Distal Radius Fracture
Conditions
Interventions
Ultrasound-guided elbow nerve block group (Group C):Elbow nerve block performed under ultrasound guidance
Ultrasound-guided axillary brachial plexus block group (Group A):Axillary brachial plexus block performed under ultrasound guidance
Sponsors
Foshan Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Patients aged 18-75 years old 2.American Society of Anesthesiologists (ASA) physical status classification II or below 3.Patients with distal radius fractures confirmed by X-ray or CT who receive non-surgical treatment
Exclusion criteria
Exclusion criteria: 1.Patients requiring priority surgical intervention 2.Concomitant fractures in the ipsilateral upper limb 3.Patients receiving narcotic analgesics prior to closed reduction 4.Old distal radius fractures (malunion/nonunion) 5.Allergy to lidocaine or ropivacaine 6.Cognitive impairment or psychiatric disorders 7.Congenital malformations or prior surgical history of the upper limb 8.Poor compliance or inability to complete follow-up 9.Pre-existing abnormal muscle strength or tone in the ipsilateral upper limb 10.Lactating or pregnant female patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor function of the elbow and shoulder joints, and duration of motor block; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain VAS scores at the following time points: Before block (T0); After successful block (T1); During closed reduction (T2) ;Post-reduction fixation (T3);1 hour (T4);6 hours (T5);24 hours (T6);48 hours (T7);Onset and duration of sensory block;Puncture time;Procedure time;Patient satisfaction score;Surgeon satisfaction score;Failure rate of closed reduction;Incidence of nerve block complications; | — |
Countries
China
Contacts
Public ContactHUANG Yuanyi
Foshan Hospital of Traditional Chinese Medicine
Outcome results
None listed