 All anesthesia will be provided by an attending anesthesiologist with or without an anesthesiology residentCRNA. Patients will have standard ASA monitors placed pulse oximeter, blood pressure, EKG and an intravenous line started. Sedation will be given using a combination of midazolam 1-4 mg and fentanyl 25-100 mcg. Patients in both groups will receive an ultrasound-guided peripheral nerve block. The block will be either an infraclavicular brachial plexus block or a popliteal nerve block, depending on the location of the fracture. The appropriate region will be prepped with a chlorohexidine solution on the appropriate surgical side and the appropriate site will be visualized under ultrasound. For the group receiving a single shot block, a 22 gauge, 3.5 inch needle will be used and 20cc of 2 lidocaine with 1:200,000 epinephrine 20 cc of 0.5 bupivacaine with 1:300,000 epinephrine will be injected around the nerve after confirming negative aspiration every 5 cc. For those receiving a continuous infusion, a 17 gauge Tuohy needle will be used and 20cc of 2 lidocaine with epinephrine 20 cc of 0.5 bupivacaine with 1:300,000 epinephrine will be injected around the nerve after confirming negative aspiration every 5cc. Once the injection is complete, an indwelling catheter will be placed with its tip location confirmed and then secured at the skin. 