"Supracondylar Radial Nerve Block Guided by Ultrasound Versus Hematoma Block for Analgesic Management in Closed Reduction of Distal Radius Fractures"

Launched by HOSPITAL UNIVERSITARIO SAN IGNACIO · Feb 26, 2025

Keywords

ClinConnect Summary

This clinical trial is investigating two different methods of pain relief for patients with distal radius fractures, which are breaks in the wrist area. The researchers want to see if using an ultrasound-guided supracondylar block, a technique that numbs the nerves in the arm, is more effective than a hematoma block, which involves injecting medication into the area around the fracture. Both methods are used to make the process of realigning the bone (called closed reduction) less painful. The study will measure how well each method works in terms of pain relief and also check for any side effects.

To participate in the trial, patients must be at least 18 years old and have a recent (less than one week old) distal radius fracture that needs closed reduction. They must not have certain other injuries or conditions, such as open fractures or serious health issues that could complicate treatment. Participants will receive one of the two pain relief methods during their treatment, and their pain levels and recovery will be monitored. This trial is currently recruiting patients at San Ignacio University Hospital in Bogotá, Colombia, and aims to provide valuable insights into the best ways to manage pain during wrist fracture treatment.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients over 18 years old with skeletal maturity evidenced in the initial radiographs.
• • Patients with a radiological diagnosis of distal radius fracture
• • Patients whose clinical condition is considered acute (duration of symptoms less than one week).
• • Patients who have an indication for closed reduction as a definitive or initial management of their distal radius fracture
• • Patients treated at San Ignacio University Hospital in Bogotá, Colombia
• Exclusion Criteria:
• • • Patients with bilateral distal radius fractures
• • Patients with open distal radius fractures.
• • Patients with another fracture in the same limb
• • Patients in a state of intoxication or under the influence of psychoactive substances.
• • Patients with hemodynamic instability that prevents prioritizing closed reduction as management.
• • Patients with a known allergy to local anesthetics
• • Patients on full-dose anticoagulant therapy.
• • Patients who refuse to participate in the study
• • Patients with cognitive, visual, or auditory impairments that prevent the proper completion of questionnaires