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PERONEAL AND TIBIAL NERVE BLOCK NERVE AFFECTED -peroneal and tibial nerve NEEDLE VOLUME 22gauge,1.5 10-20cc inch TECHNIQUE -The deep and superficial peroneal nerve is anesthetized on the lateral aspect of the limb, 10cm proximal to the point of the hock, in a groove created by the long and lateral digital extensor muscles. To anesthetize the deep peroneal nerve, deposit solution next to the tibia. To anesthetize the superficial peroneal nerve, deposit solution superficially just under the skin. - The tibial nerve can be blocked 10cm proximal to the calcaneous, between the gastrocnemius & superficial digital flexor tendon. The nerve lies closer to the medial aspect of the limb POSITION OF LIMB standing ONSET TIME 20-30minutes STRUCTURES BLOCKED Distal tibia, hock, all structures below the hock.
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