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Ultrasound-guided coracobrachialis plane musculocutaneous nerve block for perioperative analgesia in pediatric Gartland type III supracondylar humerus fracture: a prospective pilot study

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Title: Ultrasound-guided coracobrachialis plane musculocutaneous nerve block for perioperative analgesia in pediatric Gartland type III supracondylar humerus fracture: a prospective pilot study
Authors: Tianyi Gao, Zhuorun Song, Shunyi Lu, Nan Song, Wentao Yu, Huilin Yang, Jun Zou, Qian Wang, Jun Ge
Source: Frontiers in Pediatrics, Vol 13 (2025)
Publisher Information: Frontiers Media S.A., 2025.
Publication Year: 2025
Collection: LCC:Pediatrics
Subject Terms: coracobrachialis plane, musculocutaneous nerve block, pediatric supracondylar humerus fracture, perioperative analgesia, pain management, prospective pilot study, Pediatrics, RJ1-570
More Details: PurposePerioperative pain management in children with Gartland Type III supracondylar humerus fractures (SHF) is crucial but often inadequately addressed, leading to significant pain experiences. This study aimed to evaluate the efficacy and safety of coracobrachialis plane musculocutaneous nerve block (Cora-MNB) compared to supraclavicular brachial plexus block (SC-BPB) for analgesia in pediatric Gartland Type III SHF patients.MethodsA prospective pilot study enrolled 105 pediatric patients with Gartland Type III SHF was performed. Primary outcome was the postoperative FLACC scale measured at 12 h postoperatively. Secondary outcomes included FLACC scale measured at 1 h, 6 h and 24 h postoperatively. They also included postoperative thumb and shoulder strength, opioid use, NSAIDs use, length of hospital stays, patient satisfaction, surgeon satisfaction, operation time and puncture channels. One hundred and five patients were randomized allocated between groups.ResultsPatients receiving Cora-MNB showed superior analgesia, with median postoperative FLACC pain scores at 12 h reduced by 40% [Cora-MNB: 3.00 (2.00) vs. SC-BPB: 5.00 (2.00), ***p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-2360
Relation: https://www.frontiersin.org/articles/10.3389/fped.2025.1485277/full; https://doaj.org/toc/2296-2360
DOI: 10.3389/fped.2025.1485277
Access URL: https://doaj.org/article/740a6c83619b4c8f9edbb4c8ab521484
Accession Number: edsdoj.740a6c83619b4c8f9edbb4c8ab521484
Database: Directory of Open Access Journals
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  Data: Ultrasound-guided coracobrachialis plane musculocutaneous nerve block for perioperative analgesia in pediatric Gartland type III supracondylar humerus fracture: a prospective pilot study
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  Data: <searchLink fieldCode="AR" term="%22Tianyi+Gao%22">Tianyi Gao</searchLink><br /><searchLink fieldCode="AR" term="%22Zhuorun+Song%22">Zhuorun Song</searchLink><br /><searchLink fieldCode="AR" term="%22Shunyi+Lu%22">Shunyi Lu</searchLink><br /><searchLink fieldCode="AR" term="%22Nan+Song%22">Nan Song</searchLink><br /><searchLink fieldCode="AR" term="%22Wentao+Yu%22">Wentao Yu</searchLink><br /><searchLink fieldCode="AR" term="%22Huilin+Yang%22">Huilin Yang</searchLink><br /><searchLink fieldCode="AR" term="%22Jun+Zou%22">Jun Zou</searchLink><br /><searchLink fieldCode="AR" term="%22Qian+Wang%22">Qian Wang</searchLink><br /><searchLink fieldCode="AR" term="%22Jun+Ge%22">Jun Ge</searchLink>
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  Data: Frontiers in Pediatrics, Vol 13 (2025)
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  Data: <searchLink fieldCode="DE" term="%22coracobrachialis+plane%22">coracobrachialis plane</searchLink><br /><searchLink fieldCode="DE" term="%22musculocutaneous+nerve+block%22">musculocutaneous nerve block</searchLink><br /><searchLink fieldCode="DE" term="%22pediatric+supracondylar+humerus+fracture%22">pediatric supracondylar humerus fracture</searchLink><br /><searchLink fieldCode="DE" term="%22perioperative+analgesia%22">perioperative analgesia</searchLink><br /><searchLink fieldCode="DE" term="%22pain+management%22">pain management</searchLink><br /><searchLink fieldCode="DE" term="%22prospective+pilot+study%22">prospective pilot study</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22RJ1-570%22">RJ1-570</searchLink>
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  Label: Description
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  Data: PurposePerioperative pain management in children with Gartland Type III supracondylar humerus fractures (SHF) is crucial but often inadequately addressed, leading to significant pain experiences. This study aimed to evaluate the efficacy and safety of coracobrachialis plane musculocutaneous nerve block (Cora-MNB) compared to supraclavicular brachial plexus block (SC-BPB) for analgesia in pediatric Gartland Type III SHF patients.MethodsA prospective pilot study enrolled 105 pediatric patients with Gartland Type III SHF was performed. Primary outcome was the postoperative FLACC scale measured at 12 h postoperatively. Secondary outcomes included FLACC scale measured at 1 h, 6 h and 24 h postoperatively. They also included postoperative thumb and shoulder strength, opioid use, NSAIDs use, length of hospital stays, patient satisfaction, surgeon satisfaction, operation time and puncture channels. One hundred and five patients were randomized allocated between groups.ResultsPatients receiving Cora-MNB showed superior analgesia, with median postoperative FLACC pain scores at 12 h reduced by 40% [Cora-MNB: 3.00 (2.00) vs. SC-BPB: 5.00 (2.00), ***p
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        Value: 10.3389/fped.2025.1485277
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: coracobrachialis plane
        Type: general
      – SubjectFull: musculocutaneous nerve block
        Type: general
      – SubjectFull: pediatric supracondylar humerus fracture
        Type: general
      – SubjectFull: perioperative analgesia
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      – SubjectFull: pain management
        Type: general
      – SubjectFull: prospective pilot study
        Type: general
      – SubjectFull: Pediatrics
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      – SubjectFull: RJ1-570
        Type: general
    Titles:
      – TitleFull: Ultrasound-guided coracobrachialis plane musculocutaneous nerve block for perioperative analgesia in pediatric Gartland type III supracondylar humerus fracture: a prospective pilot study
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            NameFull: Tianyi Gao
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