
Lower Extremity Blocks
Presentation
•
Science
•
Professional Development
•
Practice Problem
•
Medium
Brandon Perrotte
Used 2+ times
FREE Resource
48 Slides • 28 Questions
1
Lower Extremity Blocks
2
Lower Extremity Blocks
3
Lower Extremity Blocks
4
Lateral Femoral Cutaneous Nerve
5
Femoral Nerve
6
Obturator Nerve
7
Sacral Plexus
8
Sciatic Nerve
9
Tibial Nerve
10
Common Peroneal Nerve
11
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)
12
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
13
Dermatomes
Lower Extremity Innervation
14
Skin Innervation
Lower Extremity Innervation
15
Skin Innervation
Lower Extremity Innervation
16
Myotomes
Lower Extremity Innervation
17
Osteotomes
18
Categorize
Lateral Femoral Cutaneous
Sural
Femoral
Superficial Peroneal
Obturator
Posterior Tibial
Deep Peroneal
Saphenous
Sort each into the correct pile
19
Drag and Drop
20
Drag and Drop
21
Hotspot
identify the SURAL nerve. (click on the corresponding box)
22
Hotspot
Identify the nerve responsible for ankle dorsiflexion and inversion. (click on the corresponding box)
23
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
24
Landmarks and Benefits
PENG Block
25
Overview
PENG Block
26
Ultrasound-guided technique
PENG Block
27
28
Ultrasound-guided technique
PENG Block
29
Hotspot
Label the area where LA is deposited for PENG block.
30
Multiple Choice
Which of the following is not blocked when performing a fascia iliaca block?
Posterior femoral cutaneous nerve
31
Anatomy
Fascia Iliaca Block
32
Indications
Fascia Iliaca Block
33
Ultrasound Guided Technique
Fascia Iliaca Block
34
Ultrasound Guided Technique
Fascia Iliaca Block
35
Landmark Technique
Fascia Iliaca Block
36
Landmark technique and Complications
Fascia Iliaca Block
37
Multiple Select
Which two muscles form the "bowtie" on US during visualization for fascia iliaca block?(select 2)
external oblique
sartorius
internal oblique
iliacus
38
Femoral Block
39
Femoral Block
40
Femoral Block
41
Femoral Block
42
Femoral Block
43
Femoral Block
44
Hotspot
identify the adductor longus muscle
45
Hotspot
Identify the psoas major muscle
46
Multiple Select
Identify the borders of the femoral triangle (select 3)
Sartorius muscle
Inguinal ligament
Adductor longus muscle
47
Multiple Choice
What muscle forms the lateral wall of the adductor canal?
48
Adductor Canal Block- Overview
49
Adductor Canal Block- US Technique
50
Adductor Canal Block- US Technique
51
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
52
Popliteal Block
53
Popliteal Block
54
Popliteal Block
55
Popliteal Block
56
Popliteal Block
57
Popliteal Block
58
Popliteal Block
59
Labelling
Label the following structures
Gracilis m.
Common peroneal n.
Sartorius m.
Biceps Femoris
Semitendinosus m.
Gastrocnemius m.
Tibial n.
60
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
61
62
63
64
65
66
67
Multiple Choice
The sonoanatomy in the image should be obtained when performing which block?
68
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.
69
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.
70
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
71
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.
72
Multiple Choice
Which nerve does not need to be anesthetized for toe surgery?
deep peroneal n.
superficial peroneal n.
saphenous n.
tibial n.
73
Multiple Select
Indications for an adductor canal block include: (select 2)
bunionectomy
achilles tendon repair
ACL repair
patella fracture
74
Multiple Select
What are the ultrasound landmarks for a pericapsular nerve group block? (select 2)
psoas tendon
fascia iliaca
sartorius
ilium
75
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
76
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
Lower Extremity Blocks
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