A novel ankle compartment block: A “two-for-one” block

The deep posterior compartment of the calf is divided into independent osteofibrous tunnels: one for the tibial tendon, one for the neurovascular bundle, and one for the flexor hallucis longus [4]. [...]these osteofibrous divisions limit the diffusion of the local anesthetic and could explain the in...

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Published inJournal of clinical anesthesia Vol. 80; p. 110799
Main Authors Fernández-Gibello, Alejandro, Camunas, Gabriel, Yamak Altinpulluk, Ece, Oliver-Fornies, Pablo, Fajardo Perez, Mario
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2022
Elsevier Limited
Subjects
Anesthesia
Ankle
Foot diseases
Local anesthesia
Pain Medicine
Surgery
Ultrasonic imaging
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Summary:The deep posterior compartment of the calf is divided into independent osteofibrous tunnels: one for the tibial tendon, one for the neurovascular bundle, and one for the flexor hallucis longus [4]. [...]these osteofibrous divisions limit the diffusion of the local anesthetic and could explain the incidence of failed blocks. [...]the retinaculum is perforated to enter the compartment of the neurovascular bundle (third target point). [...]this technique can be more difficult than usual in morbidly obese patients or subjects unable to remain in the prone position.
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ISSN:0952-8180
1873-4529
1873-4529
DOI:10.1016/j.jclinane.2022.110799