Engineering

Geotechnical engineering

Organic chemistry

Mathematics

Internal medicine

Block (permutation group theory)

Geometry

Hip fracture

Fracture (geology)

Medicine

Chemistry

Group (periodic table)

Osteoporosis

Regional Anesthesia & Pain Medicine

Fascia iliaca block or femoral nerve block is used frequently in hip fracture patients because of their opioid-sparing effects and reduction in opioid-related adverse effects. A recent anatomical study on hip innervation led to the identification of relevant landmarks to target the hip articular branches of femoral nerve and accessory obturator nerve. Using this information, we developed a novel ultrasound-guided approach for blockade of these articular branches to the hip, the PENG (PEricapsular Nerve Group) block. In this report, we describe the technique and its application in 5 consecutive patients.

Pericapsular Nerve Group (PENG) Block for Hip Fracture