Wrist Reduction Intervention: Supracondylar Technique for Radial Nerve Block vs. Hematoma Block (WRIST Block Study)
NCT ID: NCT07268547
Last Updated: 2025-12-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ENROLLING_BY_INVITATION
PHASE4
105 participants
INTERVENTIONAL
2025-12-09
2027-12-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Supracondylar radial nerve blocks
Lidocaine injection given near the radial never under ultrasound guidance
Supracondylar radial nerve block
Supracondylar radial nerve blocks given at the radial nerve not as the same location of the fracture site, prior to fracture reduction.
Hematoma blocks
Injecting analgesia into the hematoma that forms surrounding the wrist fracture
Hematoma block
Injection of analgesia into the hematoma that forms surrounding the wrist fracture.
Combination of supracondylar radial nerve block and hematoma block
Supracondylar radial nerve block given first followed by hematoma block
Combination of blocks
Supracondylar radial nerve block given first, followed by hematoma block, before fracture reduction.
Interventions
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Supracondylar radial nerve block
Supracondylar radial nerve blocks given at the radial nerve not as the same location of the fracture site, prior to fracture reduction.
Hematoma block
Injection of analgesia into the hematoma that forms surrounding the wrist fracture.
Combination of blocks
Supracondylar radial nerve block given first, followed by hematoma block, before fracture reduction.
Eligibility Criteria
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Inclusion Criteria
* Patients admitted to the ECC with a distal radius fracture requiring closed reduction
* Patient must be willing and able to provide informed consent to the study
Exclusion Criteria
* Pregnant
* Prisoner
* Allergy to lidocaine
* Patients unable to provide informed consent and/or perform study-related activities
* Patients undergoing procedural sedation
* Patients may be excluded at the discretion of the investigator based on their clinical judgment, if the participant no longer meets criteria, and/or if the health or safety of the patient may be impacted by taking part in the study.
18 Years
ALL
No
Sponsors
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Sarasota Memorial Health Care System
OTHER
Responsible Party
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Aaron Grossberg
Principal Investigator
Principal Investigators
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Aaron Grossberg, DO
Role: PRINCIPAL_INVESTIGATOR
Sarasota Memorial Health Care System
Locations
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Sarasota Memorial Health Care System
Sarasota, Florida, United States
Countries
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References
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Gottlieb M, Cosby K. Ultrasound-guided hematoma block for distal radial and ulnar fractures. J Emerg Med. 2015 Mar;48(3):310-2. doi: 10.1016/j.jemermed.2014.09.063. Epub 2014 Dec 9.
Tseng PT, Leu TH, Chen YW, Chen YP. Hematoma block or procedural sedation and analgesia, which is the most effective method of anesthesia in reduction of displaced distal radius fracture? J Orthop Surg Res. 2018 Mar 27;13(1):62. doi: 10.1186/s13018-018-0772-7.
Siebelt M, Hartholt KA, van Winden DFM, Boot F, Papathanasiou D, Verdouw BC, de Vries MR, Mathijssen NM, Kraan GA. Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials. J Orthop Trauma. 2019 Apr;33(4):e124-e130. doi: 10.1097/BOT.0000000000001388.
Oakley B, Busby C, Kulkarni S, Arnold SJ, Kulkarni SS, Ollivere BJ. Manipulation of distal radius fractures: a comparison of Bier's block vs haematoma block. Ann R Coll Surg Engl. 2023 May;105(5):434-440. doi: 10.1308/rcsann.2022.0116. Epub 2022 Oct 14.
Maia GAS, Cunha JC, Feijo CQ, Leal DM, Moreira JJ, Herrero CFPDS. Radial Nerve Supracondylar Block Versus Fracture Hematoma Block. Comparison of Their Efficacy in Cases of Fractures of the Distal Third of the Radius. Rev Bras Ortop (Sao Paulo). 2023 Aug 30;58(4):e557-e562. doi: 10.1055/s-0043-1768623. eCollection 2023 Aug.
Handoll HH, Madhok R, Dodds C. Anaesthesia for treating distal radial fracture in adults. Cochrane Database Syst Rev. 2002;2002(3):CD003320. doi: 10.1002/14651858.CD003320.
Haley CB, Beauchesne AR, Fox JC, Nelson AM. Block Time: A Multispecialty Systematic Review of Efficacy and Safety of Ultrasound-guided Upper Extremity Nerve Blocks. West J Emerg Med. 2023 Jun 30;24(4):774-785. doi: 10.5811/westjem.56058.
Martinez-Arboleda JJ, Moreno M, Diaz-Solorzano JP, Mejia-Grueso A. Ultrasound-guided supracondylar radial nerve block for closed reduction of a distal radius fracture in the emergency department: Case report. Trauma Case Rep. 2024 Sep 25;54:101116. doi: 10.1016/j.tcr.2024.101116. eCollection 2024 Dec.
Che Daud AZ, Mohd Nayan NA, Ahmad A, Alrashdi M, Kadar M, Mohd Poot EF. Distal radius fracture rehabilitation: A bibliometric and scoping review. J Hand Ther. 2025 Jul 3:S0894-1130(25)00089-4. doi: 10.1016/j.jht.2025.05.016. Online ahead of print.
Abbasi S, Garjani N, Mahshidfar B, Farsi D, Mofidi M, Hafezimoghadam P, Rezai M, Javan A. Comparative Study of Radial and Median Nerve Blocks with Hematoma Block under Ultrasound Guide in Distal Radius Fracture Reduction: A Randomized Clinical Trial. Med J Islam Repub Iran. 2023 Oct 23;37:113. doi: 10.47176/mjiri.37.113. eCollection 2023.
Other Identifiers
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25-MEDI-58
Identifier Type: -
Identifier Source: org_study_id
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