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Wheeless' Textbook of Orthopaedics

Radial Nerve Block




- See: Radial Nerve:

- Discussion:
    - superficial or sensory branch passes downward emerging dorsally from
          beneath Brachioradialis   tendon about 5 cm proximal to radial
          styloid; they lies just deep to the superficial veins;
    - just proximal to the wrist, several branches fan out to provides sensory
          innervation to dorsal radial aspect of hand;
    - superficial branch innervates the dorsal aspect of the first web space
          & hand as far as the middle of the ring finger and as far distally as the
          proximal interphalangeal joint;

- Nerve Block:
    - superficial branch of the radial nerve is blocked three fingerbreaths
        above the radial styloid;
    - transverse wheal will be raised subcutaneously over a radial side
        of the distal forearm;
    - starting at dorso-radial aspect of wrist, continuous subQ track of
          anesthetic is laid down in order to block all sensory branches;
    - approximately 10 ml of anesthetic is required, and upto 5-10 min are
          necessary for this block to work;




Original Text by Clifford R. Wheeless, III, MD.