Wrist fracture pain study: which block works best?
NCT ID NCT05086224
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways to numb the wrist during a broken bone repair: a hematoma block (injecting numbing medicine into the fracture site) and a Bier block (using a tourniquet and IV numbing medicine). 500 adults with a broken wrist will be enrolled to see which method provides better pain control. The goal is to find the most effective and comfortable approach for patients.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults (age 18+ years of age) with a closed distal radius. * Eligible patients will be those who require a closed reduction for a displaced fracture. * Any distal radius that falls outside of normal anatomic parameters will require reduction. * Normal anatomic parameters include radial inclination: 22°; mean, 19° to 29°, radial height: 11 to 12 mm, and volar tilt 11°; mean,11° to 14.5°. * Patients presenting with intact neurovascular exam will be included (sensation intact about ulnar, median, and radial nerve distributions with an intact radial pulse. Exclusion Criteria: * Not able to provide informed consent (intubated or cognitively impaired). * Member of vulnerable populations such as non-English speaking and incarcerated patients. * Pregnant or lactating women. * Have open fractures or altered neurovascular exams. * Have any confounding injures such as an associated dislocation or subluxation of the carpus or patients who have a concomitant upper extremity injury requiring surgery. * Patients who will obtain follow-up elsewhere (as they will not be able to be studied longitudinally. * Patients who have are unable to tolerate the tourniquet pressure while awake or in whom IV access is unable to be obtained in the correct hand will be excluded from the bier block arm of the study. * Patients with skin compromise or breakdown or active infection overlying fracture site will be excluded from the hematoma block arm.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of Utah Orthopaedic Center
Salt Lake City, Utah, 84108, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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