Ultrasound Fellow San Antonio Uniformed Services Health Consortium SCHERTZ, Texas
Disclosure(s): No financial relationships to disclose
Disclosure(s):
Brandon Murdock, MD: No financial relationships to disclose
Elderly trauma and orthopedic injuries, especially hip fractures, are rising, with 260,000–350,000 admissions annually. Pain management is challenging due to medication side effects and decreased physiologic reserve. Regional anesthesia, including femoral nerve, lumbar plexus, and fascia iliaca blocks, offers effective pain relief. The pericapsular nerve group (PENG) block has emerged as a novel technique targeting the anterior hip capsule and obturator nerve. It effectively treats femoral neck, intertrochanteric, and acetabular fractures while preserving quadriceps function, enabling earlier rehabilitation. The PENG block is easily performed using ultrasonography, as its target lies over a bony landmark. Given its simplicity and analgesic benefits, it should be incorporated into multimodal pain management to reduce opioid use and support early mobility.
Learning Objectives:
Identify the indications to perform a PENG block.
Describe the anatomy and technique for performing a PENG Block.
Describe common pitfalls to avoid when performing the PENG Block.
