Circumferential periosteal block versus hematoma block for the reduction of distal radius and ulna fractures: a randomized controlled trial.
Analgesia
Distal radius fracture
Hematoma block
Nonoperative management
Periosteal block
Reduction
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
30
12
2021
accepted:
08
08
2022
pubmed:
19
8
2022
medline:
16
2
2023
entrez:
18
8
2022
Statut:
ppublish
Résumé
To assess the analgesic efficacy of the circumferential periosteal block (CPB) and compare it with the conventional fracture hematoma block (HB). This study was a prospective single-center randomized controlled trial performed in a national orthopedic hospital. Fifty patients with displaced distal radius (with or without concomitant ulna) fractures requiring reduction were randomized to receive either CPB or HB prior to the reduction. Pain was sequentially measured using the visual analogue scale (VAS) across three stages; before administration of local anesthesia (baseline), during administration (injection) and during manipulation and immobilization (manipulation). Further, the effect of demographic factors on the severity of pain was analyzed in multivariate regression. Finally, complications and end outcomes were compared across both techniques. Patients receiving CPB experienced significantly less pain scores during manipulation (VAS = 0.64) compared with HB (VAS = 2.44) (p = < 0.0001). There were no significant differences between groups at baseline (P = 0.55) and injection (P = 0.40) stages. The CPB provides a superior analgesic effect over the conventional HB with no documented complications in either technique. Therapeutic Level II.
Identifiants
pubmed: 35982326
doi: 10.1007/s00068-022-02078-8
pii: 10.1007/s00068-022-02078-8
pmc: PMC9925527
doi:
Substances chimiques
Analgesics
0
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
107-113Informations de copyright
© 2022. The Author(s).
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