Bilateral Costoclavicular Brachial Plexus Block for Closed Reduction of Bilateral Elbow Dislocation: A Case Report and Review of the Literature.

Authors

Tuhin Mistry, Priadarshini Shanmugam, Vivekanandan Natarajan, Gurumoorthi Palanichamy

Published in

A&A practice. Volume 20. Issue 10. Pages e02304. Oct 01, 2026. Epub Oct 01, 2026.

Abstract

Bilateral brachial plexus block is approached cautiously because of concerns regarding local anesthetic systemic toxicity, respiratory compromise, and bilateral upper-limb motor block. We describe a 60-year-old man with bilateral posterolateral elbow dislocation after a road traffic accident who underwent closed reduction and cast application under bilateral ultrasound-guided costoclavicular brachial plexus block using 10 mL of local anesthetic on each side. The procedure was completed without general anesthesia or deep sedation. This case highlights that low-volume bilateral costoclavicular block may provide effective procedural anesthesia for selected emergency bilateral upper-limb trauma when meticulous dosing, ultrasound guidance, and monitoring are used.

PMID:
42825746
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.

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