Association of PENG block, lateral femoral cutaneous, iliohypogastric, subcostal, and superior cluneal nerve blocks for postoperative analgesia in osteosynthesis of trochanteric fracture: a case report

The pericapsular nerve group block (PENG block) has been successfully used in postoperative analgesia for hip surgeries.However, this technique does not address the innervation of incision areas.As the absence of this coverage can cause postoperative pain, the PENG block is associated with the lateral femoral cutaneous nerve block.Nevertheless, the typical incision areas of hip surgeries can also be innervated by the iliohypogastric, subcostal, and superior cluneal nerves.This report evaluated the effective postoperative analgesia generated by the association of these blocks in the osteosynthesis of a transtrochanteric fracture, reflected by low pain scores and no opioid requirements.