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Acute pain service was consulted for acute pain management in a 40-year-old male who had sustained multiple bilateral rib fractures following a fall injury. In addition to the rib fractures, the patient had also experienced injuries to his lungs and spinal column, both of which required surgeries. Considering the significant nature of pain due to his rib fractures, a multimodal pain management approach that included both pharmacological and non-pharmacological strategies was utilized. A thoracic epidural was performed by the acute pain service to provide immediate onset analgesia, especially during his stay in the hospital. At the same time, the surgeon performed thoracic intercostal nerve cryoablation, where nerves are frozen to prevent them from sending pain signals to the brain to provide analgesia for the patient even after getting discharged from the hospital. Both were done during a perioperative period. The cryoablations complemented the epidural, and they ensured continuous pain control in this patient. This report is unique as literature on utilizing both thoracic epidural and intercostal nerve ablations as part of a multimodal pain management approach for rib fractures is sparse., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Lifespan IRB issued approval N/A. As the case report lacks patient-identifiable information, it is exempt from institutional review board review requirements as per Lifespan policy. Nevertheless, patient informed consent was obtained for submission. . Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Coccoluto et al.)

Neuropathy of the ulnar digital nerve of the thumb is a relatively rare clinical entity. We report 2 cases of ulnar-sided digital nerve tumors of the thumb in 2 professional baseball players who routinely used grip-adjusting batting equipment. Symptomatic relief was achieved with nonsurgical treatment that allowed both players to continue playing during critical times during their season. We postulate that there may be an association with the grip-adjusting batting equipment and the development of digital neuropathy., (Copyright © 2021 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

There is a paucity of literature regarding atraumatic distalthird humeral shaft fractures, or "thrower's fracture." We report on a case of a healthy adult male, amateur athlete, who suffered an atraumatic fracture of the humerus while throwing a softball with his dominant arm. He underwent operative repair and developed a radial nerve palsy postoperatively that recovered 4/5 strength by 6 weeks and 5/5 strength by 12 weeks. Through this case report, we hope to increase the awareness of this unique injury and highlight the presentation, treatment, and complications associated with the thrower's fracture.