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Analgesia for Clavicular Fracture and Surgery: A Call for Evidence
  1. De Q.H. Tran, MD, FRCPC*,
  2. Worakamol Tiyaprasertkul, MD* and
  3. Andrea P. González, MD
  1. * Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Quebec, Canada; and Department of Anesthesia, Hospital de Carabineros, Santiago, Chile.
  1. Address correspondence to: De Q.H. Tran, MD, FRCPC, Department of Anesthesia, Montreal General Hospital, McGill University, 1650 Cedar Ave, D10-144, Montreal, Quebec, Canada H3G 1A4 (e-mail: de_tran{at}


Abstract The sensory innervation of the clavicle remains controversial. The supraclavicular, subclavian, and long thoracic/suprascapular nerves, alone or together, may be responsible for pain transmission after clavicular fracture and surgery. Peripheral nerve blocks used to anesthetize the clavicle include superficial cervical plexus blocks, interscalene blocks, and combined superficial cervical plexus-interscalene blocks. Future (randomized) trials are required to determine which constitutes the best option for emergency department (fracture) and operating room (surgical fixation) settings.

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  • The authors declare no conflict of interest.

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