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"Supracondylar Radial Nerve Block Guided by Ultrasound Versus Hematoma Block for Analgesic Management in Closed Reduction of Distal Radius Fractures"

RecruitingNAAges 18 Years - anyAllHospital Universitario San Ignacio
NCT06857110 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

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

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients over 18 years old with skeletal maturity evidenced in the initial radiographs. * Patients with a radiological diagnosis of distal radius fracture * Patients whose clinical condition is considered acute (duration of symptoms less than one week). * Patients who have an indication for closed reduction as a definitive or initial management of their distal radius fracture * Patients treated at San Ignacio University Hospital in Bogotá, Colombia Exclusion Criteria: * • Patients with bilateral distal radius fractures * Patients with open distal radius fractures. * Patients with another fracture in the same limb * Patients in a state of intoxication or under the influence of psychoactive substances. * Patients with hemodynamic instability that prevents prioritizing closed reduction as management. * Patients with a known allergy to local anesthetics * Patients on full-dose anticoagulant therapy. * Patients who refuse to participate in the study * Patients with cognitive, visual, or auditory impairments that prevent the proper completion of questionnaires
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What it tests

  • ultrasound-guided supracondylar block of the radial nerve
  • hematoma block
  • 5 mg of intramuscular diclofenac
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Where

1 site
Hospital Universitario San Ignacio
Bogotá, Colombia
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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