Use of clavipectoral fascia plane block for clavicle fracture repair - Case series

Abstract

The clavipectoral fascia block is a novel regional technique used for the surgical repair of the midshaft clavicle fracture. The effectiveness of this approach is thought to be based on the spreading the local anaesthetic through the clavipectoral fascia. This case report discusses 8 patients with midshaft or distal clavicular fractures who underwent a clavipectoral fascia block combined with a superficial cervical plexus block. Only one patient reported pain in the recovery room, three patients presented mild pain during the first 24 hours and only one required rescue analgesia with a weak opioid. No incidents or adverse events were documented during the first 24 hours and no motor blockage of the arm was reported. The clavipectoral fascia block is a safe, effective, and straightforward regional technique for analgesic management in clavicle repair. However, further research is needed to assess its efficacy.