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Ankle Block
Kimberly Ting, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          TERMINOLOGY

          • Definitions

            • Ankle block targets
              • Posterior tibial nerve: Innervation of plantar surface of foot (branch of sciatic nerve)
              • Deep peroneal nerve: Innervation of dorsal 1st interweb space of foot (branch of sciatic nerve)
              • Superficial peroneal nerve: Innervation of dorsal surface of foot (branch of sciatic nerve)
              • Sural nerve: Innervation of lateral foot (branch of sciatic nerve)
              • Saphenous nerve: Innervation of medial foot (branch of saphenous nerve)
            • Ankle block can be performed as anatomic landmark technique or ultrasound-guided technique

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      POST PROCEDURE

                      • Expected Outcome

                        • Things To Avoid

                          OUTCOMES

                          • Problems

                            • Complications

                              Selected References

                              1. D'Souza RS et al: Nerve Block, Sural 2019
                              2. Fletcher T et al: Deep Peroneal Nerve Block 2019
                              3. Su MP et al: Pretreatment of ankle nerve block provides better postoperative analgesia than peri-incisional local anesthetic infiltration in hallux valgus correction surgery. Kaohsiung J Med Sci. 35(3):168-74, 2019
                              4. Roberts VI et al: Is regional ankle block needed in conjunction with general anaesthesia for first ray surgery? A randomised controlled trial of ultrasound guided ankle block versus "blind" local infiltration. Foot Ankle Surg. ePub, 2018
                              5. López AM et al: Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve. Reg Anesth Pain Med. 37(5):554-7, 2012
                              6. Chin KJ et al: Ultrasound-guided versus anatomic landmark-guided ankle blocks: a 6-year retrospective review. Reg Anesth Pain Med. 36(6):611-8, 2011
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Preprocedure

                                  • Procedure

                                    • Post Procedure

                                      TERMINOLOGY

                                      • Definitions

                                        • Ankle block targets
                                          • Posterior tibial nerve: Innervation of plantar surface of foot (branch of sciatic nerve)
                                          • Deep peroneal nerve: Innervation of dorsal 1st interweb space of foot (branch of sciatic nerve)
                                          • Superficial peroneal nerve: Innervation of dorsal surface of foot (branch of sciatic nerve)
                                          • Sural nerve: Innervation of lateral foot (branch of sciatic nerve)
                                          • Saphenous nerve: Innervation of medial foot (branch of saphenous nerve)
                                        • Ankle block can be performed as anatomic landmark technique or ultrasound-guided technique

                                      PREPROCEDURE

                                      • Indications

                                        • Contraindications

                                          • Preprocedure Imaging

                                            • Getting Started

                                              PROCEDURE

                                              • Patient Position/Location

                                                • Procedure Steps

                                                  POST PROCEDURE

                                                  • Expected Outcome

                                                    • Things To Avoid

                                                      OUTCOMES

                                                      • Problems

                                                        • Complications

                                                          Selected References

                                                          1. D'Souza RS et al: Nerve Block, Sural 2019
                                                          2. Fletcher T et al: Deep Peroneal Nerve Block 2019
                                                          3. Su MP et al: Pretreatment of ankle nerve block provides better postoperative analgesia than peri-incisional local anesthetic infiltration in hallux valgus correction surgery. Kaohsiung J Med Sci. 35(3):168-74, 2019
                                                          4. Roberts VI et al: Is regional ankle block needed in conjunction with general anaesthesia for first ray surgery? A randomised controlled trial of ultrasound guided ankle block versus "blind" local infiltration. Foot Ankle Surg. ePub, 2018
                                                          5. López AM et al: Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve. Reg Anesth Pain Med. 37(5):554-7, 2012
                                                          6. Chin KJ et al: Ultrasound-guided versus anatomic landmark-guided ankle blocks: a 6-year retrospective review. Reg Anesth Pain Med. 36(6):611-8, 2011