2023 Volume 30 Issue 7 Pages 169-173
A 29-year-old man was brought to our hospital after his left hand was caught in the roller. The first finger was fractured at the distal phalanx, and the second to fifth fingers were resected at the metacarpophalangeal joints due to severe contusion. Operation was performed and covered with a femoral free skin valve. The patient was referred to our department due to poor pain control. After medication adjustment and a stellate ganglion block, pain control was poor, so the patient underwent pulsed radiofrequency of the median nerve. The pain range was reduced, but strong pain remained in the ulnar side of the first finger. Considering the involvement of the ulnar nerve, ulnar nerve block was performed. Ulnar nerve block was effective, so the patient underwent pulsed radiofrequency of the ulnar nerve, and the pain was relieved. It was considered important performing a test block, taking into consideration the distribution and diversity of the nerve.
