case_images: PMC11829690_01
case_images: X-ray of left hand and wrist with displaced fracture of the distal radius (red arrow) and a displaced ulnar styloid fracture (blue arrow)
case_images: SJA-19-105-g001.jpg
case_images: PMC11829690_01_SJA-19-105-g001.jpg
case_images: sja.sja_354_24-F1
case_images: There was a 0.9-cm displacement and angulation of the radial fracture, and the ulnar styloid tip was also noted to be displaced [Figure 1].
case_images: PMC11829690_02
case_images: (a) Initial image of the costoclavicular region showing lateral, medial, and posterior cords and axillary artery and vein. (b) Costoclavicular single-shot nerve block using an echogenic needle (green arrow) and the injection of 10 ccs of 0.5% bupivacaine and 10 ccs of liposomal bupivacaine
case_images: SJA-19-105-g002.jpg
case_images: PMC11829690_02_SJA-19-105-g002.jpg
case_images: sja.sja_354_24-F2
case_images: An ultrasound machine was then used to locate the lateral, posterior, and medial cords beneath the subclavius muscle and lateral to the axillary artery and vein [Figure 2a]. A mixture of 10 mL 0.5% bupivacaine and 10 mL liposomal bupivacaine was injected via a 21-gauge 100 mm echogenic needle in the area surrounding the cords [Figure 2b].
case_images: PMC11829690_03
case_images: PMC11829690_04
case_images: (a and b) Post-operative imaging showing the new hardware and proper alignment of the distal radius
case_images: SJA-19-105-g003.jpg
case_images: PMC11829690_04_SJA-19-105-g003.jpg
case_images: sja.sja_354_24-F3
case_images: Imaging of the wrist with hardware in place was performed, confirming the proper alignment of the distal radius [Figure 3].