• J Emerg Med · Feb 2025

    Case Reports

    Ultrasound-Guided Clavipectoral Plane Block for Analgesia of Acute Clavicular Fracture in the Emergency Department.

    • Richard J Gawel and Jeffrey A Kramer.
    • Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: gawric6@gmail.com.
    • J Emerg Med. 2025 Feb 1; 69: 545754-57.

    BackgroundClavicle fractures are commonly encountered in the emergency department and require effective analgesia to facilitate appropriate management and disposition.Case ReportWe present the case of a 52-year-old man who presented with an acute, mildly displaced midshaft fracture of his right clavicle. After minimal improvement in pain from oral and topical analgesics, he underwent an ultrasound-guided clavipectoral plane block which completely relieved his pain. He did not require additional analgesics for 36 hours after the block. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: The ultrasound-guided CPB may be a safe and effective analgesic strategy for uncomplicated clavicle fractures in the ED.Copyright © 2024 Elsevier Inc. All rights reserved.

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