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FIGURE 67.7
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Sites of local anesthetic injection for various hand fractures. Local anesthetic should first be delivered proximally to perform regional block of sensory nerves that innervate entire region of surgical trauma Injection sites and region of anesthesia are illustrated for phalangeal fractures (red triangles), first metacarpal base fractures (blue circles), and fifth metacarpal fractures (yellow squares).

出典

img 1:  From Hyatt BT, Rhee PC: Wide-awake surgical management of hand fractures: technical pearls and advanced rehabilitation, Plast Reconstr Surg 143:800-810, 2019.