[Oberst's block anesthesia].

[Oberst's block anesthesia].
Oper Orthop Traumatol. 2019 Oct 24;:
Authors: Saul D, Roch J, Lehmann W, Dresing K
Abstract
OBJECTIVE: Complete anesthesia of the phalanges of the fingers and toes.
INDICATIONS: All lesions distal to the metacarpophalangeal/metatarsophalangeal joint.
CONTRAINDICATIONS: Local infections at the injection site. Lesions proximal to the metacarpophalangeal/metatarsophalangeal joint.
TECHNIQUE: A subcutaneous deposit of a 0.5-2% local anesthetic is administered dorsoradially and dorsoulnarly at the base of the metacarpophalangeal/metatarsophalangeal joint. With the cannula advanced to palmar, an additional 0.5-1.5 ml is then administered to achieve complete anesthesia.
POSTOPERATIVE MANAGEMENT: The effect of the local anesthesia is self-limiting.
RESULTS: The Oberst block results in reliable anesthesia of the finger and toe. All surgical procedures distal to the metacarpophalangeal/metatarsophalangeal joint can be performed without pain.
PMID: 31650198 [PubMed - as supplied by publisher]

Source: Operative Orthopadie und Traumatologie - October 23, 2019 Category: Orthopaedics Authors: Saul D, Roch J, Lehmann W, Dresing K Tags: Oper Orthop Traumatol Source Type: research