利,术后疼痛轻微。在这种情况下,超声引导下CPB联合ICPB可安全有效地治疗青少年运动员锁骨骨折.
