Comparison of "hematoma block" versus "wrist block" anesthesia in the treatment of fifth metacarpal fracture

Comparison of wrist block versus hematoma block anesthesia in the treatment of neck of fifth metacarpal fracture in Rasht Poursina hospital

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT201307067274N8

Enrollment

Registered

2013-07-20

Start date

2013-01-04

Completion date

Unknown

Last updated

2018-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fracture of fifth metacarpal bone. Fracture of other metacarpal bone

Interventions

Intervention 1: Group A (hematoma block anesthesia): barbotage injection of the lidocaine 2% (3-5 ml) without epinephrine in hematoma site. Intervention 2: Group B (wrist block anesthesia): after dete

Treatment - Other

Group A (hematoma block anesthesia): barbotage injection of the lidocaine 2% (3-5 ml) without epinephrine in hematoma site.

Group B (wrist block anesthesia): after detecting landmarks with the help of a nerve locator, following shots will be injected respectively: 5-7 ml of lidocaine 2% without epinephrine in radial and me

Eligibility

Sex/Gender

All

Age

18 Years to 75 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria: all patients with the age between 18-75 years old with type I or II in ASA classification whom are candidate for the reduction of the fifth metacarpal fracture. Exclusion criteria: hyper-sensitivity or allergy to local anesthesia; local active infection in the site of injection; coagulopathy disorders; and drug abuse.

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

Measure	Time frame
Pain intensiy. Timepoint: pre- intra- and 5 minute post-reduction. Method of measurement: Visual analogue scale.;Patient satisfaction. Timepoint: during the reduction. Method of measurement: Visual analogue scale.	—

Secondary

Measure	Time frame
Angle correction of the fracture. Timepoint: 2 month post treatment. Method of measurement: Goniometer.;Grip strength of the fifth figer (compared to contra-lateral finger). Timepoint: 2 month post treatment. Method of measurement: Dynamometer.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr. Mohsen Mardani Kivi

Guilan University of Medical Science

mardani@gums.ac.ir; dr_mohsen_mardani@yahoo.com+98 13 1321 1470

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026