Related Experiment Video
Updated: Dec 31, 2025
Block Building Task Identifies Distinct Groups of Left/Right-hand Choice Patterns After Unilateral Peripheral Nerve Injury
Published on: March 21, 2025
[Distal hand block]
Mohammad Tezval1, Christopher Spering2
1Klinik für Unfallchirurgie, Sporttraumatologie und Handchirurgie, Klinikum Vest, Dorstener Str. 151, 45657, Recklinghausen, Deutschland. mohammad.tezval@klinikum-vest.de.
Objective:
Peripheral nerve blocks in hand surgery.
Indications:
Short operations on the hand.
Contraindications:
Long operations, polyneuropathy, local anesthesia allergy.
Technique:
Identification of landmarks, skin disinfection, local anesthesia injection, surgery.
Postoperative Management:
Postoperative monitoring.
Results:
We performed 75 hand surgeries using distal nerve blocks over 3 years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation area of the radial nerve and about 5% (n = 4) to the innervation area of the ulnar nerve. In 7% (n = 5) of cases, anesthesia of two neighboring innervation areas was necessary. The distal nerve block provides a reliable form of anesthesia in hand surgery with low complication rates.
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