Dual Brachial Plexus Block for Distal Biceps Repair: A Case Report
Hannah R Popper1, Joseph Massaglia1, Armen Voskeridjian2
1Orthopaedic Surgery, Jefferson Health New Jersey, Philadelphia, USA.
Cureus
|November 10, 2025
Summary
This study explores using dual brachial plexus nerve blocks for distal biceps repair in an obese patient, offering an alternative to general anesthesia. The dual block provided effective anesthesia and muscle relaxation for successful surgical repair.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Regional Anesthesia
Background:
- Distal biceps repair is a common orthopedic procedure.
- Obesity presents challenges for anesthesia management, increasing risks with general anesthesia.
- Dual brachial plexus blocks are established for shoulder surgery but less so for distal humerus/elbow procedures.
Keywords:
brachial plexus blockdistal biceps repairorthopedic hand surgeryorthopedic surgeryregional anesthesiaupper extremity

