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Regional Anesthesia & Pain Medicine· 2026Q1

Beyond intramuscular nerve blockade: a complementary perspective on the anatomic basis of the PENG block

Francesco Marrone, Alessandro DE CASSAI, Pierfrancesco Fusco

Short summary

A multimodal anatomic study clarifies injectate spread in the PENG block, showing it primarily targets the anterior hip capsule and surrounding structures, not intramuscularly.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Injectate in the PENG block primarily spreads within the anterior hip capsule and surrounding fascial planes.
  • The distribution reaches the anterior hip joint and proximal femur.
  • The study refutes intramuscular injectate spread as the primary mechanism for the PENG block.
  • A multimodal approach combining dissection, cryo-analysis, and histology was used.

AI-generated from the title and abstract; the full text is not read.

Abstract

We read with great interest the study by Gautier and colleagues, which used a multimodal approach combining gross dissection, cryo-cross-sectional analysis, and histology to characterize injectate distribution following the pericapsular nerve group (PENG) block.[1][1] The methodological rigor of

The authors' abstract, as published at the source. Regional Anesthesia & Pain Medicine, 2026 · DOI ↗

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Field: Surgery

SurgeryMedicine