Regional anesthesia for pectoralis major tendon repair
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To the Editor,
Regional anesthesia is used commonly as a sole means for surgical anesthesia and is also used widely for postoperative analgesia. Occasionally, however, regional anesthesia is used to inhibit motor function following surgery. For a recent case of pectoral tendon repair, our surgical colleagues requested brief motor and prolonged sensory anesthesia in the repaired area to prevent any inadvertent damage from movement immediately following surgery and to manage pain. There is a shortage of literature describing regional anesthesia techniques that address both the overlying cutaneous innervation and the motor innervation of the pectoralis muscle for pectoral tendon repair surgery. Here, with the patient’s consent, we present a case of pectoralis major repair in which a regional technique was used for successful management of motor function to reduce the risk of rupture of a freshly repaired tendon due to excessive movement during emergence.
A 52-yr-old male presented with a...
KeywordsBrachial Plexus Motor Block Tendon Repair Interscalene Block Pectoral Nerve
The authors thank Jenkin Tsui (Department of Anesthesiology and Pain Medicine, University of Alberta) for granting permission to use the original illustration. Dr. Tsui is supported by a Clinical Scholar Award from the Alberta Heritage Foundation for Medical Research (AHFMR). Dr Tsui’s research is supported by the Canadian Anesthesia Research Foundation.
Conflict of interest
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