Lower Extremity Blocks

Lower Extremity Blocks

Lower Extremity Blocks

Lower Extremity Blocks

​Lateral Femoral Cutaneous Nerve

​Femoral Nerve

​Obturator Nerve

Sacral Plexus

​Sciatic Nerve

​Tibial Nerve

​Common Peroneal Nerve

Match

Identify the corresponding nerve roots for each structure

• Lumbar Plexus

• Sacral Plexus

• Femoral Nerve

• Lateral Femoral Cutaneous Nerve

• Obturator Nerve

L1-L4

L4-S4

L2-L4 (posterior divisions)

L2-L3 (posterior divisions)

L2-L4 (anterior divisions)

• L1-L4

• L4-S4

• L2-L4 (posterior divisions)

• L2-L3 (posterior divisions)

• L2-L4 (anterior divisions)

Match

Match each cutaneous innervation with the corresponding letter in the image

• Lateral Femoral Cutaneous

• Obturator

• Saphenous

• Superficial Peroneal

A

B

C

D

• A

• B

• C

• D

Dermatomes

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Lower Extremity Innervation

Skin Innervation

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Lower Extremity Innervation

Skin Innervation

​

Lower Extremity Innervation

Myotomes

​

Lower Extremity Innervation

​Osteotomes

Categorize

Options (8)

Lateral Femoral Cutaneous

Sural

Femoral

Superficial Peroneal

Obturator

Posterior Tibial

Deep Peroneal

Saphenous

Sort each into the correct pile

Sensory Only

Sensory-Motor Combined

Drag and Drop

How do you assess motor function for the SCIATIC nerve?​ ​

Placeholder

​

Placeholder

Drag these tiles and drop them in the correct blank above

hip extension

knee flexion

ankle rotation

hip flexion

shoulder abduction

knee extension

Drag and Drop

How do you assess motor function of the SUPERIFICIAL PERONEAL NERVE?​

Placeholder

Drag these tiles and drop them in the correct blank above

Ankle eversion

ankle inversion

plantar flexion

dorsiflexion

Hotspot

identify the SURAL nerve. (click on the corresponding box)

Hotspot

Identify the nerve responsible for ankle dorsiflexion and inversion. (click on the corresponding box)

Multiple Choice

A pericapsular nerve group block would be MOST effective for perioperative pain management in which patient scenario?

• ORIF of a distal femur fracture

• Total knee arthroplasty

• Ankle arthroplasty

• Nailing of a hip fracture

Landmarks and Benefits

PENG Block

Overview

PENG Block

Ultrasound-guided technique

PENG Block

Ultrasound-guided technique

PENG Block

Hotspot

Label the area where LA is deposited for PENG block.

Multiple Choice

Which of the following is not blocked when performing a fascia iliaca block?

• Femoral nerve
• Lateral femoral cutaneous nerve
• Obturator nerve
• Posterior femoral cutaneous nerve

Anatomy

​

Fascia Iliaca Block

Indications

​

Fascia Iliaca Block

Ultrasound Guided Technique

​

Fascia Iliaca Block

Ultrasound Guided Technique

​

Fascia Iliaca Block

Landmark Technique

​

Fascia Iliaca Block

Landmark technique and Complications

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Fascia Iliaca Block

Multiple Select

Which two muscles form the "bowtie" on US during visualization for fascia iliaca block?(select 2)

• external oblique

• sartorius

• internal oblique

• iliacus

Femoral Block

Femoral Block

Femoral Block

Femoral Block

Femoral Block

Femoral Block

Hotspot

identify the adductor longus muscle

Hotspot

Identify the psoas major muscle

Multiple Select

Identify the borders of the femoral triangle (select 3)

• Rectus femoris muscle
• Sartorius muscle

• Inguinal ligament

• Adductor longus muscle

• Iliopsoas muscle

Multiple Choice

What muscle forms the lateral wall of the adductor canal?

• Vastus lateralis
• Rectus femoris
• Sartorius
• Vastus medialis

Adductor Canal Block- Overview

Adductor Canal Block- US Technique

Adductor Canal Block- US Technique

Multiple Choice

Stimulation of the tibial nerve in the popliteal fossa causes:

• plantar flexion and inversion of the foot

• plantar flexion and eversion of the foot

• dorsiflexion and inversion of the foot

• dorsiflexion and eversion of the foot

Popliteal Block

Popliteal Block

Popliteal Block

Popliteal Block

Popliteal Block

Popliteal Block

Popliteal Block

Labelling

Label the following structures

Drag labels to their correct position on the image

Sartorius m.

Biceps Femoris

Tibial n.

Common peroneal n.

Semitendinosus m.

Gastrocnemius m.

Gracilis m.

Match

Match each nerve block with the region that it anesthetizes

• Sural

• Tibial

• Deep peroneal

• Superficial peroneal

Lateral aspect of foot

Heel

Web space between 1st and 2nd toe

Dorsum of foot

• Lateral aspect of foot

• Heel

• Web space between 1st and 2nd toe

• Dorsum of foot

Multiple Choice

The sonoanatomy in the image should be obtained when performing which block?

• Sciatic nerve block
• Femoral nerve block
• Intercostal nerve block
• Brachial plexus block

Multiple Select

When performing an ankle block via landmark technique, which nerves can be anesthetized with a single needle stick? (select 3)

• sural n.

• superficial peroneal n.

• deep peroneal n.

• posterior tibial n.

• saphenous n.

Multiple Select

When performing a popliteal block, local anesthetic is injected around which nerves? (select 2)

• sciatic n.

• tibial n.

• common peroneal n.

• sapehnous n.

Multiple Choice

Assessing which movement is the best way to determine the adequacy of a femoral nerve block?

• hip flexion

• knee extension

• hip rotation

• ankle eversion

Multiple Choice

Which nerve is anesthetized by injecting local anesthetic in the plane of the line between the Achilles tendon and the lateral malleolus?

• posterior tibial n.

• deep peroneal n.

• saphenous n.

• sural n.

Multiple Choice

Which nerve does not need to be anesthetized for toe surgery?

• deep peroneal n.

• superficial peroneal n.

• saphenous n.

• tibial n.

Multiple Select

Indications for an adductor canal block include: (select 2)

• bunionectomy

• achilles tendon repair

• ACL repair

• patella fracture

Multiple Select

What are the ultrasound landmarks for a pericapsular nerve group block? (select 2)

• psoas tendon

• fascia iliaca

• sartorius

• ilium

Match

Match each nerve block with its surgical indication

• Popliteal block

• PENG block

• Fascia iliaca block

achilles tendon repair

total hip arthroplasty

femur ORIF

• achilles tendon repair

• total hip arthroplasty

• femur ORIF

Multiple Choice

How do you spell the name of our favorite Bedford business?

• Esthetics by Kell

• Aesthetics by Kel

• Aesthetics by Kell

• Esthetics by Kelly