Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Transient median nerve palsy following ultrasound-guided subscapularis plane block: a case report

Syahrul Mubarak Danar Sumantri, Anna Surgean Veterini

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The subscapularis plane block is an effective approach to anesthetize axillary and upper subscapular nerves. There have been no reports regarding brachial plexus paralysis as a potential complication to date. Described here is a case of median nerve palsy following ultrasound-guided subscapularis plane block for awake frozen shoulder manipulation that was performed on a 52-year-old female diagnosed with adhesive capsulitis. The patient could not flex digits two and three, and ipsilateral inner palm numbness occurred shortly after the block commenced, with complete resolution in the next two hours. The local anesthetics spillage towards brachial plexus with possible partial paralysis should always be expected after subscapularis plane block.


Case report,  Nerve block,  Adverse effects


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Braz J Anesthesiol

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