Actively Recruiting
"Supracondylar Radial Nerve Block Guided by Ultrasound Versus Hematoma Block for Analgesic Management in Closed Reduction of Distal Radius Fractures"
Led by Hospital Universitario San Ignacio · Updated on 2025-03-17
50
Participants Needed
1
Research Sites
56 weeks
Total Duration
On this page
Sponsors
H
Hospital Universitario San Ignacio
Lead Sponsor
P
Pontificia Universidad Javeriana
Collaborating Sponsor
AI-Summary
What this Trial Is About
Non-surgical treatment with closed reduction and immobilization using a splint or cast is the preferred approach for stable distal radius fractures, particularly in elderly patients. It is also the initial intervention for displaced fractures with a surgical indication before the procedure, aiming to reduce edema, manage pain, and prevent associated complications. However, the maneuvers required for bone reduction can cause significant pain, and there is still insufficient evidence to favor one anesthetic method over another. In recent years, there has been a trend toward utilizing local methods, such as hematoma block or ultrasound-guided supracondylar block of the radial nerve, due to their lower incidence of complications. Nonetheless, there are currently no studies comparing the efficacy of these two analgesic approaches. This study aims to compare the analgesic effect of ultrasound-guided supracondylar block with that obtained through hematoma block in patients with distal radius fracture during closed reduction, using the Numeric Rating Scale. Additionally, it aims to compare the quality of the reduction through radiographic measures and assess the frequency of adverse events after the two interventions.
CONDITIONS
Official Title
"Supracondylar Radial Nerve Block Guided by Ultrasound Versus Hematoma Block for Analgesic Management in Closed Reduction of Distal Radius Fractures"
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients over 18 years old with skeletal maturity shown on initial X-rays
- Radiological diagnosis of distal radius fracture
- Acute clinical condition with symptoms less than one week
- Indication for closed reduction as initial or definitive treatment
- Patients treated at San Ignacio University Hospital in Bogot�e1, Colombia
You will not qualify if you...
- Bilateral distal radius fractures
- Open distal radius fractures
- Another fracture in the same limb
- Intoxication or influence of psychoactive substances
- Hemodynamic instability preventing closed reduction
- Known allergy to local anesthetics
- Full-dose anticoagulant therapy
- Refusal to participate in the study
- Cognitive, visual, or auditory impairments preventing questionnaire completion
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Hospital Universitario San Ignacio
Bogotá, Bogota D.C., Colombia
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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