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KMID : 1141320190340020152
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Kosin Medical Journal
2019 Volume.34 No. 2 p.152 ~ p.160
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Treatment of Isolated Sternal Fracture with Ultrasound-Guided Paravertebral Nerve Block: a Case Report and Literature Review
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Park Jun-Mo
Kim Hyun-Jeong
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Abstract
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In the case of isolated sternal fractures, conservative treatment with analgesics is common, but pain can persist for more than 10 weeks, which can significantly interfere with daily life. Ultrasound-guided paravertebral nerve block is reported to be a successful means of pain control in patients with chest wall injury or rib fracture. A 70-year-old female patient presented with anterior chest pain that had persisted for 2 weeks despite conservative treat-ment. Sagittal reconstruction chest computed tomography and sternum lateral oblique x-ray revealed an isolated sternal fracture. An ultrasound-guided bilateral paravertebral nerve block was performed for pain control. After performing the procedure twice at a 1-week interval, the patient reported complete pain alleviation, and no other problems were observed over the 3-month follow-up period. Ultrasound-guided bilateral paravertebral nerve block can help patients with isolated sternal fractures to manage pain and return to normal activities sooner than with oral analgesics.
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KEYWORD
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Fracture, Nerve block, Pain management, Sternum, Ultrasonography
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