Ultrasound‐Guided Nerve Blocks Improve Success Rate of Closed Reduction of Colles' Fractures: A Randomised Controlled Trial
Authors' conclusion
Ultrasound-guided median and radial nerve blocks had a higher success rate for Colles' fracture reduction than the hematoma block group.
Study context
- Population
- Adults with distal forearm fractures (Colles' fracture) undergoing closed reductionColles' fracture
- Participants
- 238 adults
- Comparison
- US vs hematoma blocks (HB)
- USn = 117
- HBn = 121reference
- Primary endpoint
- Satisfactory fracture reduction
Methodological detailsmulticentre
- Multicentre
Primary result
As reported in the abstract
P = 0.01
Secondary outcomes
Surgical correction
P = 0.03
Median, min
| Outcome | US | HB | P value |
|---|---|---|---|
| Self-reported pain during fracture reduction (distal forearm fractures, n = 247) | P = 0.21 | ||
| Time from block application to fracture reduction | 45 | 25 | P < 0.01 |
Self-reported pain during fracture reduction (distal forearm fractures, n = 247)
- No difference in self-reported pain
Original publication
Ultrasound‐Guided Nerve Blocks Improve Success Rate of Closed Reduction of Colles' Fractures: A Randomised Controlled Trial. Acta Anaesthesiol Scand. Published 19 June 2025. doi:10.
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