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: Hematoma Block Digital Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Pelvis and Lower Extremity Reduction 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: Hematoma Block Digital Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Pelvis and Lower Extremity Reduction 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
