Epinephrine-Containing Digital Nerve Block: A Case of Digital Tip Necrosis Leading to Amputation in a Patient With No Known Vascular, Rheumatologic, or Smoking History

The use of epinephrine-containing digital nerve blocks has been shown to be safe in recent literature, challenging the historical fear of complications arising from irreversible ischemia. We present a rare case of digital tip necrosis following the injection of lidocaine-containing epinephrine for the purpose of wart removal using cryotherapy, ultimately requiring amputation.