Brachial Plexus Nerve Block Versus Haematoma Block for Closed Reduction of Distal Radius Fracture in Adults - The BLOCK Trial. A Multicentre Randomised Controlled Trial.

Launched by NORDSJAELLANDS HOSPITAL · Nov 6, 2024

Keywords

ClinConnect Summary

The BLOCK Trial is studying two different types of pain relief methods for adults with wrist fractures that need to be fixed without surgery. One method is called a brachial plexus nerve block, which numbs the arm to help manage pain during the procedure. The other method is the standard anesthesia currently used in hospitals. The goal of the trial is to see which method works better for patients when realigning the broken wrist bones.

To participate in this trial, you must be at least 18 years old and have a specific type of wrist fracture that requires a procedure called closed reduction, where the bones are put back in place without surgery. Participants will either receive the nerve block or the standard anesthesia, and the trial is currently looking for volunteers. It’s important to note that some people may not be eligible, such as those with certain allergies or other complications related to their fractures. If you decide to take part, you will be helping researchers understand which pain relief method is more effective for treating wrist fractures.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adults (age ≥ 18 years) with a distal radius fracture in need of closed reduction
• Exclusion Criteria:
• • Patients who would never qualify for surgery according to local guidelines
• • Lack of informed consent
• • No Danish Central Person Register (CPR) number
• • Allergies to the trial medication
• • Distal radius fracture initially deemed to require surgery regardless of the outcome of the closed reduction
• • Open fractures (fracture-related wound requiring sutures)
• • Other fractures on the same extremity ((NOT including distal ulna fracture(s))
• • Bilateral distal radius fractures both requiring closed reduction
• • Concomitant medical or surgical condition taking priority over the closed reduction of the distal radius fracture.