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Figures

Fig. 1

Anterior posterior portable radiograph demonstrating a nondisplaced humeral head fracture.

Fig. 2

Ultrasound image demonstrating a humeral head fracture. Thin arrows indicating the humeral cortex and thick arrow indicating a break in cortex. low asteriskAdjacent hematoma.

Fig. 3

A, Photograph of appropriate patient, curvilinear probe, and needle positioning for ultrasound-guided humeral hematoma block.

B, Ultrasound image demonstrating ultrasound-guided hematoma block of a humeral head fracture. low asteriskHematoma. low asterisklow asteriskLocal infiltration of anesthetic.

Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.

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Conflicts: The authors declared no potential conflicts of interest and no financial support with respect to the research, authorship, and/or publication of this article.

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