PT - JOURNAL ARTICLE AU - Chihiro Toda AU - Rajnish K. Gupta AU - Hesham Elsharkawy TI - Rhomboid Intercostal Block Combined With Interscalene Nerve Block for Sternoclavicular Joint Reconstruction AID - 10.31486/toj.20.0020 DP - 2021 Jun 20 TA - Ochsner Journal PG - 214--216 VI - 21 IP - 2 4099 - http://www.ochsnerjournal.org/content/21/2/214.short 4100 - http://www.ochsnerjournal.org/content/21/2/214.full SO - Ochsner J2021 Jun 20; 21 AB - Background: Rhomboid intercostal block is a newer technique for chest wall analgesia and can be an effective alternative to thoracic epidurals and paravertebral blocks. We performed a rhomboid intercostal block after sternoclavicular joint reconstruction surgery.Case Report: A healthy 26-year-old male who had chronic right sternoclavicular joint instability was scheduled for right medial clavicle resection with sternoclavicular joint allograft reconstruction. We performed a right interscalene single-shot nerve block followed by a rhomboid intercostal block with catheter placement under ultrasound guidance. The patient's pain was well controlled postoperatively with minimal use of opioids.Conclusion: Rhomboid intercostal block with brachial plexus block is a potential option for analgesia after sternoclavicular joint reconstruction surgery.