Comparing ultrasound guided and traditional hematoma blocks for pain relief in wrist fractures
Comparison of Ultrasound-guided Hematoma Block and "Blind" Hematoma Block for Analgesia in Distal Radius Fractures
NA · Beth Israel Deaconess Medical Center · NCT02346929
This study tests whether using ultrasound to guide pain relief injections can work better for adults with wrist fractures than the traditional method.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 115 (estimated) |
| Ages | 18 Years to 100 Years |
| Sex | All |
| Sponsor | Beth Israel Deaconess Medical Center (other) |
| Locations | 1 site (Boston, Massachusetts) |
| Trial ID | NCT02346929 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the effectiveness of ultrasound guided hematoma blocks compared to traditional 'blind' hematoma blocks for providing analgesia during the reduction of distal radius fractures. Hematoma blocks involve injecting lidocaine into the fracture line to alleviate pain, but can be challenging in cases of significant swelling. By utilizing ultrasound, the study seeks to enhance the precision and efficacy of this analgesic technique. The research will involve adult patients presenting with distal radius fractures in the emergency department.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older presenting to the emergency department with a distal radius fracture.
Not a fit: Patients with high acuity distress, altered mental status, or significant communication barriers may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management techniques for patients with distal radius fractures.
How similar studies have performed: While there have been case reports indicating the feasibility of ultrasound guided hematoma blocks, this is the first randomized controlled trial comparing it to traditional methods.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient ≥ 18 years old presenting to the emergency department with complaint of distal radius fracture Exclusion Criteria: * High acuity/distress per the Attending ED physician * Altered mental status or intoxication * Aphasia, mental retardation, dementia, or insurmountable communication barrier * Acute psychiatric illness
Where this trial is running
Boston, Massachusetts
- Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States (RECRUITING)
Study contacts
- Principal investigator: Beatrice Hoffmann, MD — Beth Israel Deaconess Medical Center
- Study coordinator: Beatrice Hoffmann, MD
- Email: bhoffma2@bidmc.harvard.edu
- Phone: 617-754-2323
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Distal Radius Fracture, Hematoma block, distal radius fracture reduction, ultrasound, ultrasound guided hematoma block, traditional hematoma block for analgesia, bupivacaine, pain reduction