Anatomy for Emergency Medicine. The anatomical basis of the femoral nerve and fascia iliaca blocks for femoral neck fractures. Video and notes here http://anatomyforemergencymedicine.wordpress.com/?p=136

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http://radiopaedia.org/cases/femoral-neck-fracture-1
the case
•sweet little old granny
•found on the floor
•frail ++
•obvious deformity
•narcotized after one dose...

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nerve block

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hilton’s Law
the joint is innervated by the
nerves that supply the muscles
crossing the joint
=
joint innervation

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gluteals = sciatic quads = femoral adductors = obturator
extensors/abductors adductorsflexors

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http://www.ncbi.nlm.nih.gov/pubmed/9479711
the 3 in 1 block
do we need all 3?
femoral
obturator
lateral cutaneous

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lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous

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fascia iliaca
compartment block

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femoral
femoral
obturator
obturator
can we get the obturator?

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Femur
Fem
ur
http://www.nysora.com/updates/3107-ultrasound-guided-fascia-iliaca-block.html

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ASIS pubic symphysis
vein
artery
iliopsoas
fem nv

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http://www.ultrasoundpodcast.com/2012/03/episode-24-femoral-nerve/

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