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Completed

NCT Number: NCT05996315

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

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

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Key information

Conditions

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

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

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

Thrissur, Kerala, 680 005, India

About this study

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 hematoma block or 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. NRS score 2 is assessed once again prior to block and a Hematoma block/ Supracondylar radial nerve block is given. Needle in and out time will be noted and the pain during needling is evaluated using the NRS score 3. Pain score will further be evaluated for every 10 mins after needle out time for a maximum of 30 mins or when the patient gets adequate analgesia ( NRS score 4a, 4b, 4c, 4d).

If the block is successful, the treating physician will proceed to fracture reduction. If the block is a failure the physician will go for a rescue analgesia. NRS score5 will be evaluated at this stage. Further a NRS score 6 will be assessed 15 minutes post reduction. An x-ray will be checked for the evaluation of the reduction procedure performed and the patient will be discharged or admitted as necessary. The patient will be further followed after 1 week for delayed complications.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • 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

Treatment and study plan

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.

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.

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.

    Time frame: 60 minute

    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.

Secondary outcomes

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

    Time frame: 60minute

    To compare the time taken for hematoma block & supracondylar radial nerve block for closed reduction of distal end radius fracture. Time is noted from needle in to needle out for both technique.

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

    Time frame: 60minute

    compare the analgesic effects of both technique ,which reduces the pain score more during the closed reduction

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

    Time frame: 18months

    Compare the immediate & delayed complications upto 7 days after the procedure

Sponsors and collaborators

Lead sponsor

Jubilee Mission Medical College and Research Institute

Other

Registry information

Official study title

Ultrasound Guided Supracondylar Nerve Block & Hematoma Block for Closed Reduction of Distal End Radius Fractures - an Observational Study

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Aug 18, 2023
Registry last updated
Mar 7, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.