Severe pain after a hip fracture commonly delays hospital discharge and poses significant nursing problems in patients who are not surgical candidates. We present ultrasound-guided pericapsular hip alcohol neurolysis of the articular branches of the femoral and obturator nerves as a novel approach in the treatment of severe pain after hip fracture. This technique provided excellent pain relief in a 94-year-old patient with intertrochanteric hip fracture until her death 2 months later.
From the Pain Management Unit, Department of Anaesthesia and Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong.
Accepted for publication December 29, 2017.
The authors declare no conflicts of interest.
Address correspondence to Wing Sang Chan, MBChB, FANZCA, FHKAM(Anesthesiology), DipPain Mgt(HKCA), Pain Management Unit, Department of Anaesthesia and Intensive Care, 23 Tsing Chung Koon Rd, Tuen Mun, New Territories, Hong Kong. Address e-mail to firstname.lastname@example.org.