Haematoma block—a safe method of reducing Colles' fractures
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Cited by (46)
Methods to reduce opioid use during surgical treatment of pediatric supracondylar fractures – a pilot study
2021, InjuryCitation Excerpt :One type of local injection is a hematoma block, which involves an injection into the fracture site with a local anesthetic. It has previously demonstrated to be a simple, safe, and effective pain management strategy for pediatric femur [3] and distal forearm fractures [4–6]. Another increasingly common analgesic modality is IV paracetamol, which has shown to reduce pain, opioid consumption, and adverse outcomes in various orthopedic-related surgeries [7–9].
Distal Radius Fractures. Emergency Department Evaluation and Management.
2015, Orthopedic Clinics of North AmericaCitation Excerpt :We instead discuss the technique of a hematoma block because this is a versatile clinical tool and can be performed independently. A hematoma block is a reliable anesthetic technique that has been well-described in ED fracture management.53–55 A good neurologic examination should be documented before proceeding because introduction of a local anesthetic may transiently blunt median nerve function and subsequent examination.
Anesthesia and Analgesia for the Ambulatory Management of Children's Fractures
2015, Green's Skeletal Trauma in Children: Fifth EditionHematoma block versus sedation for the reduction of distal radius fractures in children
2015, Journal of Hand SurgeryCitation Excerpt :Although there is little literature on HB reduction of DRFs in children, HB has previously been evaluated for these fractures in adults.5–7 Similar to the results of our current study, these studies support the safety, efficacy,5 and ability to obtain adequate fracture reduction with HB alone.11 They also do not show an increased risk of infection in patients treated with HB.
Colles' fracture: Dorsal splint or complete cast during the first 10 days?
2009, InjuryCitation Excerpt :All participants gave informed, written consent, and were then randomised into one of two groups: one group underwent reduction and a complete plaster cast, and the other reduction and a dorsal plaster splint. Reduction was performed under local anaesthesia1,20 by longitudinal traction, either manually or with finger-traps.3 If there was any uncertainty as to treatment, the case was provisionally randomised and the initial radiographs were assessed by an experienced orthopaedic specialist the following day.
Osteomyelitis following a haematoma block
2003, InjuryCitation Excerpt :A previous survey of a larger accident and emergency department concluded that haematoma blocks had increased in popularity over the preceding 5 years, largely at the expense of general anaesthesia [2]. Haematoma blocks are generally safe and effective way to anaesthetise a fracture before manipulation [3]. These blocks given with or without sedation require a single operator, are quicker, simpler to perform and provide post manipulation analgesia.