A Combination of Clavipectoral Fascial Plane Block and Intrahematoma Injection for Distal Clavicle Fracture Fixation: A Case Report

A&A Practice 2026

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Authors: Dhiresh Bandaru, Juan Liuzzi Stamerra, Christopher Baker, Blake Han, Peter H. Cheng
DOI: 10.1213/xaa.0000000000002130
Cited by: 0
References: 7

Abstract

The clavipectoral fascial plane block (CPB) provides regional anesthesia for clavicular procedures while minimizing complications. Although the hematoma block (HB) is well-established in distal radius fractures, its combination with CPB for clavicle fractures is not widely described. A 72-year-old man presented with a right distal clavicle fracture and elected to undergo surgical fixation. A modified CPB was performed preoperatively, with a portion of the local anesthetic injected into the fracture hematoma. The patient had excellent intraoperative and postoperative analgesia with minimal rescue opioid requirements. This case demonstrates the efficacy of combining a CPB with hematoma injection for distal clavicle fractures.

Fields of Study & Subjects

Anesthesia and Pain Management Shoulder and Clavicle Injuries Dental Anxiety and Anesthesia Techniques

Publication details

Journal / source
A&A Practice
Volume
20
Issue
1
Pages
e02130–e02130
Publication date
1 January 2026
Language
EN