Wrist Fracture
Conditions
Keywords
wrist fracture, fracture, nerve block
Brief summary
The purpose of this study is to compare different types of local anesthesia-a supracondylar radial nerve block, a hematoma block, or a combination of the two-for reducing pain in people with a broken wrist (distal radius fracture). This is being done to find out which method provides better pain relief after the injury and during treatment in the emergency room.
Detailed description
This study is testing different ways to provide pain relief before reducing a broken wrist. Participants will receive one of three techniques: (1) a nerve block where a doctor injects lidocaine near the radial nerve under ultrasound guidance; (2) a hematoma block where a doctor injects lidocaine into the area where the bone broke; or (3) both the nerve block and the hematoma block. Patients will be asked how much pain they feel before the numbing, after the numbing, and after the wrist is reduced.
Interventions
PROCEDURESupracondylar radial nerve block
Supracondylar radial nerve blocks given at the radial nerve not as the same location of the fracture site, prior to fracture reduction.
PROCEDUREHematoma block
Injection of analgesia into the hematoma that forms surrounding the wrist fracture.
PROCEDURECombination of blocks
Supracondylar radial nerve block given first, followed by hematoma block, before fracture reduction.
Sponsors
Sarasota Memorial Health Care System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The purpose of this study is to compare different types of local anesthesia-a supracondylar radial nerve block, a hematoma block, or a combination of the two-for lowering pain in people with a broken wrist (distal radius fracture). We want to find out which method provides better pain relief after the injury and during treatment in the emergency room. Each of these methods is a different standard procedure for pain control prior to wrist fracture reduction.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * Patients admitted to the ECC with a distal radius fracture requiring closed reduction * Patient must be willing and able to provide informed consent to the study
Exclusion criteria
* Under 18 years of age * Pregnant * Prisoner * Allergy to lidocaine * Patients unable to provide informed consent and/or perform study-related activities * Patients undergoing procedural sedation * Patients may be excluded at the discretion of the investigator based on their clinical judgment, if the participant no longer meets criteria, and/or if the health or safety of the patient may be impacted by taking part in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain levels comparison | Pain will be measured at (1) baseline, (2) after administering the assigned pain block(s), and after the (3) fracture reduction. | Comparing pain levels among patients who are undergoing a wrist fracture reduction. Measured on a scale of 0-10, 0= no pain to 10= worst pain. Pain will be measured at (1) baseline, (2) after administering the assigned pain block (s), and after the (3) fracture reduction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Amount of opioid medication needed to control pain. | Opioid medication prescribing will be assessed at baseline, time of admission to the emergency room, until the patient is discharged and they are no longer active in the study. | The amount of opioid prescribed, if any, will be collected and recorded for comparison during patient's time in emergency room. |
| Number of patients requiring conscious sedation. | Patients will be monitored for need of conscious sedation from baseline, time of enrollment in the study, until discharge from the emergency room, when they are no longer active in the study. | The need for conscious sedation among patients undergoing wrist fracture reduction in emergency care center will be recorded and monitored for comparison between groups. |
| Adverse Events Monitoring | From baseline, time the patient is admitted and enrolled into the study, until the patient is discharged and no longer active in the study. | Adverse events associated with any of the blocks that are administered to patients undergoing a wrist fracture reduction in the emergency care center will be identified, monitored, and recorded for reporting. |
Countries
United States
Outcome results
None listed