Ultrasound Guided Supracondylar Nerve Block & Hematoma Block for Closed Reduction of Distal End Radius Fractures

NCT05996315 | Completed

• 1 other identifier: 40/22/IEC/JMMC&RI
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of analgesia between ultrasound guided supracondylar radial nerve block and hematoma block for closed reduction of distal end radius fractures- an observational study

Conditions

Adults >18 Years With Distal End Radius Fracture Requiring Closed Reduction in Emergency Department

Keywords

distal end radius fracture

Outcome Measures

Primary Outcomes (1)

• To compare analgesic effect of supracondylar radial nerve block with hematoma block under ultrasound guidance in closed reduction of distal end radius fractures in emergency department assessed using numerical rating scale.

  To assess the difference in analgesic effect of supracondylar radial nerve block with hematoma block under ultrasound guidance in closed reduction of distal end radius fractures in emergency department assessed using numerical rating scale.

  60 minute

Secondary Outcomes (3)

• To compare time taken for performing hematoma block & supracondylar radial nerve block

  60minute

• To compare time taken for analgesic effect of hematoma block & supracondylar radial nerve block for closed reduction of distal end radius fracture

  60minute

• To compare complication rates of hematoma block & supracondylar radial nerve block for closed reduction of distal end radius fracture

  18months

Study Arms (1)

Adults >18 years with distal end radius fracture

Adults \> 18 years with distal end radius fracture requiring closed reduction in Emergency Department

Other: Hematoma block; Other: Supracondylar radial nerve block

Interventions

Hematoma block OTHER

A patient who presents to the emergency department with a suspected distal end radius fracture , will be sent for an x-ray. If the X ray-shows a distal end radius fracture a decision to give hematoma block will be taken as per the choice of the treating physician. Patients who do not meet the exclusion criteria are excluded from the study at this phase.

Adults >18 years with distal end radius fracture

Supracondylar radial nerve block OTHER

A patient who presents to the emergency department with a suspected distal end radius fracture will be assessed with a baseline NRS score1 and given analgesics if needed. Further they will be sent for an x-ray. If the X ray-shows a distal end radius fracture a decision to give supracondylar radial nerve block will be taken as per the choice of the treating physician. Patients who do not meet the exclusion criteria are excluded from the study at this phase.

Adults >18 years with distal end radius fracture

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient who present with isolated distal end radius fracture.

You may qualify if:

• Adults \> 18 years with distal end radius fracture requiring closed reduction in Emergency Department
• Patient who legally consent for study

You may not qualify if:

• History of allergy to local anesthetics
• Pregnant or lactating women
• Infection or burn with local anaesthetic at injection site
• Patients having other fractures or significant injuries that are causing pain
• Patients with hemodynamic instability which includes patients with GCS score less than 15 under influence of alcohol/ inebriated state.
• Patients on anticoagulants
• Patients with compromised neurovascular system

Sponsors & Collaborators

• Jubilee Mission Medical College and Research Institute: lead

Study Sites (1)

Emergency Medicine Department of Jubilee Mission Medical College & Research Institute, Thrissur

Thrissur, Kerala, 680 005, India

Location

Related Publications (4)

• Maleitzke T, Plachel F, Fleckenstein FN, Wichlas F, Tsitsilonis S. Haematoma block: a safe method for pre-surgical reduction of distal radius fractures. J Orthop Surg Res. 2020 Aug 26;15(1):351. doi: 10.1186/s13018-020-01819-y.

  PMID: 32843043 BACKGROUND

• Unluer EE, Karagoz A, Unluer S, Kosargelir M, Kizilkaya M, Alimoglu O, Akoglu H, Aslan C. Ultrasound-guided supracondylar radial nerve block for Colles Fractures in the ED. Am J Emerg Med. 2016 Aug;34(8):1718-20. doi: 10.1016/j.ajem.2016.06.007. Epub 2016 Jun 8. No abstract available.

  PMID: 27342965 BACKGROUND

• Tabrizi A, Mirza Tolouei F, Hassani E, Taleb H, Elmi A. Hematoma Block Versus General Anesthesia in Distal Radius Fractures in Patients Over 60 Years in Trauma Emergency. Anesth Pain Med. 2016 Nov 27;7(1):e40619. doi: 10.5812/aapm.40619. eCollection 2017 Feb.

  PMID: 28920036 BACKGROUND

• Fathi M, Moezzi M, Abbasi S, Farsi D, Zare MA, Hafezimoghadam P. Ultrasound-guided hematoma block in distal radial fracture reduction: a randomised clinical trial. Emerg Med J. 2015 Jun;32(6):474-7. doi: 10.1136/emermed-2013-202485. Epub 2014 Jul 12.

  PMID: 25016389 BACKGROUND

Related Links

• Ultrasound guided haematoma block may be a safe and effective alternative to procedural sedation and analgesia.
• ultrasound guided radial nerve block is safe

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Junior Resident

Study Record Dates

• First Submitted: May 20, 2023
• First Posted: August 18, 2023
• Study Start: September 15, 2022
• Primary Completion: February 15, 2024
• Study Completion: February 15, 2024
• Last Updated: March 7, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1)