A Combination of Clavipectoral Fascial Plane Block and Intrahematoma Injection for Distal Clavicle Fracture Fixation:...

The clavipectoral fascial plane block (CPB) provides regional anesthesia for clavicular procedures while minimizing complications. Although the hematoma block (HB) is well-established in distal radius fractures, its combination with CPB for clavicle fractures is not widely described. A 72-year-old man presented with a right distal clavicle fracture and elected to undergo surgical fixation. A modified CPB was performed preoperatively, with a portion of the local anesthetic injected into the fracture hematoma. The patient had excellent intraoperative and postoperative analgesia with minimal rescue opioid requirements. This case demonstrates the efficacy of combining a CPB with hematoma injection for distal clavicle fractures.