Transthecal Anesthesia of Fingers


First experience in transthecal anesthesia application for the treatment of 62 patients with different fingers injuries was analyzed. That method showed its efficacy in 52 (83.9%) cases. The level of anesthesia on the palmar surface of the finger corresponded to the injection point, on the dorsal one - to the middle of the main phalanx. Incomplete transthecal block was observed in cases when the injuries or their sequelae resulted in disturbance of tendon sheath leak-proofness (or permeability) as well as in interventions on a thumb.


  1. Кузин М.И., Харнас С.Ш. Местное обезболивание. - М., 1982.
  2. Castellenos J., Ramires C., De Sena L., Bertran C. Trans-thecal digital block: digital anasthesia through the sheath of the flexor tendon //J. Bone Jt Surg. - 2000. - Vol. 82B, N 6. - P. 889.
  3. Chevaleraud E., Ragot J.M., Brunelle E. et al. Local anesthesia of the finger through the flexor tendon sheath // Ann. Fr. Anesth. Reanim. - 1993. - Vol.1 2, N 3. - P. 237-240.
  4. Chui D.T.W. Transthecal digital block: flexor tendon sheath used for anesthetic infusion //J. Hand Surg. - 1990. - Vol. 15A, N 3. - P. 471-473.
  5. Cumming A.J., Tosol W.B., Meyer L.E. Modified thansthecal digital block versus traditional digital block for anesthesia of finger //J. Hand Surg. - 2004. - Vol. 29A, N 1. - P. 44-48.
  6. Denghani M., Mahmoodian A. A revisit of transthecal digital block and traditional digital block for anesthesia of figer //J. Rec. Med. Sci. - 2007. - Vol. 12, N 6. - P. 298-300.
  7. Hung V.S., Bodavula V.R.R., Dubin N.H. Digital anasthesia: comparison of the efficacy and pain assosietaed with three digital nerve block techniques //J. Hand Surg. - 2005. - Vol. 30B, N 6. - P. 581-584.
  8. Sarhady N.S., Shaw-Dunn J. Transthecal digital block //J. Hand Surg. - 1998. - Vol. 23B, N 4. - P. 490-493.
  9. Yin Z.G., Zhang J.B., Ran S.L., Wang P. A comparison of traditional digital blocks and single subcutaneus palmar injection blocks at the base of finger and meta-analysis of the digital block trials //J. Hand Surg. - 2006. - Vol. 31B, N 5. - P. 547-554.



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