Local Anesthesia Techniques for Wrist Fractures
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests three methods to numb pain for individuals with a broken wrist. It compares a supracondylar radial nerve block (an injection near the nerve to block pain), a hematoma block (pain relief injected into the swelling around the fracture), and a combination of both. The goal is to determine which method provides the most effective pain relief after the injury and during emergency room treatment. This trial may suit those who have recently broken their wrist and require non-surgical setting. As a Phase 4 trial, the research aims to understand how these FDA-approved and effective treatments can benefit more patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.
What is the safety track record for these anesthesia techniques?
Research shows that both supracondylar radial nerve blocks and hematoma blocks are generally safe for treating wrist fractures.
For the supracondylar radial nerve block, studies have found it can safely reduce pain during wrist fracture treatment. An ultrasound guides the procedure, making it efficient and less painful.
Hematoma blocks also have a good safety record. They involve injecting pain relief directly into the swollen area around the fracture. Studies have found this method to be safe, effective, and often preferred over general anesthesia.
When combined, these methods remain safe and effective. Both techniques ease pain without a significant increase in side effects.
Overall, previous patients have tolerated these treatments well, experiencing good pain relief during wrist fracture care.12345Why are researchers enthusiastic about this trial?
Researchers are excited about these local anesthesia techniques for wrist fractures because they offer potentially more effective pain management options compared to traditional methods like oral analgesics or sedatives. The supracondylar radial nerve block involves a precise lidocaine injection near the radial nerve under ultrasound guidance, which can provide targeted pain relief with possibly fewer side effects. The hematoma block delivers analgesia directly into the hematoma at the fracture site, potentially offering faster and more localized pain control. The combination of these blocks could maximize pain relief by harnessing the benefits of both techniques, providing a comprehensive approach to managing fracture pain.
What evidence suggests that these local anesthesia techniques are effective for wrist fractures?
In this trial, participants will receive one of three different local anesthesia techniques for wrist fractures. Research has shown that supracondylar radial nerve blocks, which participants in one arm of this trial may receive, can be very effective for wrist fractures. Studies have found that this method often results in lower pain levels compared to other techniques. Another option in this trial is hematoma blocks, which involve injecting pain relief directly into the swollen area around the fracture. These are also considered safe and effective, especially as an alternative to general anesthesia. However, some research suggests they might only offer mild pain relief during the procedure. The trial will also study a combination of both techniques. Early results suggest it might improve pain control, but more evidence is needed to confirm this.12356
Who Is on the Research Team?
Aaron Grossberg, DO
Principal Investigator
Sarasota Memorial Health Care System
Are You a Good Fit for This Trial?
This trial is for individuals with stable spine fractures or wrist fractures, specifically a type called Colles' fracture. Participants should be those seeking pain relief options in the emergency room setting.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive one of three pain relief techniques: supracondylar radial nerve block, hematoma block, or a combination of both, to manage pain during wrist fracture reduction in the emergency room.
Follow-up
Participants are monitored for pain levels, opioid medication use, need for conscious sedation, and adverse events until discharge from the emergency room.
What Are the Treatments Tested in This Trial?
Interventions
- Combination of blocks
- Hematoma block
- Supracondylar radial nerve block
Find a Clinic Near You
Who Is Running the Clinical Trial?
Sarasota Memorial Health Care System
Lead Sponsor