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Selective Block of Nerves in the Axillary Approach to the Brachial Plexus
  1. C. J. Sparks, F.F.A.R.A.C.S.* and
  2. M. Quinn**
  1. From the Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, Australia.
  2. *Staff Specialist Anaesthetist.
  3. **Visiting Plastic Surgeon.
  1. Address correspondence to C.J. Sparks, F.F.A.R.A.C.S., Central Hospital, PO Box 349, Honiara, Solomon Islands.


Background and Objective. Optimal surgical conditions for flexor tendon tenolysis in the hand were achieved by ulnar, radial, and musculocutaneous nerve block at the axilla combined with median nerve block at the wrist.

Result. Because the median nerve function proximal to the wrist was preserved, the patient was able to flex the finger intraoperatively.

Conclusion. Palpation of nerves together with a nerve stimulator were used to localize the nerves accurately.

  • Nerve stimulator
  • flexor tendon tenolysis
  • nerve palpation.

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  • The authors acknowledge Chris Thompson, who developed the Stimlocator nerve stimulator and taught the technique of accurate neural block.