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Subjects/Anesthesia/Regional Anesthesia
Regional Anesthesia
medium
syringe Anesthesia

A patient presents with a femoral neck fracture requiring analgesia. A fascia iliaca compartment block is performed. Which major nerves are primarily targeted by this block to provide pain relief?

A. A. Sciatic nerve and posterior femoral cutaneous nerve
B. B. Femoral nerve, lateral femoral cutaneous nerve, and obturator nerve
C. C. Saphenous nerve and common peroneal nerve
D. D. Ilioinguinal nerve and genitofemoral nerve

Explanation

The fascia iliaca compartment block is a regional anesthesia technique that aims to block the nerves lying within or passing through the fascia iliaca compartment. These primarily include the femoral nerve, the lateral femoral cutaneous nerve, and often the obturator nerve (though obturator nerve block can be inconsistent with this approach). These nerves innervate the anterior and lateral thigh, hip joint, and knee, providing excellent analgesia for conditions like femoral neck fractures. The sciatic nerve and its branches (common peroneal, tibial) innervate the posterior thigh and lower leg, and are not targeted by this block. The ilioinguinal and genitofemoral nerves innervate the groin and are targeted by different blocks.

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