Hematoma Block for Wrist Fractures
(Hematoma Block Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial compares two methods for managing pain during wrist fracture treatment. One group will receive a traditional method where doctors use touch to locate the right spot for a pain block, while the other group will use an ultrasound to guide them. This method is known as an Ultrasound Guided Hematoma Block. The trial aims to determine if using ultrasound enhances pain management effectiveness. Adults who have recently broken their wrist and are not experiencing severe distress or communication issues might be suitable for this study. As an unphased trial, this study allows participants to contribute to innovative pain management research.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this method is safe for wrist fracture treatment?
Research has shown that an ultrasound-guided hematoma block is generally safe and well-tolerated. Studies have found it to be a safer option compared to methods like sedation for managing pain in wrist fractures. This technique uses a gel-like substance to numb the area, reducing pain during the treatment of broken wrists. Major side effects have not been commonly reported, making it a potentially safer choice for pain management.12345
Why are researchers excited about this trial?
Researchers are excited about the ultrasound-guided hematoma block for wrist fractures because it offers a more precise and potentially less painful alternative to traditional methods. Unlike the standard hematoma block, which relies on feel and experience to administer, this approach uses ultrasound technology to accurately target the hematoma, potentially improving the effectiveness of the pain relief. This means patients might experience quicker relief with fewer complications, making the treatment more efficient and comfortable.
What evidence suggests that the ultrasound-guided hematoma block is effective for wrist fractures?
This trial will compare two methods of administering pain relief for wrist fractures. Research has shown that using ultrasound to guide pain relief injections, as in the ultrasound-guided hematoma block arm of this trial, effectively manages pain from wrist fractures. Studies have found this method to be a safe and efficient alternative to traditional pain relief methods that don't use imaging, such as the traditional hematoma block arm in this trial. Compared to injections done without guidance, ultrasound ensures correct placement of the pain relief medicine, improving pain relief. Patients have responded well, often needing less additional pain medication. This method also helps avoid complications linked to more invasive procedures.23456
Who Is on the Research Team?
Beatrice Hoffmann, MD
Principal Investigator
Beth Israel Deaconess Medical Center
Are You a Good Fit for This Trial?
This trial is for adults over 18 who come to the emergency department with a distal radius fracture, which is a type of broken bone near the wrist. It's not specified who can't join, but typically those with additional health complications might be excluded.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either a traditional or ultrasound-guided hematoma block for analgesia in distal radius fracture reduction
Follow-up
Participants are monitored for pain reduction and safety after the procedure
What Are the Treatments Tested in This Trial?
Interventions
- Ultrasound Guided Hematoma Block
Find a Clinic Near You
Who Is Running the Clinical Trial?
Beth Israel Deaconess Medical Center
Lead Sponsor
Harvard University
Collaborator