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Papers of the Week

2020 Jun

A A Pract



Continuous Paravertebral Nerve Block for Scapula Fracture Analgesia: A Case Report.


Curran BP, Phillips CR, Swisher MW, Finneran JJ
A A Pract. 2020 Jun; 14(8):e01245.
PMID: 32643910.


A 46-year-old man presented with severe refractory posterior shoulder pain due to a left scapular fracture sustained during a motor vehicle collision. Despite multimodal oral and intravenous analgesics, the patient's pain remained difficult to control. A continuous paravertebral nerve block was performed between the second and third thoracic vertebrae resulting in excellent analgesia of the scapular pain. This case suggests that a continuous thoracic paravertebral block placed between the second and third vertebrae may be considered as part of multimodal analgesia in patients with scapular fractures.