Ultrasound guided pain relief for wrist fractures
Ultrasound Guided Hematoma Block vs. Blind Hematoma Block in Distal Radius Fractures, a Randomized Controlled Trial
This study is testing if using ultrasound to guide pain relief for wrist fractures works better than the traditional method to help patients feel less pain during treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | Frisius Medisch Centrum Academic / other |
| Locations | 1 site (Leeuwarden, Friesland) |
| Trial ID | NCT06193915 on ClinicalTrials.gov |
What this trial studies
This study investigates the effectiveness of ultrasound-guided hematoma block compared to traditional blind hematoma block for pain management in patients with dislocated distal radius fractures. Distal radius fractures are common injuries that often require closed reduction, and effective anesthesia is crucial for patient safety and satisfaction. Participants will be randomized to receive either ultrasound-guided or blind hematoma block, with pain scores measured before, during, and after the procedure to assess the effectiveness of the analgesia. The goal is to determine if ultrasound guidance improves pain relief during treatment.
Who should consider this trial
Good fit: Ideal candidates are individuals aged 16 and older with a confirmed dislocated distal radius fracture requiring closed reduction.
Not a fit: Patients with cognitive impairments, open fractures requiring immediate surgery, or those who have already undergone a first reduction may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could provide more effective pain relief for patients undergoing treatment for distal radius fractures.
How similar studies have performed: Previous studies have shown promising results with ultrasound-guided techniques in various medical applications, suggesting potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 16 years * Confirmed fracture of the distal radius requiring closed reduction, defined as any off the following items(7): * \>10 degrees of dorsal angulation; * \>20 degrees of volar angulation; * \>2 mm step-off intra-articular; * \>3 mm radial shortening; * \>15 degrees radial inclination; * Translation and non-intact radio-carpal alignment in the lateral view * Significant translation in the posterior-anterior(PA)-view. Exclusion Criteria: * No informed consent can be given (cognitive impairment, severe dementia, no knowledge of Dutch language e.a.) * Neurovascular compromise or open fractures requiring (immediate) surgery or reduction. * First reduction already performed * Multi-trauma patients requiring other urgent procedures/tests or with respiratory or hemodynamical compromise * Pre-existent osteosynthesis material in situ in the affected arm * Skin injury (with exception of minor abrasions), local infection or recent burns hindering or contra-indicating the use of ultrasound and ultrasound gel * Allergy for local anesthetics
Where this trial is running
Leeuwarden, Friesland
- Medisch Centrum Leeuwarden — Leeuwarden, Friesland, Netherlands (Recruiting)
Study contacts
- Principal investigator: Pieter Veenstra — Medisch Centrum Leeuwarden
- Study coordinator: Pieter Veenstra
- Email: pieter.veenstra@mcl.nl
- Phone: (058) 286 3852
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.