Abstract：Objective To summarize the progress of hip joint innervation and regional block methods for perioperative analgesia in patients with hip fracture. Methods The keywords "髋部骨折" "神经阻滞" "髋关节" "神经支配" "解剖" "髂筋膜" "hip fracture" "nerve block" "hip joint" "innervation" "anatomy" and "fascia iliaca" were used to identify related articles published before November 2021 in CNKI, WanFang database, Web of Science, and PubMed. A total of 1 772 articles were identified, of which 43 were finally included after excluding nonconforming articles in terms of content, repeated studies, studies with design defects, and articles without available full texts. Two anatomical books were consulted. Results Hip fracture surgery involves the skin, muscle, and bone, as well as innervation from the lumbar plexus, sacral plexus, and spinal nerves. Fascia iliaca compartment block, femoral nerve block combined with femoral lateral cutaneous nerve block, and obturator nerve block can provide satisfactory postoperative analgesia. Conclusion Hip fracture innervation is reliable, and regional block can provide good anesthetic and analgesic effects.
郑少强, 许莉, 周雁, 王庚. 髋部骨折围术期区域阻滞的解剖学研究进展[J]. 中华解剖与临床杂志, 2022, 27(9): 663-668.
Zheng Shaoqiang, Xu Li, Zhou Yan, Wang Geng. Anatomic progress of regional block in hip fracture. Chinese Journal of Anatomy and Clinics, 2022, 27(9): 663-668.
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2022, Vol. 27 
