Chapter 7 Intra-articular Ankle Block Overview When performing an intra-articular ankle block, an anterolateral approach is preferred. Indications for use The intra-articular ankle block is used for ankle fracture reduction. Precautions 1. Use of the lateral malleolus as a landmark helps prevent damage to the dorsal cutaneous nerve. 2. In patients with significant swelling, tendinous structures are difficult to palpate. Pearls 1. A topical anesthetic with ethyl chloride may be used to reduce patient discomfort. 2. Positioning the ankle in slight plantarflexion provides easier access to the joint. Equipment 1. Antiseptic: Chlorhexidine prep stick 2. Syringe: 10-mL syringe 3. Anesthetic: a. Lidocaine: 5 mL of 2% b. Bupivacaine: 5 mL of 0.5% Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Digital Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Lower Extremity Splints and Casts Upper Extremity Splints and Casts Stay updated, free articles. Join our Telegram channel Join Tags: Handbook of Splinting and Casting Mobile Medicine Series Aug 24, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on Intra-articular Ankle Block Full access? Get Clinical Tree
Chapter 7 Intra-articular Ankle Block Overview When performing an intra-articular ankle block, an anterolateral approach is preferred. Indications for use The intra-articular ankle block is used for ankle fracture reduction. Precautions 1. Use of the lateral malleolus as a landmark helps prevent damage to the dorsal cutaneous nerve. 2. In patients with significant swelling, tendinous structures are difficult to palpate. Pearls 1. A topical anesthetic with ethyl chloride may be used to reduce patient discomfort. 2. Positioning the ankle in slight plantarflexion provides easier access to the joint. Equipment 1. Antiseptic: Chlorhexidine prep stick 2. Syringe: 10-mL syringe 3. Anesthetic: a. Lidocaine: 5 mL of 2% b. Bupivacaine: 5 mL of 0.5% Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Digital Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Lower Extremity Splints and Casts Upper Extremity Splints and Casts Stay updated, free articles. Join our Telegram channel Join Tags: Handbook of Splinting and Casting Mobile Medicine Series Aug 24, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on Intra-articular Ankle Block Full access? Get Clinical Tree
