Ultrasound Guided Hematoma Block in Distal Forearm Fractures

Not Applicable

Not yet recruiting

• Conditions: Forearm Fracture
• Interventions: Device: Ultrasound

• Registration Number: NCT05537831
• Lead Sponsor: State University of New York - Upstate Medical University

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-09
• Study Start: 2022-09
• Study First Submitted: 2022-09-02
• Study First Submitted QC: 2022-09-09
• Last Update Submitted: 2022-09-09
• Study First Posted: 2022-09-13
• Last Update Posted: 2022-09-13
• Primary Completion: 2023-09
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 96

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study Intervention Group (Ultrasound)	Ultrasound	The ultrasound probe will be used for real-time needle and hematoma localization using the linear probe. The hematoma block will then be performed with aseptic technique. The skin will be prepped with chlorhexidine. A 20-gauge needle will be inserted in-plane into the hematoma site. A small amount of blood will be aspirated to confirm placement and 5-10 mL of 1% lidocaine will be infiltrated.

Primary Outcome Measures

Name	Time	Method
Pain relief from landmark versus ultrasound guided hematoma block	Change in pain score from before the hematoma block to immediately after the reduction/splinting of the forearm fracture	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.