Falls associated with lower-extremity-nerve blocks: a pilot investigation of mechanisms.
OBJECTIVE
Documented falls after lower-extremity-nerve blocks are rare. We believe this paucity of documented falls is the result of underreporting and the lack of serious complications resulting from these falls. In addition, the mechanism(s) for falls after lower-extremity-nerve blocks has not been elucidated.


METHODS
These reports highlight the mechanism of fall in a patient with a femoral-nerve block (FNB) and in a patient with a femoral-nerve and sciatic-nerve block (FNB/SNB). In addition, we report our findings when volunteers underwent FNB, sciatic-nerve block (SNB) and FNB/SNB and were studied in a gait-analysis laboratory.


CONCLUSIONS
Lower-extremity-nerve blocks result in decreased leg stiffness and lateral instability, which may lead to difficulty with pivoting maneuvers.
Muraskin
Samuel I
SI
Department of Anesthesiology, University of Florida, Gainesville, Florida 32610, USA.
Conrad
Bryan
B
Zheng
Naiquan
N
Morey
Timothy E
TE
Enneking
F Kayser
FK
D000058:Accidental Falls; D000293:Adolescent; D000328:Adult; D005260:Female; D005267:Femoral Nerve; D005684:Gait / Q000187:drug effects; D037801:Hammer Toe Syndrome / Q000601:surgery; D006801:Humans; D035002:Lower Extremity; D009068:Movement / Q000187:drug effects / Q000502:physiology; D009407:Nerve Block; D010329:Patella / Q000601:surgery; D010865:Pilot Projects; D012584:Sciatic Nerve; D014785:Vision, Ocular / Q000502:physiology