Pain Management in Children Undergoing Supracondylar Humerus Fracture Repair

Inclusion Criteria: * Patients between 2 and 10 years old undergoing reduction and closed pinning of supracondylar humerus fractures * Ability to obtain consent from the parents for participation in the study * Patient has the ability to follow commands and train preoperatively the finger movements that are needed to determine nerve integrity. * Written informed consent from the parent or guardian Exclusion Criteria: * Children with significant preoperative swelling in the elbow, as determined by the surgeon, that may lead to compartment syndrome * Children with the potential for nerve entrapment as demonstrated by preoperative nerve deficit examination * Children who have any contraindications (relative and absolute) to a supraclavicular block, including anticoagulation or coagulopathy, as well as patients that have active pulmonary disease that may exhibit respiratory compromise in response to potential phrenic nerve palsy or pneumothorax