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Effectiveness of Hematoma Block in Term of Pain Relief in Distal Radial Fractures.
Keywords:
Hematoma, Effectiveness, fracture,, block, RadiusAbstract
Objective: To find out effectiveness of hematoma block in term of pain relief in reduction of distal radius fracture.
Methodology: This Cross sectional (descriptive) study was conducted in the Department of Orthopedics Surgery, Lady Reading Hospital, Peshawar from August 19, 2021 till February 18, 2022 on total of 150 patients aged 18-80 years of either gender presented to the emergency department with acute pain and deformity of radius, confirmed at x ray were enrolled using Consecutive non-probability sampling. Study was conducted after approval of hospital ethical committee and written informed consent of patients. Reduction was done using hematoma block and post- procedure VAS was checked to determine effectiveness of hematoma block. Data was entered and analyzed using SPSS 20.
Results: In our study total 150 patients were enrolled with mean age of 43.72±17.6 years. There were 49.3% patients from younger age group (18-40 years) and 50.7% from elder age group (41-80 years). There were 64% males and 36% female patients. Hematoma block was effective in 68% patients
Conclusion: Hematoma block is effective in reducing pain after reduction of distal radius fracture.
References
Myderrizi N, Mema B. The hematoma block an effective alternative for fracture reduction in distal radius fractures. Med Arh. 2015;65(4):239-42.
Baig A, Ahmad K, Humail M. Closed reduction and percutaneous Kirschner wire fixation of displaced colles fracture in adults. Pak J Surg, 2015;24:31-7.
Bajracharya S, Singh S, Singh GK, Singh M, Bajracharya T. The efficacy of the hematoma block for fracture reduction in the distalforearm fractures: a double blind randomized controlled trial. Internet J Anesthesiol online different modalities of treatment in Colles 2014 cited 2015 Nov 14. Available from URL: http://www.ispub.com/ostia/index.php?xml printer=true&xml_File path=Journals.
Ismatullah. Hamatoma block local anesthesia for closed reduction of colles type fracture. JPMI.2015;25(1):56- 61.
Anjum MP, Hussain FN, Ali A, Mehboob 1. Post- operative wrist movement in pereutaneous fixation by K-wire of colles fracture. Med Channel 2014;16:331-3.
Kakar HA, Makhdoom A, Laghari MA, Shah NH, Qureshi PAL, Siddiqui KA. Evaluation of different modalities of treatment in Colles 2013 cited 2015 Nov 16. Fractures. J Pak Orthop Associ 2015;22:75-81.
Man KH, Fan KP, Chan TN, Yue YM. Prospective clinical trial comparing self-administered nitrous oxide and hematoma block for analgesia in reducing fracture of the distal radius in an emergency department. Hong Kong J Emerg Med.2016;17:126-31.
Ng VK, Hames H, Millard WM. Use of intra-articular lidocaine as analgesia in anterior shoulder dislocation: a review and meta-analysis of the literature. Can J Rural Med. 2014;14(4):145-9.
Moharari RS, Khademohsseini P, Espandar R, Soleymani HA, Talebian MT, Khashayar P, Nejati A. Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocation: a randomized clinical trail. Emerg Med J.2015;25:262- 4.
Metz VM, Gilula LA. Imaging techniques for distal radius fractures and related injuries. Orthop Clin North Am. 1993 Apr. 24(2):217-28.
Oyen J, Diamantopoulos AP, Haugeberg G. Mortality after distal radius fracture in men and women aged 50 years and older in southern Norway. PLoS One.2014;9(11):112098.doi: 10.1371/journal.pone.0112098.
Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002;359(9319):1761–7.
Bartl C, Stengel D, Bruckner T, Gebhard F. The treatment of displaced intra-articular distal radius fractures in elderly patients. Dtsch Arztebl Int. 2014;11(46):779–87.
Padegimas EM, Osei DA. Evaluation and treatment of osetoporotic distal radius fracture in the elderly patient. Curr Rev Musculoskelet Med. 2013;6(1):41–6. doi: 10.1007/s12178-012- 9153-8.
Bear DM, Friel NA, Lupo CL, Pitetti R, Ward WT. Hematoma block versus sedation for the reduction of distal radius fractures in children. J Hand
Maleitzke T, Plachel F, Fleckenstein FN, Wichlas F, Tsitsilonis S. Haematoma block: a safe method for pre-surgical reduction of distal radius fractures. J Orthop Surg Res. 2020 Aug 26;15(1):351. doi: 10.1186/s13018-020-01819-y. PMID: 32843043; PMCID: PMC7448324.
Tabrizi A, Mirza Tolouei F, Hassani E, Taleb H, Elmi A. Hematoma Block Versus General Anesthesia in Distal Radius Fractures in Patients Over 60 Years in Trauma Emergency. Anesth Pain Med. 2016;7(1):e40619.
Aniel-Quiroga M, Fruner G, Monge-Baeza A, García-Toledo A, Liñán-Padilla A, Jiménez I. [Translated article] The haematoma block is not enough as method of anaesthesia in reduction of displaced distal radius fractures. Rev Esp Cir Ortop Traumatol. 2023 Sep-Oct;67(5):T371-T377. English, Spanish. doi: 10.1016/j.recot.2023.06.004. Epub 2023 Jun 11. PMID: 37311480
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. PMID: 29580286; PMCID: PMC5869786.
