超声引导下屈肌腱鞘（FTS）阻滞用于急诊科手指镇痛：1例报告。

IF 2.2 3区医学 Q1 EMERGENCY MEDICINE

American Journal of Emergency Medicine Pub Date : 2025-10-01 DOI:10.1016/j.ajem.2025.06.019

Andreea Popa MD , Alexis Camargo DO , Anthony Catapano DO , Veronica Abello DO , Robert A. Farrow II DO, MS

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引用次数: 0

摘要

一名26岁男性，因其第四指穿透性损伤，需要镇痛以取出挤压的金属异物。在超声（US）引导下，在手掌远端皱褶附近的掌面表面采用面外入路进行屈肌腱鞘（FTS）阻滞，面内纵向确认针头放置。通过FTS周围麻醉剂的“马蹄形”外观来验证麻醉剂的放置。病人在局部麻醉后5分钟内完全镇痛。本病例强调了us引导FTS阻滞作为急诊指麻的可行替代方案的有效性和可行性。

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Ultrasound-guided flexor tendon sheath (FTS) block for digital analgesia in the emergency department: A case report

A 26-year-old male presented to the emergency department (ED) with a penetrating injury to his fourth digit requiring analgesia for removal of an extruding metal foreign body. An ultrasound (US)-guided flexor tendon sheath (FTS) block was performed on the volar surface of the hand near the distal palmar crease using an out-of-plane approach with in-plane longitudinal confirmation of needle placement. Anesthetic placement was verified by a “horseshoe” appearance of the anesthetic surrounding the FTS. The patient achieved complete analgesia within five-minutes following the administration of the local anesthetic. This case highlights the efficacy and feasibility of US-guided FTS blocks as a viable alternative for digital anesthesia in the emergency setting.

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来源期刊

American Journal of Emergency Medicine 医学-急救医学

CiteScore

6.00

自引率

5.60%

发文量

730

审稿时长

42 days

期刊介绍： A distinctive blend of practicality and scholarliness makes the American Journal of Emergency Medicine a key source for information on emergency medical care. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Issues contain clinical articles, case reports, review articles, editorials, international notes, book reviews and more.