Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Single injection digital block: comparison between three techniques.

J P Brutus1, Y Baeten, N Chahidi

  • 1Centre de chirurgie de la main et de microchirurgie, clinique du Parc Léopold, 38, rue Froissart, 1040 Brussels, Belgium. jpbrutus@hotmail.com

Chirurgie De La Main
|July 16, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Gracilis muscle flap for reconstruction of extensive soft tissue damage to the palm.

Acta orthopaedica Belgica·2024
Same author

Posterior ciliary arterial system occlusion after treatment for epistaxis.

Journal francais d'ophtalmologie·2023
Same author

Metacarpophalangeal hyperextension in thumb basal joint osteoarthritis: Radiological study and implications for treatment.

Hand surgery & rehabilitation·2022
Same author

Maïa<sup>®</sup> trapeziometacarpal joint arthroplasty: Survival and clinical outcomes at 5 years' follow-up.

Hand surgery & rehabilitation·2019
Same author

M1/M2 ratio for radiological follow-up of trapeziometacarpal surgery.

Hand surgery & rehabilitation·2017
Same author

Spontaneous flexor tendon rupture secondary to capitate non-union. A case report and review of literature.

Hand surgery & rehabilitation·2016
Same journal

[Hand surgery has lost one of its pioneers, the French Society for Hand Surgery a friend].

Chirurgie de la main·2016
Same journal

[A new title and a new cover for our journal].

Chirurgie de la main·2015
Same journal

Arthroscopic interposition in thumb carpometacarpal osteoarthritis: A series of 26 cases.

Chirurgie de la main·2015
Same journal

Intraneural hemangioma: A rare cause of intermittent carpal tunnel syndrome.

Chirurgie de la main·2015
Same journal

Brachial plexus endoscopic dissection and correlation with open dissection.

Chirurgie de la main·2015
Same journal

Is ORIF actually better than the indirect fixation for treating intra-articular fractures of the base of the thumb metacarpal?

Chirurgie de la main·2015
See all related articles

The subcutaneous single injection digital block is a safe and effective alternative to traditional ring blocks for finger anesthesia. It provides good anesthesia for most finger surgeries, with a combined technique offering the highest success rate.

Area of Science:

  • Anesthesiology
  • Hand Surgery
  • Regional Anesthesia

Background:

  • Traditional ring blocks for single-finger anesthesia require multiple painful injections.
  • Single-injection techniques offer a less painful alternative.
  • Comparing these techniques aids in selecting optimal methods for health professionals.

Purpose of the Study:

  • To compare the patient tolerance, anesthetic distribution, and efficiency of three digital block techniques.
  • To evaluate the modified transthecal digital block, subcutaneous digital block, and a combined approach.
  • To identify the most suitable single-injection technique for finger anesthesia.

Main Methods:

  • Prospective randomized study involving 30 digits across three groups.
  • Blocks performed by a single investigator.

Related Experiment Videos

  • Pain assessed using a visual analog scale; anesthesia evaluated by prick-testing.

    • Main Results:

    • All techniques enabled surgery without additional injections in most cases (25/30).
    • The dorsum of the proximal phalanx showed unpredictable anesthesia coverage.
    • The combined technique demonstrated the highest rate of complete digital block.

    Conclusions:

    • The least invasive, equally effective technique is recommended.
    • The subcutaneous single injection digital block is safe, efficient, and easy to perform for volar and distal/middle dorsal aspects.
    • Supplementary dorsal blocks are advised for dorsal proximal phalanx surgery.