COMPARISON OF TRANSTHECAL (PULLEY) DIGITAL BLOCK AND TRADITIONAL DIGITAL BLOCK FOR ANESTHESIA OF THE FINGER

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DEHGHANI MOHAMMAD; MAHMOUDIAN ARSALAN; ZAREZADEH A.A.GH.

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Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2006 | Volume:4 | Issue:3 (15) Page(s): 22-26

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Title

COMPARISON OF TRANSTHECAL (PULLEY) DIGITAL BLOCK AND TRADITIONAL DIGITAL BLOCK FOR ANESTHESIA OF THE FINGER

Author(s)

DEHGHANI MOHAMMAD | MAHMOUDIAN ARSALAN | ZAREZADEH A.A.GH. | Issue Writer Certificate

Keywords

NERVE BLOCKQ3

LOCAL ANESTHESIAQ3

FINGERSQ2

Abstract

Introduction: Finger injuries are very common and the majority can be treated under digital block anesthesia. Traditional digital block is one of the most commonly blocks performed by care providers in several medical fields. There is another less known method, Transthecal (Pulley) block, in which LOCAL ANESTHESIA is injected into the flexor tendon sheat. This manuscript compares the effectiveness of these two techniques.Methods: A prospective randomized clinical trial was performed comparing Transthecal pulley block with digital block anesthesia in terms of length of achieved anesthesia and possible need for supplemental anesthesia. 100 consecutive patients who required surgery for their finger injuries randomly received Traditional digital block or Transthecal pulley block. The achieved finger anesthesia was assessed in terms of time and need for additional medication.Results: The mean achieved anesthesia was 34.2 minutes in Transthecal and 33.8 minutes in digital blocks. A repeat infiltration of LOCAL ANESTHESIA became necessary in 5 instances in the Traditional digital block and none in Transthecal technique.Conclusions: Because of fewer needs for repeat for repeat local anesthetic injection, and lesser risk of neurovascular bundle damage, Transthecal block is suggested as a more suitable local for finger surgery.

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APA: Copy

DEHGHANI, MOHAMMAD, MAHMOUDIAN, ARSALAN, & ZAREZADEH, A.A.GH.. (2006). COMPARISON OF TRANSTHECAL (PULLEY) DIGITAL BLOCK AND TRADITIONAL DIGITAL BLOCK FOR ANESTHESIA OF THE FINGER. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 4(3 (15)), 22-26. SID. https://sid.ir/paper/85324/en

Vancouver: Copy

DEHGHANI MOHAMMAD, MAHMOUDIAN ARSALAN, ZAREZADEH A.A.GH.. COMPARISON OF TRANSTHECAL (PULLEY) DIGITAL BLOCK AND TRADITIONAL DIGITAL BLOCK FOR ANESTHESIA OF THE FINGER. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2006;4(3 (15)):22-26. Available from: https://sid.ir/paper/85324/en

IEEE: Copy

MOHAMMAD DEHGHANI, ARSALAN MAHMOUDIAN, and A.A.GH. ZAREZADEH, “COMPARISON OF TRANSTHECAL (PULLEY) DIGITAL BLOCK AND TRADITIONAL DIGITAL BLOCK FOR ANESTHESIA OF THE FINGER,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 4, no. 3 (15), pp. 22–26, 2006, [Online]. Available: https://sid.ir/paper/85324/en

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