Distal Radius Fractures - Colles' Fracture
/Which blocks have worked or failed when trying to perform a reduction? Supraclavicular brachial plexus vs Raptir vs Supracondylar radial nerve block?
I have had 2 colleagues tell me that the supraclavicular brachial plexus did not allow for pain control over the radius and ulna (separate cases). We published a case report (that was repeated in a case series by another institution) that the supracondylar approach to the radial nerve block was effective. I have had failures with this technique later. We have found impressive success with the Raptor for distal radius fractures, but think that this is a tough block on large patients and can be a bit difficult in the more novice clinician. Thoughts?
Supraclavicular Brachial Plexus block that was successful for a distal radius fracture