Ultrasound Guided Hematoma Block in Distal Forearm Fractures

State University of New York - Upstate Medical University96 enrolled

Overview

This is a randomized control trial comparing the efficacy of ultrasound (US) guided vs landmark-guided hematoma blocks on distal forearm fractures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Forearm Fracture

Interventions

UltrasoundDEVICE

The ultrasound will be used to assist with the delivery of a hematoma block in patients with distal forearm fractures.

Eligibility

Sex: ALLMin age: 7 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients greater than and equal to seven years of age * Patients with traumatic acute distal radius/ulnar fractures with displacement that require reduction and immobilization with splinting * Patients that receive distal radius hematoma blocks, including those who require additional pain control adjuncts if pain control is not adequate Exclusion Criteria: * Prisoners * Pregnant women * Patients with altered mental status/have impaired decision-making capacity. * Patients with allergies to amide anesthetics

Outcomes

Primary Outcomes

Pain relief from landmark versus ultrasound guided hematoma block

Pain will be measured using a ten point Likert scale with zero designated as no pain and ten being the worst pain the patient can imagine. The higher score the worse the outcome.

Time frame: Change in pain score from before the hematoma block to immediately after the reduction/splinting of the forearm fracture

Central Contacts

Paul Klawitter, MD

CONTACT

315-464-8691 klawittp@upstate.edu

Jerome Hoke, MD

CONTACT

315-464-4363 hokej@upstate.edu

Data from ClinicalTrials.gov

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